Dangerous Drugs Prevention Skills for People with Intellectual Disabilities

描述（由申请人提供）：当今美国一个被忽视，忽视，但重要的问题是智障人士（ID）使用和滥用烟草，酒精和其他药物。越来越多的身份证患者在社区中独立生活，这既有好处，也有风险。许多ID患者不了解使用尼古丁、酒精和非法物质的危害，缺乏重要的预防技能（例如，自信和解决问题），支持性社会网络有限。在id患者身上发现的一些特征——注意力持续时间短、抽象概念困难、过于顺从的性格、学习和记忆缺陷——增加了滥用药物及其负面后果的可能性。考虑到id患者独特的学习需求，目前为没有认知限制的人设计的预防方案过于抽象、快节奏和基于文本。该项目的目标是制定一项全面的预防计划——智障人士危险药物预防技能（DDPS）——该计划将针对这一人群，解决他们独特的学习需求。在第一阶段，将开发一个原型DVD，其中将包括前两个单元：建立有害药物的识别和接受药物滥用时是危险的。该课程将高度互动，利用具体材料，使用适当和不适当行为的视频模型，为材料提供角色扮演的机会，经常重复关键概念，并提供视觉而不是基于文字的线索。该计划的一个独特之处在于使用学习伙伴（例如，直接支持人员，家长，倡导者）来帮助患有ID的人学习和实践计划中提供的信息。在第二阶段，将开发完整的互动式多媒体DVD，供有身份证的人及其学习伙伴使用。最终的综合DDPS计划将由九个模块组成，以McGillicuddy和Blane（1999）开发的两种预防方法为基础，并增加一个社会支持和社区资源组成部分。最终产品将被商业化包装，视频材料将在DVD上提供。

DESCRIPTION (provided by applicant): An overlooked, neglected, yet significant problem in the United States today is the use and abuse of tobacco, alcohol, and other drugs by individuals with intellectual disabilities (ID). Increasing numbers of people with ID are living independently in the community with both its benefits and its risks. Many individuals with ID do not understand the dangers of nicotine use, alcohol, and illicit substances, are lacking in important prevention skills (e.g., assertiveness and problem solving), and have limited supportive social networks. Some of the characteristics found in people with I.D. - short attention span, difficulties with abstract concepts, overly compliant personalities, learning and memory deficits -- increase the likelihood of substance abuse and its negative consequences. Given the unique learning needs of individuals with I.D., current prevention programs designed for people without cognitive limitations are too abstract, fast paced, and text-based. The goal of this project is to develop a comprehensive prevention program -- Dangerous Drug Prevention Skills for People with Intellectual Disabilities (DDPS) -- that will be targeted to this population and address their unique learning needs. In Phase I a prototype DVD will be developed that will cover the first two units: building identification of harmful drugs and accepting that drugs when misused are dangerous. The program will be highly interactive and utilize concrete materials, use video models of appropriate and inappropriate behaviors, provide opportunities for role-playing of the materials, frequently repeat key concepts, and provide visual rather than text-based cues. A unique feature of the program will be the use of a learning partner (e.g., direct support staff, parent, advocate) to help the person with ID learn and practice the information provided in the program. In Phase II the complete interactive, multimedia DVD will be developed for use by people with ID and their learning partner (LP). The final comprehensive DDPS program will consist of nine modules based on the two prevention approaches developed by McGillicuddy and Blane (1999) with the addition of a social support and community resources component. The final product will be commercially packaged and video material will be available on DVD. PUBLIC HEALTH RELEVANCE: Research on substance use and abuse prevention is highly relevant to public health given the negative consequences of misuse. . Individuals with ID are a population at risk for abuse frequently due to their loneliness and need for social acceptance. There is a pressing need to develop prevention materials for this group. By focusing on these individuals with ID, this program brings needed intervention tools for an underserved population.