Abstract
Neurological disability appears to be associated with increased risk for substance abuse. Alcohol and other drugs, through their pharmacological or expectancy-based effects, provide unique coping functions for clients with neurocognitive deficits. In this article, risk factors are identified and a four stage model of prevention intervention is described. Cognitive-behavioral strategies are used to circumvent deficits in memory, insight, and impulse control. Clients learn a variety of coping behaviors and are assisted in developing a life-style that is incompatible with substance use.
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