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Substance use disorder (SUD) treatment for individuals with intellectual and developmental disabilities faces significant barriers, including inadequate training and service structures. Improving access requires interagency collaboration and a biopsychosocial approach.

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Area of Science:

  • Health Services Research
  • Disability Studies
  • Addiction Medicine

Background:

  • California's regional center system coordinates services for individuals with intellectual and developmental disabilities (IDD).
  • Substance use disorder (SUD) treatment access for individuals with IDD presents unique challenges within this system.

Purpose of the Study:

  • To assess the current state of SUD treatment for individuals with IDD in California.
  • To identify barriers and propose solutions for enhancing SUD treatment services.

Main Methods:

  • Mixed-methods study involving data from 21 regional centers and six SUD service programs.
  • Qualitative data analysis from seven service coordinators.

Main Results:

  • Significant barriers to SUD treatment were identified, including insufficient staff training and inadequate service structures.
  • Programs often provided only physical accessibility adaptations, despite being referral targets.
  • Lack of specialized training and fragmented service delivery impede effective treatment.

Conclusions:

  • Interagency collaboration is crucial for improving SUD treatment access and quality for individuals with IDD.
  • Adopting a comprehensive biopsychosocial model of care is recommended.
  • Systemic changes are needed to address training deficits and service integration.