Download or read book The Mental Health and Substance Use Workforce for Older Adults written by Institute of Medicine and published by National Academies Press. This book was released on 2012-10-26 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: At least 5.6 million to 8 million-nearly one in five-older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation. For decades, policymakers have been warned that the nation's health care workforce is ill-equipped to care for a rapidly growing and increasingly diverse population. In the specific disciplines of mental health and substance use, there have been similar warnings about serious workforce shortages, insufficient workforce diversity, and lack of basic competence and core knowledge in key areas. Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? assesses the needs of this population and the workforce that serves it. The breadth and magnitude of inadequate workforce training and personnel shortages have grown to such proportions, says the committee, that no single approach, nor a few isolated changes in disparate federal agencies or programs, can adequately address the issue. Overcoming these challenges will require focused and coordinated action by all.
Download or read book Substance Abuse Among Older Adults written by and published by . This book was released on 1998 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Substance Use and Older People written by Ilana Crome and published by John Wiley & Sons. This book was released on 2014-12-31 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Substance use and addiction is an increasing problem amongst older people. The identification of this problem is often more difficult in older patients and is frequently missed, particularly in the primary care context and in emergency departments, but also in a range of medical and psychiatric specialties. Substance Use and Older People shows how to recognise and treat substance problems in older patients. However, it goes well beyond assessment and diagnosis by incorporating up-to-date evidence on the management of those older people who are presenting with chronic complex disorders, which result from the problematic use of alcohol, inappropriate prescribed or over the counter medications, tobacco, or other drugs. It also examines a variety of biological and psychosocial approaches to the understanding of these issues in the older population and offers recommendations for policy. Substance Use and Older People is a valuable resource for geriatricians, old age psychiatrists, addiction psychiatrists, primary care physicians, and gerontologists as well as policy makers, researchers, and educators. It is also relevant for residents and fellows training in geriatrics or geri-psychiatry, general practitioners and nursing home physicians.
Download or read book Aging and Addiction written by Carol Colleran and published by Simon and Schuster. This book was released on 2010-04-20 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors, both experts in the field of addiction treatment and intervention, provide a respectful, definitive guide for recognizing and addressing substance abuse among older adults. Addiction among older adults is a hidden and hushed problem. Signs and symptoms of alcohol or medication abuse can easily be mistaken for conditions related to aging. And even when friends or family members recognize signs of addiction, they often discount the need for intervention or treatment. With an estimated three million older Americans struggling with alcohol and drug misuse and abuse, Aging and Addiction is a much-needed resource. The authors, both experts in the field of addiction treatment and intervention, provide a respectful, definitive guide for recognizing and addressing substance abuse among older adults. Key topics include: understanding the relationship between aging and addiction, finding help for a loved one, and recognizing the treatment needs of older adults.Key features and benefitsauthors are widely recognized experts in the field of addictionaddresses one of the nation's most underestimated, under treated health problemsprovides how-to-help information for family members and friends
Download or read book Old and High written by Robert Youdin and published by Oxford University Press, USA. This book was released on 2019 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Old & High addresses unmet mental health needs of older adults experiencing psychotropic substance dependence. It provides insight for clinical professionals in psychology, social work, gerontology, nursing, and medicine on how to integrate current neuroscience findings with contemporary psychotherapy techniques and harm reductive interventions to help older adults achieve successful recovery from substance abuse problems. Extensive use of clinical vignettes brings a humanistic perspective to the academic, evidenced-based research presented"--
Download or read book Substance Use in Older Adults written by Art Walaszek, M.D. and published by American Psychiatric Pub. This book was released on 2024-04-15 with total page 358 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Textbook of Addiction Treatment written by Nady el-Guebaly and published by Springer Nature. This book was released on 2020-11-03 with total page 1512 pages. Available in PDF, EPUB and Kindle. Book excerpt: Addiction is increasingly being recognized as a major global public health issue, and an ever-growing number of medical specialties, psychological and social science training programs, and professional associations are including addiction as part of their training and continuing education curricula. The first edition of this book presented an overview of the spectrum of addiction-related problems across different cultures around the globe. Sharing the experience and wisdom of more than 260 leading experts in the field, and promoted by the International Society of Addiction Medicine, it compared and contrasted clinical practices in the field of addiction medicine on the basis of neurobiological similarities as well as epidemiological and socio-cultural differences. Building on the success of this inaugural edition, and taking into account the formal and informal comments received as well as an assessment of current need, this textbook presents general updated information while retaining the most requested sections of the first edition as demonstrated by the number of chapter downloads. It also provides a basic text for those preparing for the ISAM annual certification exam. Written by some 220 international experts, it is a valuable reference resource for anyone interested in medicine, psychology, nursing, and social science.
