Health  Vol.8 No.14 , November 2016
Psychoactive Substance Use and Disabled People: An Integrative Review
Abstract: This study aimed to analyze the evidence available in the literature about psychoactive substance use by persons with disabilities. We used integrative review of literature in SciELO, PubMed, SCOPUS, BDENF, and PsychINFO databases, with the descriptors: pessoas com deficiência; transtornos relacionados a uso de substancias; disabled persons; and substance-related disorders. Twelve articles were included in the sample. Data were analyzed and discussed descriptively. The studies’ results, with scientific evidence, were synthesized on two main themes: substance use by people with disabilities, and access of people with disabilities to treatment for substance-related disorders. The scientific evidences identified in studies reported disability as a risk factor for substance abuse, and also reported that disabled persons did not have access to treatment and rehabilitation services for substance abuse. Finally, the studies analyzed pointed to the need for scientific research on this topic.
Cite this paper: Guimarães, F. , Mariano, M. and Pagliuca, L. (2016) Psychoactive Substance Use and Disabled People: An Integrative Review. Health, 8, 1411-1422. doi: 10.4236/health.2016.814142.

[1]   Carlini, E.A. (supervisão), et al. (2006) II Levantamento domiciliar sobre o uso de drogas psicotrópicas no Brasil: Estudo envolvendo as 108 maiores cidades do país: 2005. Páginas & Letras editora, São Paulo.

[2]   Sadock, B.J. (2007) Compêndio de Psiquiatria: Ciências do comportamento e psiquiatria clínica. Artmed, Porto Alegre.

[3]   Picolotto, E., Libardoni, L.F.C. and Geib, L.T.C. (2010) Prevalence and Factors Associated with Psychoactives Substances Consumption for Academics of Nursing of the University of Passo Fundo. Ciência e Saúde Coletiva, 15, 645-654.

[4]   United Nations Office on Drugs and Crime (2015) World Drug Report 2015. Sales No. E.15.XI.6.

[5]   Instituto Brasileiro de Geografia e Estatística (2010) Censo 2010.

[6]   Brasil. Decreto No 5.296, de 2 de dezembro de 2004. Regulamenta as Leis nos 10.048, de 8 de novembro de 2000, que dá prioridade de atendimento às pessoas que especifica, e 10.098, de 19 de dezembro de 2000, que estabelece normas gerais e critérios básicos para a promoção da acessibilidade das pessoas portadoras de deficiência ou com mobilidade reduzida, e dá outras providências. Diário Oficial da União, 03 Dez 2004.

[7]   Batista, R.S. and Pagliuca, L.M.F. (2009) Disabled Person an Evolutionary Perspective: Conceptual Analysis. Online Brazilian Journal Nursing, 8, No. 3.

[8]   Ministério da Saúde (BR). Secretaria de Atenção à Saúde (2010) Política nacional de saúde da pessoa com deficiência. Ministério da Saúde, Brasília.

[9]   Ministério da Saúde (BR). Secretaria de Atenção à Saúde (2008) A pessoa com deficiência e o Sistema Único de Saúde. 2a ed., Ministério da Saúde, Brasília.

[10]   Mendes, K.D.S., Silveira, R.C.C.P. and Galvão, C.M. (2008) Integrative Literature Review: A Research Method to Incorporate Evidence in Health Care and Nursing. Texto & Contexto Enfermagem, 17, 758-764.

[11]   Polit, D.F. and Beck, C.T. (2011) Fundamentos de pesquisa em enfermagem: Avaliação de evidências para a prática da enfermagem. Artmed, Porto Alegre.

[12]   Brawarsky, P., Brooks, D.R., Wilber, N., Gertz Jr., R.E. and Walker, D.K. (2002) Tobacco Use among Adults with Disabilities in Massachusetts. Tobacco Control, 11, 29-33.

[13]   West, S.L. (2007) The Accessibility of Substance Abuse Treatment Facilities in the United States for Persons with Disabilities. Journal Substance Abuse Treatment, 33, 1-5.

[14]   Bachman, S.S., Drainoni, M.L. and Tobias, C. (2004) Medicaid Managed Care, Substance Abuse Treatment, and People with Disabilities: Review of the Literature. Health Society Work, 29, 189-196.

