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1. Home and Community-Based Services Quality Indicators: (pdf file)
   qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1A_Details_of_literature_review.pdf
   January 01, 2012 - Substance Abuse • A review of large population surveys estimated the prevalence of substance use disorders … Substance Abuse • Among the elderly population, substance abuse often stems from misuse of medications … Substance Abuse • Older adults with a dual diagnosis of mental illness and substance abuse are at higher … to present for substance abuse (Bartels, 2005) … use disorder (14%), post-traumatic stress disorder (14%), other anxiety disorder (11%) (Kilbourne,

2. Themes from HCBS Expert Call Discussions (pdf file)
   qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1B_Details_of_Expert_Panel_Calls.pdf
   January 01, 2012 - Mental Illness and Substance Abuse Panelists’ opinions about the ability of HCBS programs to prevent … hospitalizations for mental illness and substance abuse varied widely. …  Patients with HIV are more likely to also have mental illness and substance abuse (a “comorbid … Substance Abuse  In general substance abuse is probably less of a problem with most waiver recipients … mental illness and substance abuse issues.