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. |
From inside the book
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Page xv
... less likely to seek professional help . Many relatives of older individuals with substance use disorders , particularly their adult children , are ashamed of the problem and choose not to address it . The result is thousands of older ...
... less likely to seek professional help . Many relatives of older individuals with substance use disorders , particularly their adult children , are ashamed of the problem and choose not to address it . The result is thousands of older ...
Page xvi
... less relevant to older adults . To differentiate older drinkers , the Panel recommends using the terms at- risk and problem drinkers only . ( 2 ) In the two- stage conceptualization recommended by the Panel , the problem drinker ...
... less relevant to older adults . To differentiate older drinkers , the Panel recommends using the terms at- risk and problem drinkers only . ( 2 ) In the two- stage conceptualization recommended by the Panel , the problem drinker ...
Page xvii
... practices try asking direct questions . ( 2 ) ( Examples of these and of less direct questions appear in Chapter 4. ) The Panel recommends that health care providers preface questions about xvii Executive Summary and Recommendations.
... practices try asking direct questions . ( 2 ) ( Examples of these and of less direct questions appear in Chapter 4. ) The Panel recommends that health care providers preface questions about xvii Executive Summary and Recommendations.
Page 2
... less common in the 1930s , 1940s , and 1950s than it has been since the 1960s . Many of those who are now 60 and older , influenced by prevailing cultural beliefs and Prohibition , never drank at all , and a negligible number used ...
... less common in the 1930s , 1940s , and 1950s than it has been since the 1960s . Many of those who are now 60 and older , influenced by prevailing cultural beliefs and Prohibition , never drank at all , and a negligible number used ...
Page 4
... less ( reducing the potential for being recognized as abusing alcohol ) . Chapter 2 details drinking practices and problems among older adults . Identification , screening , and assessment of alcohol and drug use - specifically targeted ...
... less ( reducing the potential for being recognized as abusing alcohol ) . Chapter 2 details drinking practices and problems among older adults . Identification , screening , and assessment of alcohol and drug use - specifically targeted ...
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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?