Substance abuse treatment need among older adults in 2020: the impact of the aging baby-boom cohort

Gfroerer, Joseph; Penne, Michael; Pemberton, Michael; Folsom, R

doi:10.1016/s0376-8716(02)00307-1

Cited by 312 publications

(220 citation statements)

References 20 publications

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“…15,17 The design and deployment of web-based psycho-social interventions for older adults is especially important as the demand for addiction treatment for this subgroup is anticipated to increase by 50 % between 2000 and 2020. 31 Cost and complexity of utilizing the internet are barriers to use among older adults. 32 Nonetheless, most older patients prefer to receive specialized computer or mobile device training (77 %) and have demonstrated rates of engagement with web-and computer-based interventions comparable to younger populations.…”

Section: Demographic Characteristicsmentioning

confidence: 99%

Recent Internet Use and Associations with Clinical Outcomes among Patients Entering Addiction Treatment Involved in a Web-Delivered Psychosocial Intervention Study

et al. 2016

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The acceptability and clinical impact of a web-based intervention among patients entering addiction treatment who lack recent internet access are unclear. This secondary analysis of a national multisite treatment study (NIDA Clinical Trials Network-0044) assessed for acceptability and clinical impact of a web-based psychosocial intervention among participants enrolling in community-based, outpatient addiction treatment programs. Participants were randomly assigned to 12 weeks of a web-based therapeutic education system (TES) based on the community reinforcement approach plus contingency management versus treatment as usual (TAU). Demographic and clinical characteristics, and treatment outcomes were compared among participants with recent internet access in the 90 days preceding enrollment (N = 374) and without internet access (N = 133). Primary outcome variables included (1) acceptability of TES (i.e., module completion; acceptability of web-based intervention) and (2) clinical impact (i.e., self-reported abstinence confirmed by urine drug/ breath alcohol tests; retention measured as time to dropout). Internet use was common (74 %) and was more likely among younger (18-49 years old) participants and those who completed high school (p G .001). Participants randomized to TES (n = 255) without baseline internet access rated the acceptability of TES modules significantly higher than those with internet access (t = 2.49, df = 218, p = .01). There was a near significant interaction between treatment, baseline abstinence, and internet access on time to dropout (χ 2 (1) = 3.8089, p = .051). TES was associated with better retention among participants not abstinent at baseline who had internet access (X 2 (1) = 6.69, p = .01). These findings demonstrate high acceptability of this web-based intervention among participants that lacked recent internet access.

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Section: Demographic Characteristicsmentioning

confidence: 99%

Recent Internet Use and Associations with Clinical Outcomes among Patients Entering Addiction Treatment Involved in a Web-Delivered Psychosocial Intervention Study

et al. 2016

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“…Research suggests that by the year 2020, approximately 4.4 million adults aged 50 or older will need treatment for substance abuse problems (Gfroerer et al, 2003). The current mental health and substance abuse treatment systems have been described as both unprepared and ill-equipped to manage and treat the projected population of older adults with co-occurring disorders (Speer et al, 1991).…”

Section: Agementioning

confidence: 99%

Role of social support and self-efficacy in treatment outcomes among clients with co-occurring disorders☆

Warren

Stein

Grella³

2007

Drug and Alcohol Dependence

115

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Individuals with co-occurring substance use and psychiatric disorders have a more severe clinical course and poorer outcomes than do individuals with one disorder. In an attempt to find intervening variables that may contribute to improvement in treatment outcomes among individuals with cooccurring disorders, we investigated the roles of social support and self-efficacy in a sample of 351 clients with co-occurring disorders in residential drug abuse treatment programs (53% male; 35% African American, 13% Hispanic). Given their demographic variability, we also explored how ethnicity and age influence self-efficacy and access to social support, as well as their relationships to the outcomes. Structural equation modeling was used to examine the impact of the demographics and baseline psychological status, substance use, social support, and self-efficacy on mental health and substance use outcomes 6 months after treatment entry. Time in treatment was included as a control. Greater social support at baseline predicted better mental health status and less heroin and cocaine use; greater self-efficacy predicted less alcohol and cocaine use. Older clients reported less social support. African-American ethnicity was associated with more cocaine use at baseline and follow-up; however, African Americans reported more self-efficacy, which moderated their cocaine use. The current study highlights the potential therapeutic importance of clients' personal resources, even among a sample of severely impaired individuals.

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“…For Europe, the number of older people with substance use problems is estimated to more than double between 2001 and 2020 (Gossop, 2008). This is partly due to the size of the baby-boom cohort (born between 1946 and 1964) and the higher rate of substance use among this group (Gfroerer et al, 2003). Estimates from the United States suggest that the number of adults aged 50 and over will double from 2.8 million (annual average) in 2002-06 to 5.7 million in 2020 (Han et al, 2009).…”

Section: Introductionmentioning

confidence: 97%

Substance Use and Abuse Among Older Adults: A State of the Art

Aartsen¹

2011

Psychiatric Disorders - Trends and Developments

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Substance abuse treatment need among older adults in 2020: the impact of the aging baby-boom cohort

Cited by 312 publications

References 20 publications

Recent Internet Use and Associations with Clinical Outcomes among Patients Entering Addiction Treatment Involved in a Web-Delivered Psychosocial Intervention Study

Recent Internet Use and Associations with Clinical Outcomes among Patients Entering Addiction Treatment Involved in a Web-Delivered Psychosocial Intervention Study

Role of social support and self-efficacy in treatment outcomes among clients with co-occurring disorders☆

Substance Use and Abuse Among Older Adults: A State of the Art

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