Preinjury alcohol and drug use among persons with spinal cord injury: Implications for rehabilitation

The Journal of Spinal Cord Medicine, 2011 · DOI: 10.1179/2045772311Y.0000000033 · Published: September 1, 2011

Spinal Cord Injury Mental Health Rehabilitation

Simple Explanation

This study looks at how common alcohol and drug use is among people who have recently experienced a spinal cord injury (SCI). It explores the connection between substance use before the injury and how it might affect their rehabilitation and recovery. The research also investigates whether these individuals are open to making changes in their substance use habits and if they'd be interested in treatment or support groups. The findings suggest that substance abuse is a significant issue in this population, but many are willing to consider changing their habits, presenting a valuable opportunity for intervention during rehabilitation.

Study Duration

Approximately 4 years (6/95–7/99)

Participants

118 participants with recent SCI

Evidence Level

Not specified

Key Findings

1
A significant portion of individuals with recent SCI have a history of alcohol and drug problems prior to their injury.
2
Many 'at-risk' drinkers with new SCI are considering changes in their alcohol use or are already taking action to do so.
3
Motivation to change alcohol use is linked to how severe individuals perceive their alcohol problem to be.

Research Summary

This study investigates the prevalence of preinjury alcohol and drug use among individuals with recent spinal cord injury (SCI) and its implications for rehabilitation. The results indicate that preinjury substance abuse is common in this population, with a significant number of participants classified as 'at-risk' drinkers and reporting recent illicit drug use. The study highlights that many at-risk individuals are motivated to change their alcohol use and are interested in treatment or support, presenting a crucial window for intervention during rehabilitation.

Practical Implications

Routine Screening

Implement routine substance abuse screening during SCI rehabilitation to identify at-risk individuals.

Tailored Interventions

Develop and offer brief, strategic interventions and referrals based on individual patient needs and preferences.

Address Motivation

Capitalize on the 'teachable moment' by supporting and bolstering patients' existing motivation to change their drinking behavior.

Study Limitations

1
The study was conducted in a single rehabilitation unit in the Pacific Northwest, limiting generalizability.
2
Key variables were assessed by self-report, which may be subject to biases such as social desirability.
3
The study lacked a standardized diagnostic measure for alcohol abuse or dependence.

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