Download or read book Addiction in the Older Patient written by Maria Sullivan and published by Oxford University Press. This book was released on 2016 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: An evidence-based review of diagnostic and treatment strategies for successfully managing alcohol and substance use disorders in older adults. With contributions from leaders in the field of addiction treatment, this volume offers the most current clinical recommendations and describes best practices for implementing effective treatments in this growing patient population.
Download or read book Drug and Substance Abuse Among Older Adults written by Louis A. Pagliaro and published by Routledge. This book was released on 2022-03-07 with total page 679 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug and Substance Abuse Among Older Adults provides a timely, comprehensive overview and analysis of the silent epidemic of drug and substance abuse involving elderly Americans. Combining the authors’ individual 50-plus years of formal academic and clinical experience, the book presents a critical reflective analysis and synthesis of the published research associated with older adult psychotropic drug use and abuse in the United Sates. Chapters delineate related causes and consequences and provide the reader with guidance on how to minimize and effectively deal with this significant and growing problem. Related professional reminders throughout each chapter emphasize and remind readers of important basic content and principles, while common misbeliefs regarding specific abusable psychotropics and their use by older adults are debunked and corrected. Also included are carefully developed figures and tables to supplement chapter content along with explicit guides and tools to facilitate the assessment and diagnosis of abusable psychotropic dependence or use disorder. Health and social care professionals in the U.S. will learn to assess and diagnose abusable psychotropic dependence or use disorders among older adults and to provide clients quickly and accurately with appropriate, efficacious, and empirically validated treatment.
Download or read book Not As Prescribed written by Harry Haroutunian and published by Simon and Schuster. This book was released on 2016-04-19 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: The leading clinical expert on substance misuse and abuse, Dr. Harry Haroutunian of the Hazelden Betty Ford Foundation, provides caregivers and loved ones with vital information needed to understand and address addiction issues in older adults. Drug and alcohol problems are booming in older adults. Dramatic lifestyle changes, along with growing health problems, have led many to turn to alcohol, prescription painkillers, and marijuana to medicate their physical and psychological pain. You may think, Dad is just enjoying cocktails and retirement, or Mom still has pain and needs her pills. Maybe so, but consider that an estimated 17 percent of people age sixty and older struggle with misuse of alcohol and prescription drugs alone. Older adults are now hospitalized as often for alcohol-related problems as they are for heart attacks. In this book, Dr. Haroutunian, physician director of the Professionals Program at the Betty Ford Center, provides you with the information needed to understand the dynamics of addiction in older adults. You’ll learn to; clearly distinguish between the signs of aging and the signs of addiction, many of which overlap; identify the indications of drug misuse and its progression to addiction; understand the unique treatment needs of older adults; and get the help you—as a caregiver or loved one—need to cope with your loved one’s addiction. This essential guide can help you transform stress and chaos into understanding and compassion.
