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Substance Abuse and Brain Injuries

Substance Use and Abuse After Brain Injury: A Programmer's Guide

Definition of Terms

Substance Use: Due to the effects on the brain, any substance use following brain injury should be avoided, even if it does not lead to intoxication. Substance use includes the consumption of alcohol, other non-prescribed drugs and/or the misuse of prescribed medications.

Substance Abuse and Dependence:
Substance abuse and dependence as used in this manual are consistent with definitions provided in the DSM IV. Substance abuse includes any of the following consequences happening within a year:

  • Failure to fullfill major obligations at home, work or school;
  • Engaging in potentially hazardous behavior;
  • Legal problems; or
  • Social or interpersonal problems.

Substance dependence has more severe manifestations, particularly signs of physiologic dependence.

Prevention: Activities that motivate a person to choose not to use, or resume use, following brain injury.

Intervention: Activities that facilitate the acceptance of professional help for a substance use problem.

Treatment: Professional services that motivate a person with a substance use problem to consider, achieve and maintain abstinence.

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Substance Abuse Education Series

Utilities for Community Professionals