Chapter 8. Substance Misuse

  1. Angela Hassiotis Senior Lecturer2,
  2. Diana Andrea Barron Clinical Research Fellow2 and
  3. Ian Hall Consultant Psychiatrist3
  1. Helen Miller and
  2. Emma Whicher

Published Online: 16 OCT 2009

DOI: 10.1002/9780470682968.ch8

Intellectual Disability Psychiatry: A Practical Handbook

Intellectual Disability Psychiatry: A Practical Handbook

How to Cite

Miller, H. and Whicher, E. (2009) Substance Misuse, in Intellectual Disability Psychiatry: A Practical Handbook (eds A. Hassiotis, D. A. Barron and I. Hall), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9780470682968.ch8

Editor Information

  1. 2

    UCL Department of Mental Health Sciences, London W1W 7EJ, UK

  2. 3

    East London NHS Foundation Trust, London E1 4DG, UK

Author Information

  1. Adult Team National Deaf Services, South West London and St George's Mental Health Services NHS Trust, London SW12 9HW, UK

Publication History

  1. Published Online: 16 OCT 2009
  2. Published Print: 11 DEC 2009

ISBN Information

Print ISBN: 9780470742518

Online ISBN: 9780470682968



  • substance misuse;
  • alcohol and illicit drugs in people with intellectual disabilities;
  • ‘social fragility’ - substance misuse in population with intellectual disabilities;
  • mental and behavioural disorders due to psychoactive substance use (ICD-10);
  • substance use disorders - in men with mild intellectual disabilities;
  • attention deficit hyperactivity disorder (ADHD) - risk factor for alcohol use disorders;
  • illicit drug use associated with alcohol misuse;
  • numeracy problems and cognitive and communication difficulties;
  • epilepsy and alcohol abuse and managing ADHD and alcohol use disorders;
  • joint working combining expertise of community addictions and intellectual disability teams


This chapter contains sections titled:

  • Introduction

  • Range of substances

  • Alcohol

  • Drugs

  • Assessment

  • Adapting treatment approaches

  • Working with mainstream and voluntary services

  • References

  • Further reading