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 25
... doses - for example , consuming one or two drinks plus a small dose of a sedative at night . A similar concern is raised with the concomitant use of alcohol and opiates prescribed for pain relief . Although there is little empirical ...
... doses - for example , consuming one or two drinks plus a small dose of a sedative at night . A similar concern is raised with the concomitant use of alcohol and opiates prescribed for pain relief . Although there is little empirical ...
Page 26
... doses of benzodiazepines to achieve efficacy than do nonsmokers ( Ciraulo et al . , 1995 ) . Smoking in older problem drinkers is far more prevalent than in the general older adult population , making tobacco use the most common ...
... doses of benzodiazepines to achieve efficacy than do nonsmokers ( Ciraulo et al . , 1995 ) . Smoking in older problem drinkers is far more prevalent than in the general older adult population , making tobacco use the most common ...
Page 31
... dose for relatively brief periods . An abstinence syndrome or withdrawal effects may occur if the drug is stopped precipitously . This type of iatrogenically induced physiological dependence is not usually accompanied by any tendency on ...
... dose for relatively brief periods . An abstinence syndrome or withdrawal effects may occur if the drug is stopped precipitously . This type of iatrogenically induced physiological dependence is not usually accompanied by any tendency on ...
Page 32
... Dose level more or less than recommended • Use for contraindicated purposes Use in conjunction with other medications with undesirable interactions Skipping doses / hoarding drugs • Use with alcohol By Doctor • Prescribing unnecessarily ...
... Dose level more or less than recommended • Use for contraindicated purposes Use in conjunction with other medications with undesirable interactions Skipping doses / hoarding drugs • Use with alcohol By Doctor • Prescribing unnecessarily ...
Page 33
... doses given , ordering drugs without knowing or reviewing whether they interact adversely with other medications the patient is taking , and failing to provide adequate and comprehensible instructions for patients regarding how and when ...
... doses given , ordering drugs without knowing or reviewing whether they interact adversely with other medications the patient is taking , and failing to provide adequate and comprehensible instructions for patients regarding how and when ...
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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?