Citation

Taylor LA, Kreutzer JS, Demm SR, Meade MA. Neuropsychol. Rehabil. 2003; 13(1-2): 165-188.

Affiliation

a Virginia Commonwealth University Health System, MCV Hospitals and Physicians, Richmond, Virginia, USA.

Copyright

(Copyright © 2003, Informa - Taylor and Francis Group)

DOI

10.1080/09602010244000336

PMID

21854333

Abstract

Traumatic brain injury (TBI) is a leading cause of death and disability worldwide. Accidents are a major cause of brain injury, and many accidents are alcohol or drug related. Evidence indicates that a vast majority of victims test positive for alcohol or illicit drugs at the time of hospital admission. Research also suggests that a majority of TBI survivors were moderate to heavy drinkers pre-injury. This manuscript reviews literature on pre- and post-injury substance use patterns, abuse risk factors, and dangers of post-injury use. Assessment is discussed in detail with information provided on the need for quantitative assessment, records review, corroboration, and long-term monitoring. Information is also provided on critical features of treatment, prevention, and education, and on the role of psychologists in substance abuse assessment and treatment. The manuscript concludes with a section addressing issues, questions, and concerns commonly encountered by clinicians.

Language: en