The focus of this paper is on the vocational, educational and psychosocial consequences of dependence or pathological overuse of a drug in relation to a personal injury. The clinically significant impairment or distress accompanying addiction , together with the neurobiological features of drug reward  are already welldocumented. There has been a concern for medication use and its effects in relation to injury . For instance, dependence on pharmacological control of pain has been mentioned in relation to burn injuries  The substance abuse of patients with compensable injuries, however, has been documented but only sporadically since the early 1990s  and almost exclusively in relation to spinal cord injury or traumatic brain injury. Indeed, Bombardier and Turner  used traumatic brain injury and spinal cord injury as explicit “examples of disabling conditions in which alcohol- or drug-related problems play a significant role” (p. 241) whereas musculoskeletal injuries are 33 times more frequent than head injury in an Australian context .
Published on: Aug 20, 2015 Pages: 37-40