The functional limitations of clients with coexisting disabilities

The nature and extent of functional limitations of clients with coexisting disabilities in substance abuse treatment were examined by surveying Program Directors of a sample of licensed substance abuse treatment facilities in the state of New York. Program Directors were asked about the incidence and nature of coexisting disabilities typically found in their client population and the effect of client functional limitations on access to treatment and related vocational rehabilitation services. Results included wide variation in the size and scope of treatment facilities and the incidence of coexisting disability. Psychiatric disabilities, followed by learning/behavioral disabilities, were found to be the most prevalent coexisting disabilities of clients receiving substance abuse treatment. The client functional limitations most affecting overall treatment and vocational rehabilitation were uncertain prognosis and pain. Functional limitations were viewed to have a significantly greater impact on achieving vocational rehabilitation goals in comparison to substance abuse treatment goals.