gc06-5 - Substance Abuse and Older Adults...

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Unformatted text preview: Substance Abuse and Older Adults schonfeld@fmhi.usf.edu Lawrence Schonfeld, PhD Department of Aging & Mental Health Florida Mental Health Institute University of South Florida Substance Use: Issues of Concern for Older Adults Alcohol primary focus of todays presentation Tobacco a well established health risk Prescription Medication Misuse Over-the-Counter (OTCs) medications Illicit Drug Use Prevalence Rates Ages 65+ Alcohol problems among older adults: 2%-10% of community-based 6% to 11% of hospital admissions 14% in Emergency Departments Tobacco: About 10% are current users (similar rates for older men and older women) Prescription Drugs 17% of hospitalizations of older adults are related to an adverse drug reaction a rate 6 times greater than for entire population. OTC Products: Adults ages 65+ consume more OTC medications than any other age group. Illicit drug use Low rate, but increasing trend? This 2001 report from the National Household Survey suggested that illicit drug use, binge drinking and heavy drinking among adults ages 55+ was higher than previously thought. 15.9 56.8 37.8 12.8 7.8 58.3 30.3 7.6 4.9 53.0 21.1 5.3 1.0 37.5 9.4 2.3 10 20 30 40 50 60 70 Any Illicit Drug Use Any Alcohol Use "Binge" Alcohol use Heavy Alcohol Use 18 to 25 26 to 34 35 to 54 55 or Older Percentage of Adults Aged 18 or Older Reporting Past Month Use of Any Illicit Drug or Alcohol by Age Group: 2000. (source NHSDA, 2001) Percent Reporting Use in Past Month 12% of 55+ age group are either binge or heavy alcohol users What does the research tell us about older adults and substance abuse treatment? Substance Abuse Treatment Program Admissions Age 55 or Older by Primary Substance at Admission (DASIS Report December 2001) Primary substances in 1999: 76.1% Alcohol 12.6% Opiates 4.5% Cocaine 1.3% Marijuana 0.7% Sedatives/Tranquilizers 0.6% Stimulants 4.1% Other Source: 1999 Treatment Episode Data System (TEDS) Floridas Elder Population Total population - about 17 million 22% are age 60 or older Among the adult population ages 18 and older, elders ages 60+ represent 28.5% However, among adults in treatment for substance abuse problems, only 2% are age 60+ Few older adults are treated in Floridas substance abuse treatment programs Fiscal Year 2001-2002 Ages 18-59 98% People age 60+ are only 2% of all adults in treatment Source: Policy & Services Research Data Center (2003) Louis de la Parte Florida Mental Health Institute Expert panel recommendations for screening and treating the older adult: SAMHSA/CSAT Treatment Improvement Protocol (TIP) #26 TIP#26 Expert Panel Recommendations 1. Age-specific, group treatment that is supportive, not confrontive....
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gc06-5 - Substance Abuse and Older Adults...

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