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 xvii
... elderly patients . ( 2 ) Sedative / Hypnotics Aging changes sleep architecture , decreasing the amount of time spent in the deeper levels of sleep ( stages three and four ) and increasing the number and duration of awakenings during the ...
... elderly patients . ( 2 ) Sedative / Hypnotics Aging changes sleep architecture , decreasing the amount of time spent in the deeper levels of sleep ( stages three and four ) and increasing the number and duration of awakenings during the ...
Page 37
... elderly patients . Unfortunately , both long- and short - acting benzodiazepines tend to result in physiological dependence , even when these medications are taken at therapeutic doses and for as short a period as 2 months ( Woods and ...
... elderly patients . Unfortunately , both long- and short - acting benzodiazepines tend to result in physiological dependence , even when these medications are taken at therapeutic doses and for as short a period as 2 months ( Woods and ...
Page 38
... elderly ) , with a number of chronic illnesses and compromised physical and / or psychosocial functioning . This group includes patients who are often in pain , dysphoric , or depressed as well as anxious , suffering from insomnia , or ...
... elderly ) , with a number of chronic illnesses and compromised physical and / or psychosocial functioning . This group includes patients who are often in pain , dysphoric , or depressed as well as anxious , suffering from insomnia , or ...
Page 47
... Elderly Services at the. A Ithough the vast majority of older adults ( 87 percent ) see physicians regularly , their service providers estimate that 40 percent of those who are at risk do not self - identify or seek services for ...
... Elderly Services at the. A Ithough the vast majority of older adults ( 87 percent ) see physicians regularly , their service providers estimate that 40 percent of those who are at risk do not self - identify or seek services for ...
Page 48
... Elderly Services at the Community Mental Health Center in Spokane , Washington , created the Gatekeeper Program to recruit , organize , and train nontraditional referral sources who may be in contact with at - risk older adults during ...
... Elderly Services at the Community Mental Health Center in Spokane , Washington , created the Gatekeeper Program to recruit , organize , and train nontraditional referral sources who may be in contact with at - risk older adults during ...
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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?