Download or read book New Directions in Treatment Education and Outreach for Mental Health and Addiction written by Thalia MacMillan and published by Springer. This book was released on 2018-02-20 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practice-enhancing volume assembles the latest innovative thinking on working with clients who have both mental health diagnoses and substance use disorders. Diagnosis is a central focus of the coverage, untangling the often-knotty considerations surrounding dual diagnosis and the complex issues surrounding treatment even in frequently seen combinations (e.g., depression/alcohol abuse). The section on practice emphasizes meeting patients where they are and making use of their community, cultural, and spiritual contexts in crafting interventions. And the book’s ambitious chapters on professional development describe training programs with the potential to produce the next generation of responsive, knowledgeable, and flexible therapists. Among the topics covered: · Comprehensive assessment of substance abuse and addiction risk in adolescents. · The relationship between attachment and addiction. · Addiction in the community: the role of emergency services. · Substance use during and after major crisis and disaster: a practitioner’s guide. · Practice, advocacy, and outreach: perspectives on addiction services. · Teaching the importance of developing the therapeutic relationship. New Directions in Treatment, Education, and Outreach for Mental Health and Addiction equips health and clinical psychologists, social workers, and addiction counselors and educators with a well-rounded understanding of a growing population, and a wealth of perspectives on effective new interventions.
Download or read book Substance and Non Substance Related Addictions written by Evaristo Akerele and published by Springer Nature. This book was released on 2022-01-03 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book reviews the myriad of elements that layer substance abuse disorder, a significant public health issue. It addresses the strong stigma associated with the disease, particularly in regard to the doctor patient relationships. The book begins by explaining the importance of integrating psychiatric and substance use disorder treatment by demonstrating the efficacy of this treatment model. Subsequent to this are chapters dedicated to specific addiction disorders, including cocaine, opioids, gambling, food, and sex addictions. Chapters also examine how addiction can differ among various neurobiological, genetic, socioeconomic, and age demographics. The book closes with histories, policies, and modalities of drug use which serve as a key component to building a foundation for effective and ethical health policy. Written by international experts in addiction psychiatry, Substance and Non-Substance Related Addictions: A Global Approach is a valuable resource for all practitioners seeking to expand their knowledge of addiction medicine.
Download or read book Handbook of Mental Health and Aging written by Nathan Hantke and published by Academic Press. This book was released on 2020-04-11 with total page 513 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Handbook of Mental Health and Aging, Third Edition provides a foundational background for practitioners and researchers to understand mental health care in older adults as presented by leading experts in the field. Wherever possible, chapters integrate research into clinical practice. The book opens with conceptual factors, such as the epidemiology of mental health disorders in aging and cultural factors that impact mental health. The book transitions into neurobiological-based topics such as biomarkers, age-related structural changes in the brain, and current models of accelerated aging in mental health. Clinical topics include dementia, neuropsychology, psychotherapy, psychopharmacology, mood disorders, anxiety, schizophrenia, sleep disorders, and substance abuse. The book closes with current and future trends in geriatric mental health, including the brain functional connectome, repetitive transcranial magnetic stimulation (rTMS), technology-based interventions, and treatment innovations. Identifies factors influencing mental health in older adults Includes biological, sociological, and psychological factors Reviews epidemiology of different mental health disorders Supplies separate chapters on grief, schizophrenia, mood, anxiety, and sleep disorders Discusses biomarkers and genetics of mental health and aging Provides assessment and treatment approaches
Download or read book Retooling for an Aging America written by Institute of Medicine and published by National Academies Press. This book was released on 2008-08-27 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.
Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.
Download or read book Patients with Substance Abuse Problems written by Edgar P Nace and published by W. W. Norton & Company. This book was released on 2007-02-27 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: Whether or not you are trained as an addictions specialist, you will encounter addictions issues during the course of your career. Learning how to approach these patients should lessen the anxiety that comes from not knowing how to manage their problems. The book is a brief and practical introduction to diagnosis and intervention with substance-abusing clients. Each chapter uses brief vignettes to illustrate concepts, and tables or figures to clarify material. Two special populations are featured in this book: those at opposite ends of the age spectrum-adolescence and late life. This book provides reasons for clinicians to be optimistic about their work with patients who abuse substances. In part, this optimism is based on improved scientific understanding of drug and alcohol dependence. Compared to the slow pace of research in the past, knowledge about the brain's role in addictive diseases has accumulated at a rapid pace over the past twenty years. The numbers of psychotherapeutic and pharmacologic interventions have grown as well. This book will be a handy guide for all those in clinical practice.
