Older adult treatment outcome following elder-specific inpatient alcoholism treatment

Blow, Frederic C.; Walton, Maureen A.; Chermack, Stephen T.; Mudd, Sharon A.; Brower, Kirk J.

doi:10.1016/s0740-5472(99)00101-4

Cited by 74 publications

(42 citation statements)

References 41 publications

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“…This report differs from the earlier one by dividing alcoholic and non-alcoholic subjects into age groups of <55 yr and ≥55 yr, and by analyzing groups for main and interactive effects on selected indices of sleep continuity, sleep architecture, REM sleep, and PLMs as well as sleep-disordered breathing. Fifty-five years was chosen for age grouping, because 55 is the lower age limit for admitting patients to the specialized older adult programs at Chelsea Arbor Treatment Center (Blow et al, 2000). Published studies of "older" patient groups have employed different age cutoffs ranging from 45 to 65 yr (Atkinson, 1995).…”

Section: Methods Subjectsmentioning

confidence: 99%

Effects of age and alcoholism on sleep: a controlled study.

Brower

Hall

2001

J. Stud. Alcohol

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Objective-Sleep problems are common, costly, and potentially fatal in older adults. Sleep problems are also commonly associated with alcoholism. Yet, few studies have examined the combined effects of alcoholism and aging on sleep. The purpose of this study was to investigate the main and interactive effects of diagnostic group and age group on sleep.Method-Male and female alcohol-dependent patients (N=139) and non-alcoholic controls (N=87) completed full-montage polysomnography, structured psychiatric diagnostic interviews, validated rating scales, and alcohol histories at the University of Michigan between 1989 and 1996. The sample was divided for analytic purposes into older (55+ yr) and younger (<55 yr) subgroups.Results-After controlling for gender, race, body mass index, and psychiatric-related sleep symptoms, alcoholics and older adults had significantly decreased total sleep time and increased stage 1 sleep percentage, respiratory distress, and periodic limb movements. Older adults also had decreased delta sleep percentage and shorter rapid eye movement (REM) sleep latencies. Significant interactions were found between alcoholism and age group for stage 1 sleep percentage, sleepdisordered breathing, and periodic limb movements with older alcoholics having the most disturbances. Older alcoholics also had the highest mean values for sleep latency and the lowest mean values for sleep efficiency and delta sleep percentage when compared to the other three groups.Conclusions-Older alcoholics have increased sleep disturbances when compared to younger alcoholics and non-alcoholics of both age groups. Care providers should screen for sleep problems among older adults with alcohol problems.

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Section: Methods Subjectsmentioning

confidence: 99%

Effects of age and alcoholism on sleep: a controlled study.

Brower

Hall

2001

J. Stud. Alcohol

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“…Varying definitions of substance abuse are common. When conducting research on alcohol abuse among older adults, for example, a DSM-III/IV diagnoses of alcohol abuse/dependence may be used (Blow, Walton, Chermack, Mudd, & Brower, 2000) while others define abuse as DWI arrests (Fitzgerald & Mulford, 1992). Still others use standardized measurement tools to screen for problem drinking (Joseph, Rasmussen, Ganzini, Atkinson, 1997) or illicit drugs use such as marijuana, cocaine, opiates, or barbiturates among older adults (Guida et al, 2004;King et al, 1994;Schlaerth et al, 2004;Colliver, Compton, Gfroerer, & Condon, 2006).…”

Section: Demographics/prevalence Of Substance Abuse Disorders Among Omentioning

confidence: 99%

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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“…Extending our review for this article, we also explored the literature on older adults, group work, mental health, and substance misuse, finding arguments that treatment for mental health and addictions should shift from traditional age-neutral models to age-specific approaches (Blow, Walton, Chermack, Mudd, & Brower, 2000;Satre, Mertens, Arean, & Weisner, 2003). Indeed, there is increasing support for the notion that the experience of substance misuse is not homogeneous across age groups (Schultz, Arndt, & Liesveld, 2003).…”

Section: Narrative Therapymentioning

confidence: 99%

Narrative Therapy, Older Adults, and Group Work?: Practice, Research, and Recommendations

Poole

Gardner

Flower³

et al. 2009

Social Work With Groups

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In this article, the authors report on a qualitative study that explored the use of narrative therapy with a diverse group of older adults dealing with mental health and substance misuse issues. Narrative therapy supports individuals to critically assess their lives and develop alternative and empowering life stories that aim to keep the problem in its place. Although the literature suggests this is a promising intervention for individuals, there is a lack of research on narrative therapy and group work. Aiming to address this gap, the authors developed and researched a narrative therapy group for older adults coping with mental health and substance misuse issues in Toronto, Canada. Taking an ethnographic approach, field notes and interviews provided rich data on how, when, and for whom, such a group could be beneficial. Findings contribute to the literature on group work, older adults, and narrative therapy.

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Older adult treatment outcome following elder-specific inpatient alcoholism treatment

Cited by 74 publications

References 41 publications

Effects of age and alcoholism on sleep: a controlled study.

Effects of age and alcoholism on sleep: a controlled study.

Chapter 9; Substance Abuse

Narrative Therapy, Older Adults, and Group Work?: Practice, Research, and Recommendations

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