Cognitive-Behavioral Treatment of Older Veterans with Substance Abuse Problems

Schonfeld, Lawrence; Dupree, Larry W.; Dickson-Fuhrmann, Elizabeth; Royer, Catherine McKean; McDermott, Charles; Rosansky, Joel; Taylor, Shane; Jarvik, Lissy F.

doi:10.1177/089198870001300305

Cited by 78 publications

(48 citation statements)

References 7 publications

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“…The majority of older adult-specific programs employed CBT techniques. Researchers found that such interventions resulted in decreased alcohol consumption (Dupree, Broskowski, & Schonfeld, 1984), and increased abstinence Rice, Longabaugh, Beattie, & Noel, 1993;Schonfeld et al, 2000) among the older adult participants. Other benefits reported for older adult-specific CBT-based programs include improvement in general health (Blow et al, 2002) and community adjustment (Dupree et al, 1984).…”

Section: Treatment Summarymentioning

confidence: 97%

Chapter 9; Substance Abuse

Cummings

Bride

Cassie

et al. 2008

Journal of Gerontological Social Work

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Alcohol abuse poses special risks for increased morbidity and mortality among older adults, contributing to the heightened use of medical resources and the related increase in medical costs. Although the prevalance of alcohol use disorders in the older adults is generally less than that found in younger groups, it is expected to increase with the aging of the "baby-boom" generation. In spite of this, little attention has focused on developing, and evaluating the efficacy of, treatment programs for older adults with alcohol related disorders. This article discusses the availability of effective treatment strategies for older alcohol abusers and reviews the epidemiological and outcomes research literatures related to alcohol abuse and older adults. The few empirical studies that examine outcomes associated with the treatment of older substance abusers reveal positive outcomes, especially when "age-specific," cognitive-behavioral, and less confrontational treatment approaches are employed.

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Section: Treatment Summarymentioning

confidence: 97%

Chapter 9; Substance Abuse

Cummings

Bride

Cassie

et al. 2008

Journal of Gerontological Social Work

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show abstract

“…As people who use opioids are surviving longer than 40 years, the cut-off point of 40 years has been used to define the 'older' population (Crome et al, 2009). There is no consensus in the literature on what 'old' is; it ranges from 37 to 55, 40+, 45+, 50+, 60+, 65+, 49 to 61, 50 to 59, and 50 to 74 Beynon et al, 2007;Boeri et al, 2011;Crome et al, 2011b;Doukas, 2011;European Monitoring Centre for Drugs and Drug Addiction, 2010;Han et al, 2009;Han et al, 2015;Institute of Medicine, 2012;Lofwall et al, 2008;Outlaw et al, 2012;Raffoul et al, 1981;Roe et al, 2010;Rosen et al, 2011;Schonfeld et al, 2000;Wu and Blazer, 2011).…”

Section: Defining Ageing Based On Current Literaturementioning

confidence: 99%

Treatment for opioid use and outcomes in older adults: a systematic literature review

Carew

Comiskey

2018

Drug and Alcohol Dependence

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A B S T R A C TBackground: Historically, issues relating to problem substance use among older people have received little attention, and have only recently been recognised. Methods: A literature review of relevant material was conducted in November 2015 to assess current outcome research among older adults treated for opioid dependence. Multiple electronic databases were searched and results were supplemented by grey literature, library and online searches, and relevant references within selected articles. Retrieved articles were assessed for relevance against the inclusion and exclusion criteria. Results were reviewed to identify major findings and recommendations. Results: A total of 76 titles were included in the review. Most research conducted on older adults involves alcohol and prescription medications. Older drug users are growing in number and have a unique profile, with many presenting for treatment for the first time aged 50-70 years. Findings reveal (1) opioid treatment numbers are decreasing, however the average age of treatment admissions is increasing, (2) there is no consensus on what old is (3) two distinct types of older opioid substance users exist (early/late onset), (4) older clients achieve better treatment outcomes than younger counterparts, and (5) older women achieve better treatment outcomes than men. Conclusions: Findings suggest that little is known about treatment outcomes among older people. Problematic drug use (of which opioids make up the largest proportion) had been incorrectly assumed to end as patients age. Defining an age limit for 'older' is important. Addiction and healthcare services must anticipate and prepare for increased demand by this group.

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“…and Schonfeld et al (2000) found that cognitive-behavioural approaches were successful in reducing or stopping alcohol use. These included teaching older adults the skills necessary to rebuild social support networks and to use selfmanagement to overcome depression, grief and loneliness.…”

Section: Psychological Treatmentsmentioning

confidence: 99%

Alcohol use disorders in elderly people: fact or fiction?

Dar¹

2006

Adv. psychiatr. treat

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). His clinical responsibilities include the Max Glatt Unit (a regional inpatient detoxification unit attached to the hospital) and a community alcohol team. His special interests include substance misuse problems in special populations and the economics of service provision. AbstractThe number of older people is increasing in populations throughout the world. Alcohol use disorders in elderly people are a common but underrecognised problem associated with major physical and psychological health problems. Owing to the negative attitudes and inadequate training of healthcare professionals, alcohol misuse is not always being detected or effectively treated. Current diagnostic criteria and common screening instruments for alcohol use disorders may not be appropriate for elderly people. Older people are as likely to benefit from treatment as younger people and the basic principles of treatment are much the same. Better integrated and outreach services are needed. Training of healthcare professionals in this area and pragmatic research should be prioritised to improve detection, treatment and service provision for this vulnerable and neglected population.

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Cognitive-Behavioral Treatment of Older Veterans with Substance Abuse Problems

Cited by 78 publications

References 7 publications

Chapter 9; Substance Abuse

Chapter 9; Substance Abuse

Treatment for opioid use and outcomes in older adults: a systematic literature review

Alcohol use disorders in elderly people: fact or fiction?

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