Download or read book Substance Abuse Among Older Adults written by and published by . This book was released on 1998 with total page 173 pages. Available in PDF, EPUB and Kindle. Book excerpt: EXECUTIVE SUMMARY AND RECOMMENDATIONS: Researchers are only beginning to realize the pervasiveness of substance abuse among people age 60 and older. Until relatively recently, alcohol and perscription drug misuse, which affects as many as 17 percent of older adults, was not discussed in either the substance abuse or the gerontological literature. The reasons for this silence are varied: Health care providers tend to overlook substance abuse and misuse among older people, mistaking the symptoms for those of dementia, depression, or other problems common to older adults. In addition, older adults are more likely to hide their substance abuse and 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 adults who need treatment and do not receive it. This TIP brings together the literature on substance abuse and gerontology to recommend best practices for identifying, screening, assessing, and treating alcohol and prescription drug abuse among people age 60 or older. The Consensus Panel, whose members include researchers, clinicians, treatment providers, and program directors, supplements this research base with its considerable experience treating and studying substance abuse among older adults. Because so much of older people's substance abuse is never identified, this TIP is aimed not only at substance abuse treatment providers but also at primary care clinicians, social workers, senior center staff, and anyone else who has regular contact with older adults. The TIP aims to advance the understanding of the relationships between aging and substance abuse and to provide practical recommendations for incorporating that understanding into practice. Those based on research evidence are marked (1), whereas those based on Panel members' clinical experience are marked (2). Citations for the former can be found in the body of the text. ALCOHOL ABUSE: Physiological changes, as well as changes in the kinds of responsibilities and activities pursued by older adults, make established criteria for classifying alcohol problems often inadequate for this population. One widely used model for understanding alcohol problems is the medical diagnostic model as defined in the American Psychiatric Association's "Diagnostic and Statistical Manual of Mental Disorders," Fourth Edition (DSM-IV). The DSM-IV criteria for substance dependence (see Figure 2-2, p. 17) include some that do not apply to many older adults and may lead to underidentification of drinking problems. Diagnostic criteria for alcohol dependence are subsumed within the DSM-IV's general criteria for substance dependence. Dependence is defined as 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" (American Psychiatric Association, 1994, p. 181). THE PANEL RECOMMENDS THAT CLINICIANS CONSIDER THAT THE DSM-IV CRITERIA FOR SUBSTANCE ABUSE AND DEPENDENCE MAY NOT BE ADEQUATE TO DIAGNOSE OLDER ADULTS WITH ALCOHOL PROBLEMS. (2) See Figure 2-3 (p. 18) for an outline of special considerations. Some experts use the model of at-risk, heavy, and problem drinking in place of the DSM-IV model of alcohol abuse and dependence because it allows for more flexibility in characterizing drinking patterns. In this classification scheme, an at-risk drinker is one whose patterns of alcohol use, although not yet causing problems, may bring about adverse consequences, either to the drinker or to others. As their names imply, the terms "heavy" and "problem" drinking signify more hazardous levels of consumption. Although the distinction between the terms "heavy" and "problem" is meaningful to alcohol treatment specialists interested in differentiating severity of problems among younger alcohol abusers, it is 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" category includes those who would otherwise fall into the "heavy" and "problem" classifications in the more traditional model as well as those who meet the DSM-IV criteria for abuse and dependence. THE CONSENSUS PANEL RECOMMENDS THAT OLDER MEN CONSUME NO MORE THAN ONE DRINK PER DAY (1), A MAXIMUM OF TWO DRINKS ON ANY DRINKING OCCASION (E.G., NEW YEAR'S EVE, WEDDINGS). (1) THE PANEL RECOMMENDS SOMEWHAT LOWER LIMITS FOR WOMEN. (1) ABUSE OF PRESCRIPTION DRUGS: People 65 and older consume more prescribed and over-the-counter medications than any other age group in the United States. Prescription drug misuse and abuse is prevalent among older adults not only because more drugs are prescribed to them but also because, as with alcohol, aging makes the ...