[15]   Krahn, G., Farrell N., Gabriel, R. and Deck, D. (2006) Access Barriers to Substance Abuse Treatment for Persons with Disabilities: An Exploratory Study. Journal Substance Abuse Treatment, 31, 375-384.

[16]   Taggart, L., McLaughlin, D., Quinn, B. and McFarlane, C. (2007) Listening to People with Intellectual Disabilities Who Misuse Alcohol and Drugs. Health & Social Care in the Community, 15, 360-368.

[17]   Pagliuca, L.M.F., Cezario, K.G. and Mariano, M.R. (2009) Blind Men and Women’s Perceptions of the Use of Illegal Drugs. Acta Paulista Enfermagem, 22, 404-411.

[18]   Pettersen, H., Ruud, T., Ravndal, E. and Landheim, A. (2013) Walking the Fine Line: Self Reported Reasons for Substance Use in Persons with Several Mental Illness. International Journal of Qualitative Studies in Health and Well-Being, 8, 21968.

[19]   Gilson, S.F., Chilcoat, H.D. and Stapleton, J.M. (1996) Illicit Drug Use by Persons with Disabilities: Insights from the National Household Survey on Drug Abuse. American Journal Public Health, 86, 1613-1615.

[20]   Brunnberg, E., Boström, M.L. and Berglund, M. (2008) Self-Rated Mental Health, School Adjustment, and Substance Use in Hard-of-Hearing Adolescents. Journal of Deaf Studies and Deaf Education, 13, 324-335.

[21]   Didden, R., Embregts, P., Toorn, M.V.D. and Laarhoven, N. (2009) Substance Abuse, Coping Strategies, Adaptive Skills and Behavioral and Emotional Problems in Clients with Mild to Borderline Intellectual Disability Admitted to a Treatment Facility: A Pilot Study. Research in Developmental Disabilities, 30, 927-932.

[22]   Pinquart, M. and Pfeiffer, J.P. (2015) Alcohol Use among Students with and without Hearing Loss. Journal of Deaf Studies and Deaf Education, 20, 82-90.

[23]   Glazier, R.E. and Kling, R.N. (2013) Recent Trends in Substance Abuse among Persons with Disabilities Compared to That of Persons without Disabilities. Disability and Health Journal, 6, 107-115.

[24]   Silva, G.R.F. and Macêdo, K.N.F. (2005) Alcohol Consumption among People with Visual Deficiencies. Enfermería Global, 4, 1-7.

[25]   Malta, D.C., Mascarenhas, M.D.M., Porto, D.L., Duarte, E.A., Sardinha, L.M., Barreto, S.M., et al. (2011) Prevalence of Alcohol and Drug Consumption among Adolescents: Data Analysis of the National Survey of School Health. Revista Brasileira de Epidemiologia, 14, 136-146.

[26]   Chiapetti, N. and Serbena, C.A. (2009) Alcohol, Tobacco and Other Drugs Used by Students of Health Services from a University in Curitiba. Psicologia Reflexão Critica, 20, 303-313.

[27]   Cunha, P.J., Nicastri, S., Gomes, L.P., Moino, R.M. and Peluso, M.A. (2004) Neuropsychological Impairments in Crack Cocaine-Dependent Inpatients: Preliminary Findings. Revista Brasileira de Psiquiatria, 26, 103-106.

[28]   Castro, S.S., Lefèvre, F., Lefèvre A.M.C. and Cesar, C.L.G. (2011) Accessibility to Health Services by Persons with Disabilities. Rev Saude Publica, 45, 99-105.

[29]   França, I.S.X., Pagliuca, L.M.F., Baptista, R.S., França, E.G., Coura, A.S. and Souza, J.A. (2010) Symbolical Violence in the Access of Disabled Persons to Basic Health Units. Revista Brasileira de Enfermagem, 63, 964-970.

[30]   Siqueira, F.C.V., Facchini, L.A., Silveira, D.S., Piccini, R.X., Thumé, E. and Tomasi, E. (2009) Architectonic Barriers for Elderly and Physically Disabled People: An Epidemiological Study of the Physical Structure of Health Service Units in Seven Brazilian States. Ciência e Saúde Coletiva, 14, 39-44.

[31]   Cezario, K.G. and Pagliuca, L.M.F. (2007) Assistive Health Technology for Blind People: A Focus on Drugs Prevention. Escola Anna Nery, 11, 677-681.