There are a lack of recourses for substance abuse (SA) treatment for forensic clients with intellectual disabilities (ID). Many complexities arise when treating this population, calling for the creation of comprehensive resources which not only address the SA, but also account for the risk and offending issues. The purpose of this paper is to detail a pilot programme which aims to provide treatment for forensic ID clients with substance abuse issues as well as a significant risk of reoffending.,Six participants completed a 27-week SA treatment programme (the Alcohol and Substance Abuse Programme-Intellectual Disability) which incorporated the use of dialectical behavioural therapy (DBT) and the Good Lives Model concepts. Pre- and post-measures aimed to assess readiness for change and confidence in ability to stay clean and sober.,Preliminary findings showed a marked improvement in confidence of the participants’ ability to stay clean and sober in risk-related situations as well as an increase in overall readiness for change.,This research paper addresses a gap in the current forensic ID research and clinical treatment options pertaining to SA, by focussing on supporting forensic ID clients in their recovery journey from SA. Being at the forefront of SA treatment for forensic ID, further research in this domain should attempt to consolidate the findings of this programme.

中文翻译：

---

ASAP-ID：针对法医ID人群的药物滥用计划

对于智障法医客户（ID），缺乏药物滥用（SA）治疗的资源。在对待这一人群时，出现了许多复杂情况，因此需要创建全面的资源，这些资源不仅要解决SA的问题，还要考虑到风险和违规问题。本文的目的是详细介绍一项试点计划，该计划旨在为有药物滥用问题以及重犯的重大风险的法医身份客户提供治疗。六名参与者完成了一个为期27周的SA治疗计划（酒精和药物滥用）计划-智力障碍），其中纳入了辩证行为疗法（DBT）的使用和美好生活模型的概念。之前和之后的措施旨在评估对变化的准备程度以及对保持清洁和清醒能力的信心。初步研究结果表明，参与者在与风险相关的情况下保持清洁和清醒的能力的信心有了显着提高，并且改变的总体准备程度也有所提高。，本研究报告解决了当前法医ID研究和临床治疗方面的差距与SA有关的选项，重点是在法医ID客户从SA进行恢复的过程中为其提供支持。处于SA法医证件治疗的最前沿，对此领域的进一步研究应尝试巩固该计划的发现。通过专注于支持取证ID客户从SA进行恢复的过程。处于SA法医证件治疗的最前沿，对此领域的进一步研究应尝试巩固该计划的发现。通过专注于支持取证ID客户从SA进行恢复的过程。处于SA法医证件治疗的最前沿，对此领域的进一步研究应尝试巩固该计划的发现。