Older People and Substance Misuse

Rao, Rahul

doi:10.1007/978-3-030-36391-8_99

Cited by 2 publications

(2 citation statements)

References 87 publications

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“…Similar to the situations in North America and Europe, Hong Kong has seen an increase in the percentage of individuals with SUD who are in their older adulthood (Hong Kong Special Administrative Region [HKSAR, 2021a]; Rao, 2021). The percentage of individuals with SUD who are 51 years and older has increased from 15% in 2010 (n = 1972) to 25% in 2020 (n = 1400).…”

Section: Introductionmentioning

confidence: 99%

The Impact of Later Life Events on Cessation Motivation of Older Adults with Substance Use Disorder in Hong Kong

Cheng¹,

Lapto

2023

Int J Offender Ther Comp Criminol

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Life-course researchers have found that age-graded life events, such as marriage and employment, may provoke a turning point in the trajectories of substance use and motivate young adults with substance use disorder (SUD) to seek addiction treatment and cease illegal drug use. However, few studies have focused on the impact of the life events experienced by older adults with SUD in their later life on these trajectories. Even less is known about this phenomenon in non-Western contexts. Thus, we conducted interviews with 34 older individuals with SUD in Hong Kong and explored how later life events affected their motivation to cease illegal drug use. Our findings highlight the influence of age on how life events are experienced and the need for age-specific academic studies of substance use trajectories. The results also have implications for policymakers, as the criminalization and stigmatization of drug use may have a negative impact on the trajectories of substance use among older populations.

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Section: Introductionmentioning

confidence: 99%

The Impact of Later Life Events on Cessation Motivation of Older Adults with Substance Use Disorder in Hong Kong

Cheng¹,

Lapto

2023

Int J Offender Ther Comp Criminol

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“…The provision of integrated care is different in older compared with younger people with dual diagnosis. The former group have different presentations, needs and risks that require a greater focus on chronic physical disorders and organic brain disorders, as well as on social isolation, bereavement, activities of daily living, mental capacity, safeguarding and carer support (Rao, 2021). With the provision of integrated care, one study has shown that 40% of older people with dual diagnosis referred from medical in-patient settings achieve either abstinence or controlled drinking (Rao, 2013).…”

Section: Introductionmentioning

confidence: 99%

Dual diagnosis in older drinkers during the COVID-19 pandemic

Rao

Mueller

Broadbent

2021

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Purpose There is a dearth of literature examining the impact of the COVID-19 pandemic on older people with dual diagnosis referred to mental health services. The purpose of this study was to compare dual diagnosis before and after lockdown in people aged between 55 and 74 with alcohol use. Design/methodology/approach Data were collected for people referred to mental health services using an anonymised database of de-identified records to identify people with both substance use disorder alone, or accompanied by co-existing mental disorders. Findings In total, 366 older people were assessed with the Alcohol Use Disorders Identification Test (AUDIT), 185 before and 181 after lockdown. People with dual diagnosis were more likely to be referred than those without, after compared to before lockdown (13 and 6%, respectively, p < 0.05). People with any substance use disorder with and without dual diagnosis showed an even greater likelihood of referral after, compared with before, lockdown (61 and 34%, respectively, p < 0.0001). Opioid use more than once a month was more likely to be reported after, compared with before, lockdown (66 and 36%, respectively, p < 0.005). Research limitations/implications The finding of a higher likelihood of opioid use after compared with before lockdown during the COVID-19 pandemic warrants further exploration. There is also further scope for further studies that involve older non-drinkers. Originality/value A greater likelihood of both dual diagnosis and substance use disorder alone after, compared with before lockdown has implications for both mental health and addiction service provision during a pandemic.

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Older People and Substance Misuse

Cited by 2 publications

References 87 publications

The Impact of Later Life Events on Cessation Motivation of Older Adults with Substance Use Disorder in Hong Kong

The Impact of Later Life Events on Cessation Motivation of Older Adults with Substance Use Disorder in Hong Kong

Dual diagnosis in older drinkers during the COVID-19 pandemic

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