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Geriatric substance use disorders

M C Reid1, P A Anderson

  • 1Section of General Medicine, West Haven Veterans Affairs Medical Center, Connecticut, USA.

The Medical Clinics of North America
|July 1, 1997
PubMed
Summary
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Alcohol use disorders (AUDs) are a growing concern in older adults. Early detection via screening tools like CAGE and tailored interventions are crucial for successful treatment outcomes in this population.

Area of Science:

  • Geriatrics
  • Addiction Medicine
  • Public Health

Background:

  • Alcohol use disorders (AUDs) are increasingly prevalent among older adults.
  • The aging baby boomer population presents unique challenges due to differing drinking habits.
  • Barriers to detection include nonspecific symptoms, patient denial, and clinician reluctance.

Purpose of the Study:

  • To highlight the growing problem of AUDs in older adults.
  • To recommend screening and diagnostic approaches for this demographic.
  • To discuss treatment strategies and the need for further research.

Main Methods:

  • Review of current literature on AUDs in older adults.
  • Recommendation of the CAGE screening tool for its brevity and efficacy.

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  • Discussion of follow-up questions and referral pathways for diagnosis and treatment.

    • Main Results:

    • The CAGE questionnaire is a recommended brief screening tool for older adults.
    • Referral to specialists and brief interventions are effective treatment approaches.
    • Limited knowledge exists regarding other substance use disorders in this population.

    Conclusions:

    • Early identification and intervention are key for managing AUDs in older adults.
    • Treatment interventions for AUDs can be adapted for other substance use disorders in older populations.
    • Further research is needed to understand and treat substance use disorders in older adults.