Substance Abuse Among Older Adults: Treatment Improvement ProtocolDIANE Publishing, 1999 - 173 pages Researchers are only beginning to realize the pervasiveness of substance abuse, such as alcohol and prescription drug misuse, among older people, thousands of whom need treatment but do not receive it. This Treatment Improvement Protocol (TIP) recommends best practices for identifying, screening, assessing, and treating alcohol and prescription drug abuse among people age 60 and older. Sections: alcohol; use and abuse of psychoactive prescription drugs and OTC medications; identification, screening, and assessment; referral and treatment approaches; outcomes and cost issues; legal and ethical issues; tools. Bibliography. 19 charts and tables. |
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Page xvi
... doses of acetaminophen may experience severe hepatoxicity . Alcohol can increase lithium toxicity and enhance central nervous system depression in persons taking tricyclic antidepressants . High doses of benzodiazepines used in ...
... doses of acetaminophen may experience severe hepatoxicity . Alcohol can increase lithium toxicity and enhance central nervous system depression in persons taking tricyclic antidepressants . High doses of benzodiazepines used in ...
Page xvii
... dosing at the smallest possible dose is preferred , and no more than a 30 - day supply of hypnotics should be prescribed . ( 1 ) The Panel further recommends that clinicians teach older patients to practice good sleep hygiene rather ...
... dosing at the smallest possible dose is preferred , and no more than a 30 - day supply of hypnotics should be prescribed . ( 1 ) The Panel further recommends that clinicians teach older patients to practice good sleep hygiene rather ...
Page xx
... dose of a drug for suppression and management of withdrawal symptoms should be one - third to one - half the usual adult dose , sustained for 24 to 48 hours to observe reactions , and then gradually tapered with close attention XX ...
... dose of a drug for suppression and management of withdrawal symptoms should be one - third to one - half the usual adult dose , sustained for 24 to 48 hours to observe reactions , and then gradually tapered with close attention XX ...
Page 13
... dose of alcohol , the concentration of alcohol in the blood system is greater in an older person than in a younger person . For this reason , the same amount of alcohol that previously had little effect can now cause intoxication ...
... dose of alcohol , the concentration of alcohol in the blood system is greater in an older person than in a younger person . For this reason , the same amount of alcohol that previously had little effect can now cause intoxication ...
Page 18
... doses that caused little impairment at a younger age . For example , body sway increases and the capacity to think clearly decreases with age after a standard alcohol load , even when controlling for BALS ( Beresford and Lucey , 1995 ...
... doses that caused little impairment at a younger age . For example , body sway increases and the capacity to think clearly decreases with age after a standard alcohol load , even when controlling for BALS ( Beresford and Lucey , 1995 ...
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Common terms and phrases
Addiction adverse age-specific alcohol abuse alcohol and drug alcohol consumption alcohol problems alcohol-related alcoholism treatment American Psychiatric Association analgesics anxiety anxiolytics approach assessment Atkinson behavior benzodiazepines Beresford brief intervention Center chronic Clinical clinicians cognitive impairment comorbidities counselor criteria decreased dementia depression detoxification diagnosis disease doses drinking patterns drug abuse DSM-IV Dupree elderly family members Finlayson functioning Geriatric Geriatric Depression Scale gerontology Gomberg health care providers increased individual inpatient insomnia interactions interview issues late onset lorazepam Medicine mental health misuse National Institute older adults older alcoholics older clients older patients older person older substance abusers opioid outpatient oxazepam patient or client percent physical physicians population prescribed prescription drug prescription drug abuse problem drinkers professional psychoactive drugs psychological Research response risk screening sleep smoking social staff substance abuse problems substance abuse treatment symptoms therapy treatment outcomes treatment program triazolam Washington Winger withdrawal
Popular passages
Page 53 - Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover (Eye opener)?
Page 134 - Do you prefer to stay at home, rather than going out and doing new things? YES NO 13. Do you frequently worry about the future? YES NO 14.
Page 17 - ... closely related) substance is taken to relieve or avoid withdrawal symptoms 3. the substance is often taken in larger amounts or over a longer period than was intended 4. there is a persistent desire or unsuccessful efforts to cut down or control substance use 5.
Page 125 - YES, DURING THE LAST YEAR 10. Has a relative or friend or a doctor or other health worker been concerned about your drinking or suggested you cut down? (0) NO (2) YES, BUT NOT IN THE LAST YEAR (4) YES, DURING THE LAST YEAR * In determining the response categories it has been assumed that one 'drink
Page 134 - Choose the best answer for how you felt over the past week. 1. Are you basically satisfied with your life?
Page 17 - A maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by one (or more) of the following, occurring within a 12-month period: 1) recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home (eg, repeated absences or poor work performance related to substance use; substance-related absences, suspensions...
Page 16 - A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by three (or more) of the following, occurring at any time in the same 12-month period...
Page 17 - ... a need for markedly increased amounts of the substance to achieve intoxication or desired effect (b) markedly diminished effect with continued use of the same amount of the substance 2.
Page 129 - Going to toilet: Independent: gets to toilet; gets on and off toilet; arranges clothes, cleans organs of excretion (may manage own bedpan used at night only and may or may not be using mechanical supports). Dependent: uses bedpan or commode or receives assistance in getting to and using toilet.
Page 124 - Daily or almost daily 4. How often during the last year have you found that you were not able to stop drinking once you had started?