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Between Social Welfare and Public Health: Substance Abuse and Co-occurring Disability

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Substance Abuse

Abstract

Many patients with serious mental and physical illness are addicted to drugs and alcohol. This chapter examines US public assistance programs, specifically regarding the status of substance abuse as a co-occurring disorder along with physical/mental impairment. Its history and criterion reveal the ambiguous status of substance abuse somewhere between a disablement and a condition incurred by personal choice. Given the prevalence of addiction among people with pre-existing physical and mental impairments, advents of co-treatment and barriers to access these services are also briefly described.

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Disclosure

The authors have no relationships with pharmaceutical companies or products to disclose, nor do they discuss off-label or investigative products in this chapter.

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Authors and Affiliations

  1. Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA, 70112, USA

    Song Kim B.S.

  2. Departments of Anesthesiology and Pharmacology, Louisiana State University Health Sciences Center, Louisiana State University Interim Hospital, and Ochsner Kenner Hospital, New Orleans, LA, USA

    Alan David Kaye M.D., Ph.D.

Authors
  1. Song Kim B.S.
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  2. Alan David Kaye M.D., Ph.D.
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Corresponding author

Correspondence to Song Kim B.S. .

Editor information

Editors and Affiliations

  1. Louisiana State University Health Sciences Center, Louisiana State University Interim Hospital, and Ochsner Kenner Hospital, Departments of Anesthesiology and Pharmacology, New Orleans, Louisiana, USA

    Alan David Kaye

  2. Department of Anesthesiology, Yale University School of Medicine and Yale-New Haven Hospital, New Haven, Connecticut, USA

    Nalini Vadivelu

  3. Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Richard D. Urman

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Kim, S., Kaye, A.D. (2015). Between Social Welfare and Public Health: Substance Abuse and Co-occurring Disability. In: Kaye, A., Vadivelu, N., Urman, R. (eds) Substance Abuse. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1951-2_42

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  • DOI: https://doi.org/10.1007/978-1-4939-1951-2_42

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1950-5

  • Online ISBN: 978-1-4939-1951-2

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