Older substance misusers still deserve better services – an update (Part 1)

Abstract

This review is the first in a three-part series on substance problems in older people. This section reviews terminology, epidemiology, outcome studies and policy directions. Subsequent articles will provide an overview of assessment, physical and psychological co-morbidity, as well as treatment options.

Experiences of drug use and ageing: health, quality of life, relationship and service implications

“…Our findings concur with those in other studies that some people are late onset users as a result of life events and relationships, rather than early youthful escapism or experimentation ( Roberts 1999 , Johnson & Sterk 2003 , Levy & Anderson 2005 ). There is emerging evidence that drug use continues in old age and research is needed to understand the issues and consequences for older people and their families, and the implications for public services ( Phillips & Katz 2001 , Crome & Bloor 2005a , 2005b , 2006 , Beynon et al 2007 , Beynon 2008 , Gossop & Moos 2008 ).…”

“…The man interviewed who described how he had nothing in common with the younger generation of drug users with whom he attended group sessions at the drug treatment service clearly illustrates this. Another man preferred individual consultation and support as opposed to group sessions, which also indicates the need for tailored services in particular for older people, and that no single approach suits all ( Crome & Bloor 2005a , 2005b , 2006 ). Older drug users have a lifetime of experience and could have an important role to play in health promotion and the prevention of drug use in younger populations.…”

“…Problematic drug use is defined in the UK as use of opiates and/or crack cocaine ( Home Office 2008 ). However, recent reviews suggest that services specifically for older people misusing drugs in the UK are not widely available or accessed by them, and that diagnosis of drug and substance misuse among this population is missed and access to services and treatment not provided ( Crome & Bloor 2005a , 2005b , 2006 ).…”