Psychoactive substance use and traumatic brain injury: towards an improvement in the provision of services
To better meet the needs of people with both psychoactive substance use and traumatic brain injury, a narrative literature review about screening, evaluation, intervention and service organization has been carried out. In addition, consultation with users and stakeholders concerned by the problematic identified the challenges encountered in the field and the desired avenues for improvement. Findings: The simultaneous presence of the two problems appears to increase barriers to recovery or limit the impacts of the usual treatment or rehabilitation process. Few studies can identify a specific intervention model. Indeed, the studies listed target, among other things, consumer behaviours, social integration or commitment to treatment, which makes it difficult to accumulate evidence for a particular intervention. Nevertheless, several guidelines favouring a better response to the needs of this clientele have been published in recent years. Conclusion: Recommendations aimed at raising awareness among clients and professionals exposed to this dual condition, promoting adaptation of the screening, evaluation and treatment for substance use of this clientele as well as supporting that adjustment of the organization of services is proposed.