Download or read book Addiction in the Older Patient written by Dr Maria Sullivan and published by Oxford University Press. This book was released on 2016-08-02 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text focuses on the under-recognized and undertreated problem of addiction in later life. The widespread lack of clinical knowledge about this patient population can be traced to several sources: the systematic exclusion of older individuals from clinical trials; their reluctance to seek medical help owing to stigma and shame; the fact that additive disorders may be disguised by concurrent medical conditions; a lack of screening instruments tailored to an older population; and the low sensitivity of standard diagnostic criteria for detecting addiction in middle-aged and elderly adults who do not display the occupational and legal "red flags" seen in younger individuals. This volume provides the reader with a clear sense of the surprisingly high prevalence of alcohol and substance use disorders in older adults. For each of the major classes of addictive substances, both prescribed and illicit, this book highlights the key clinical issues that can complicate successful diagnosis. The authors describe strategies for initial engagement with the patient, including screening instruments, brief interventions which can be adapted to a primary care setting, emerging web-based and mobile technologies, and treatment strategies which are tailored to the age-appropriate needs of older adults, including older women - who have been found to be especially vulnerable to prescription drug misuse. With the aging of the baby boomers, a generation arriving in middle-age with greater exposure to alcohol and drugs than any previous cohort, the need for successful identification and effective treatment of alcohol and substance use disorders in later life has become a clinical imperative. Addiction in the Older Patient, whose editors bring more than 40 years of combined research and clinical experience in the field of addiction treatment, offers a comprehensive introduction to this underexplored and timely topic. This text synthesizes current clinical evidence to support the most effective strategies for discovering and treating addictive disorders in our older patients.

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 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 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 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 Substance Use and Older People written by Ilana Crome and published by John Wiley & Sons. This book was released on 2014-10-14 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 Substance Abuse Among Older Adults Treatment Improvement Protocol TIP Series 26 U S Department Of Health Human Services written by and published by . This book was released on 1998 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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 Alcohol and Aging written by Thomas P. Beresford and published by Oxford University Press, USA. This book was released on 1995 with total page 362 pages. Available in PDF, EPUB and Kindle. Book excerpt: U.S. census figures forecast that the percentage of U.S. citizens over the age of 65 will double between 1980 and 2030. Estimates that between 3 and 10% of this group are prone to alcohol abuse points to the potential for an increasingly ominous health care problem. Alcohol and Aging, the first comprehensive treatment of the topic written for clinicians, covers a wide range of issues unique to elderly alcoholics, from diagnosis and treatment to alcohol-related medical and cognitive disorders, from problems arising from interactions between alcohol and medication to the biochemistry of intoxication. Throughout, the book focuses on clinical, practical problems and stays away from jargon, making it accessible to a wide range of readers. Featuring contributions a diverse group of specialists, the book will be an invaluable aid to physicians, psychiatrists, clinical psychologists, and social workers who treat alcoholism in the aging population.

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 Contemporary Perspectives on Ageism written by Liat Ayalon and published by Springer. This book was released on 2018-05-22 with total page 582 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book provides a comprehensive perspective on the concept of ageism, its origins, the manifestation and consequences of ageism, as well as ways to respond to and research ageism. The book represents a collaborative effort of researchers from over 20 countries and a variety of disciplines, including, psychology, sociology, gerontology, geriatrics, pharmacology, law, geography, design, engineering, policy and media studies. The contributors have collaborated to produce a truly stimulating and educating book on ageism which brings a clear overview of the state of the art in the field. The book serves as a catalyst to generate research, policy and public interest in the field of ageism and to reconstruct the image of old age and will be of interest to researchers and students in gerontology and geriatrics.

Download or read book Get Connected written by and published by . This book was released on 2003 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: Created to help aging services providers learn more about alcohol and medication misuse and mental health problems in older adults and to help them address these issues more effectively.

Download or read book The Management of Pain in Older People written by Patricia Schofield, PhD, RGN and published by John Wiley & Sons. This book was released on 2007-04-04 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book will enable readers to understand the principles underpinning the management of pain which a particular emphasis upon the care of the older adult. The chapters will explore concepts that are recognised to be involved in the pain experience but each author will then add their own unique perspective by applying the principles to their specialist area of practice and the care of the older adult. It is structured to include the aims and outcomes of the chapter at the beginning so that readers can track their progress, and provides chapter outlines and further reading suggestions foir this unique topic area.

Download or read book Families Caring for an Aging America written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-11-08 with total page 367 pages. Available in PDF, EPUB and Kindle. Book excerpt: Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.

Download or read book Alcohol and Substance Abuse In Older Adults Volume 38 Issue 1 An Issue of Clinics in Geriatric Medicine E Book written by George T. Grossberg and published by Elsevier Health Sciences. This book was released on 2021-11-22 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this issue, guest editors bring their considerable expertise to this important topic. Provides in-depth reviews on the latest updates in the field, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

Download or read book The Combined Problems of Alcoholism Drug Addiction and Aging written by Edward L. Gottheil and published by Charles C. Thomas Publisher. This book was released on 1985 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contains papers presented at the 6th annual Coatesville-Jefferson Conference held November 1983 at the Coatesville VA Medical Center. Examines issues related to alcohol and drug abuse among the elderly.

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 ...