Issues in chemical dependency treatment and aftercare for people with learning differences.

Without major adaptations, current substance abuse treatment models may not be productive for people with learning differences. The study described in this article examined ways to create accessibility to generic chemical dependency treatment for people with learning differences. A key informant survey of chemical dependency workers and developmental disabilities workers was conducted to determine the needs of chemical dependency treatment programs, staff, and people with learning differences in making treatment accessible. Training and information needs were identified, and responses were compared between the two groups of providers. Chemical dependency treatment staff need more information and training on differing learning and socialization skills, differences in reading comprehension, and personal prejudices or stereotypes. In-depth screening is also required to determine the appropriateness of integrated or specialized services or some combination of both.