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Alcohol and age.
Ilana B Crome1, Peter Crome1,2
1Keele University, Newcastle under Lyme, Staffordshire ST5 5BG, UK.
Age and Ageing
|January 10, 2018
Summary
Older adults show promising recovery from alcohol dependence, responding well to treatments like brief advice and motivational enhancement therapy. However, specialized services and research are critically needed to address this growing public health issue.
Area of Science:
- Gerontology
- Addiction Medicine
- Public Health
Background:
- Alcohol consumption presents a significant disease burden, with increasing hospital admissions for alcohol-related issues among older adults.
- Existing evidence for primary prevention in older drinkers is cautious, and the treatment evidence base for alcohol dependence in this population is limited but expanding.
Purpose of the Study:
- To review the evidence for treatment interventions for alcohol dependence in older adults.
- To highlight the need for tailored services, workforce education, and increased research for older substance misusers.
Main Methods:
- Systematic review of primary prevention interventions for older drinkers.
- Evaluation of specialist outpatient and inpatient treatment interventions for dependent drinkers.
- Analysis of treatment response and recovery prospects in older adults.
Main Results:
- Older adults express a desire to abstain and demonstrate capacity for change, responding positively to interventions.
- Treatment outcomes for older individuals are comparable or superior to younger counterparts, with potential for long-term recovery.
- There is a significant gap in tailored services and research for older substance misusers, with low access rates to existing treatment.
Conclusions:
- Older adults are receptive to and benefit from alcohol treatment interventions, indicating a positive prognosis for recovery.
- Development of age-specific services, comprehensive workforce education, and robust research are essential for effective management of alcohol problems in older populations.
- Urgent action is needed to bridge the service and research gaps to improve care for older adults with substance misuse issues.
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