Minnesota Adult Basic Education Disabilities

A maladaptive pattern of use leading to clinically significant impairment or distress as manifested by at least one of the following in a 12 month period where the individuals' symptoms have not met the criteria for substance dependence for a class of substance: 1) failure to fulfill major roles obligations at home, work or school, 2) use in situations where it is physically hazardous, 3) legal problems and/or 4) use despite having a persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance