Screening for alcohol misuse in older people

Luttrell, Steven; Watkin, Vivienne; Livingston, Gill; Walker, Zuzana; D'Ath, P; Patel, Priti R.; Shergill, Sukhwinder S.; Dain, A; Bielawska, C

doi:10.1002/(sici)1099-1166(199712)12:12<1151::aid-gps700>3.3.co;2-w

Cited by 6 publications

(7 citation statements)

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“…The ®gures, however, may still be an underestimate given that elderly substance misusers often go undetected during hospital admission (Luttrell et al, 1997). The indirect references to data published 25 years earlier illustrate the lack of recent work in this ®eld.…”

Section: Hospital Samplesmentioning

confidence: 98%

“…For example, it is conceivable that the eect of prohibition may have in¯uenced the drinking practices of the cohort of Americans now entering old age. Similarly, the way in which subjects answer screening questions may dier between North America and other countries, aecting the relative sensitivities of screening instruments (Luttrell et al, 1997).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Alcohol problems in old age: a review of recent epidemiological research

Johnson

2000

Int. J. Geriat. Psychiatry

113

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Section: Hospital Samplesmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Alcohol problems in old age: a review of recent epidemiological research

Johnson

2000

Int. J. Geriat. Psychiatry

113

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“…The MAST-G is more widely used in the USA, but is not well validated, especially in European populations. There has only been one UK study (Luttrell et al, 1997), which showed sensitivity of only 50 per cent. One reason given for this is that the MAST-G is a screening tool developed among older adult populations in the USA may not translate well culturally in the UK population.…”

Section: Screening Toolsmentioning

confidence: 99%

How can older people's mental health services in the UK respond to the escalating prevalence of alcohol misuse among older adults?

Rakshi¹,

Wilson²,

Burrow

et al. 2011

Advances in Dual Diagnosis

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Purpose -There is growing statistical and research evidence to suggest that the prevalence of alcohol misuse is increasing among older adults in the UK. This has been an under-recognised problem, but is now a source of increasing concern for health and social care providers. Older adults with mental health problems have increased vulnerability to problematic alcohol use, and this is likely to have a significant impact on older people's mental health services (OPMHS).Design/methodology/approach -This paper discusses some of the problems facing OPMHS in relation to increasing alcohol misuse among services users.Findings -There is also evidence that alcohol misuse in older adults is often poorly identified and untreated within health and social care services including OPMHS. Use of an alcohol-screening tool as part of a health care assessment is an effective way to improve detection. This paper also reviews the use of alcohol screening tools in the detection of alcohol related illness among older adults with mental health problems and proposes a care pathway for the management of alcohol misuse in OPMHS.Originality/value -Current evidence indicates that the prevalence of alcohol misuse among older adults is increasing and is likely to rise further due to the reasons discussed in this paper.

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“…Furthermore, most measures are designed for detection of alcohol abuse problems in the younger adult population. Additional measures designed specifically for older adults have been created (e.g., the UCLS; Luttrell et al, 1997) , but further validation is needed. The CAGE (Mayfield, 1974) , although not specifically designed for older adults, appears to be suitable for use in this population.…”

Section: Assessment Of Cognitive Functioningmentioning

confidence: 99%

Geropsychology and Long Term Care

Rosowsky¹,

Casciani²,

Arnold³

2009

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except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights.Printed on acid-free paper springer.com Preface ix along with some of the challenges that come with these varied referral types. In Chap. 3, multidimensional and multi-and interdisciplinary nature of assessment with older adults. Included is a review of relevant psychological instruments, as well as the many issues important to consider when conducting "responsible assessments" with frail older adults living in long-term care settings.Chapter 4, written by Dr. Frazer, focuses on treatment plans, their intrinsic qualities, and how they are developed. In Chap. 5, Dr. Duffy explores several facets of treatment, including specific treatment approaches having demonstrated effectiveness with older adults. There is a discussion of the importance of integrating mental and behavioral health services with multiple disciplines and people who are also responsible for providing services. Dr. Duffy also points out that, when warranted and appropriate, discontinuing mental health services is an important element in the treatment process, worthy of special consideration. A new chapter in this edition, Chap. 6 by Drs. Hyer and Shah, introduces an important element in the training of and services delivered by geropsychologists, namely the integration of psychiatric medication understanding with consultation and psychological services.In Chap. 7, the authors Drs. Arnold, Colletti, and Stilwell, draw contrasts among the multiple disciplines providing services, including mental health services, in long-term care settings. To work effectively on an interdisciplinary team and to provide the highest quality of services, it is important to know about the roles and responsibilities of others providing health care services in long-term care settings. The discussion includes how the mental health disciplines differ from each other with respect to levels of training required of those proficient in geropsychology. There is an important focus on the topic of documentation from the perspectives of the Medicare carriers, privacy concerns, and outcomes measurement.Lastly, in Chap. 8, Dr. Karel takes up the topic of ethical issues, including consent to treatment, the right to privacy and confidentiality. Dr. Karel offers an important framework for ethical decision-making in long-term care. Concluding ThoughtsThis new publication, we believe, represents some of the best thinking in the field. We anticipate that this text will be a useful guide and educational resource to psychologists and other mental health practitioners working in, or endeavor...

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Screening for alcohol misuse in older people

Cited by 6 publications

References 0 publications

Alcohol problems in old age: a review of recent epidemiological research

Alcohol problems in old age: a review of recent epidemiological research

How can older people's mental health services in the UK respond to the escalating prevalence of alcohol misuse among older adults?

Geropsychology and Long Term Care

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