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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Substance abuse among older adults
Alexis Kuerbis1, Paul Sacco2, Dan G Blazer3
1Department of Mental Health Services and Policy Research, Research Foundation for Mental Hygiene, Inc, Columbia University Medical Center, 3 Columbus Circle, Suite 1404, New York, NY 10019, USA.
Substance use in older adults is often overlooked but is projected to rise due to the baby boomer generation. Specialized screening and treatment are crucial for this vulnerable population.
Area of Science:
- Gerontology
- Addiction Medicine
- Public Health
Background:
- A persistent myth suggests older adults do not use mood-altering substances, yet evidence indicates decades of underidentification.
- The baby boom generation's unique history with substance use predicts increasing rates over the next twenty years.
- Older adults possess distinct biological vulnerabilities and life stage considerations necessitating specialized attention for substance misuse.
Purpose of the Study:
- To review the prevalence of substance use and misuse among older adults.
- To examine screening and assessment methods tailored for the older adult population.
- To discuss available treatment options for older adults experiencing substance use disorders.
Main Methods:
- Literature review of existing studies on substance use in older adults.
- Analysis of prevalence data and trends.
- Examination of screening tools and assessment strategies.
- Review of evidence-based treatment modalities.
Main Results:
- Substance use among older adults is underidentified but prevalent.
- The baby boomer cohort will drive increased substance use rates in this demographic.
- Unique biological and psychosocial factors impact older adults with substance use disorders.
- Specialized screening and treatment approaches are required.
Conclusions:
- The underidentification of substance use in older adults must be addressed.
- Anticipated increases in substance use necessitate proactive public health strategies.
- Tailored interventions are essential for effective management and treatment of substance use disorders in older populations.
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