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Chapter 14 - Drug and Alcohol Misuse

Published online by Cambridge University Press:  21 June 2019

Rob Butler
Affiliation:
Waitemata DHB and North Shore Hospital, Auckland
Cornelius Katona
Affiliation:
Helen Bamber Foundation
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Summary

Older people in the ‘baby boomer’ generation born between 1946 and 1964 now represent the age group with the fastest-rising rate of drug and alcohol misuse in developed countries [1]. The proportion of older people in the United Kingdom is also rising. In 2016, 18% of the UK population were aged 65 and over. Increased longevity coupled with rising alcohol and drug misuse in older people is likely to have an impact on both public health and service provision.

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Publisher: Cambridge University Press
Print publication year: 2019

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References

Rao, R., Roche, A. (2017) ‘Substance misuse in older people’. Br Med J 358: j3885.Google Scholar
Saunders, J. B., Peacock, A., Degenhardt, L. (2018) ‘Alcohol use disorders in the draft ICD-11, and how they compare with DSM-5L’. Curr Addict Rep, https://doi.org/10.1007/s40429-018-0197-8.CrossRefGoogle Scholar
De Wilde, S., Carey, I. M., Harris, T., et al. (2007) ‘Trends in potentially inappropriate prescribing amongst older UK primary care patients’. Pharmacoepidemiol Drug Saf 16: 658–67.Google Scholar
Naimi, T. S., Stockwell, T., Saitz, R., Chikritzhs, T. (2017) ‘Selection bias and relationships between alcohol consumption and mortality’. Addiction 112: 220–1.Google ScholarPubMed
Wilson, I. B., Schoen, C., Neuman, P., et al., (2007) ‘Physician–patient communication about prescription medication nonadherence: A 50-state study of America’s seniors’. J Gen Intern Med 22: 612.Google Scholar
Mayfield, D., McLeod, G., Hall, P. (1974) ‘The CAGE questionnaire: Validation of a new alcoholism screening instrument’. Am J Psychiat 131: 1121–3.Google Scholar
Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., Monteiro, M. G. (2001) AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Health Care. Geneva: World Health Organization.Google Scholar
Schuckit, M. A. (2014) ‘Recognition and management of withdrawal delirium (delirium tremens)’. N Engl J Med 371: 2109–13.Google Scholar
World Health Organization (1992) The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10). Geneva: WHO.Google Scholar
Rao, R., Crome, I. B., Crome, P. (2016) ‘Managing older people’s alcohol misuse in primary care’. Br J Gen Pract 66: 67.Google Scholar
Mayo-Smith, M. F., Beecher, L. H., Fischer, T. L., et al. (2004) ‘Management of alcohol withdrawal delirium: An evidence-based practice guideline’. Arch Intern Med 164: 1405–12.Google Scholar
Oslin, D., Atkinson, R. M., Smith, D. M., Hendrie, H. (1998) ‘Alcohol related dementia: Proposed clinical criteria’. Int J Geriatr Psychiat 13: 203–12.Google Scholar
Ridley, N. J., Draper, B., Withall, A. (2013) ‘Alcohol-related dementia: An update of the evidence’. Alzheimers Res Ther 5: 3.Google Scholar
Gazdzinski, S., Durazzo, T. C., Studholme, C., et al. (2005) ‘Quantitative brain MRI in alcohol dependence: Preliminary evidence for effects of concurrent chronic cigarette smoking on regional brain volumes’. Alcohol Clin Exp Res 29: 1484–95.Google Scholar
Rao, R. (2016) ‘Cognitive impairment in older people with alcohol use disorders in a UK community mental health service’. Adv Dual Diag 9: 154–8.Google Scholar
Lingford-Hughes, A. R., Welch, S., Peters, L., Nutt, D. J. (2012) ‘BAP updated guidelines: Evidence-based guidelines for the pharmacological management of substance abuse, harmful use, addiction and comorbidity: Recommendations from BAP’. J Psychopharmacol 26: 899952.Google Scholar
Stockwell, T., Hodgson, R., Edwards, G., et al. (1979) ‘The development of a questionnaire to measure severity of alcohol dependence’. Addiction 74: 7987.Google Scholar
Rao, R. T., Crome, I., Crome, P. (2015) ‘Substance misuse in older people: An information guide’. Cross Faculty Report FR/OA/A)/01. London: The Royal College of Psychiatrists.Google Scholar
Moos, R. H., Schutte, K. K., Brennan, P. L., Moos, B. S. (2010) ‘Late-life and life history predictors of older adults’ high-risk alcohol consumption and drinking problems’. Drug Alcohol Depen 1(108): 1320.Google Scholar
Fleming, M. F., Manwell, L. B., Barry, K. L., et al. (1999) ‘Brief physician advice for alcohol problems in older adults: A randomized community-based trial’. J Fam Practice 48: 378–86.Google Scholar
Blow, F. C., Barry, K. L. (2012) ‘Alcohol and substance misuse in older adults’. Curr Psychiat Rep 14: 310–9.Google Scholar
Dupree, L. W., Broskowski, H., Schonfeld, L. (1984) ‘The Gerontology Alcohol Project: A behavioral treatment program for elderly alcohol abusers’. Gerontologist 24: 510–6.Google Scholar
Rollnick, S., Butler, C. C., Kinnersley, P., et al. (2010) ‘Competent novice: Motivational interviewing’. BMJ Clin Res 340: 1242–5.CrossRefGoogle Scholar
Serdarevic, M., Lemke, S. (2013) ‘Motivational interviewing with the older adult’. Int J Ment Health Pr 15: 240–9.Google Scholar
Rao, R., Shanks, A. (2011) ‘Development and implementation of a dual diagnosis strategy for older people in south east London’. Adv Dual Diag 4: 2835.Google Scholar
Rao, R. (2013) ‘Outcomes from liaison psychiatry referrals for older people with alcohol use disorders in the UK’. Ment Health Subst Use 6: 362–8.Google Scholar
Schonfeld, L., King-Kallimanis, B. L., Duchene, D. M., et al. (2010) ‘Screening and brief intervention for substance misuse among older adults: The Florida BRITE project’. Am J Public Health 100: 108–14.Google Scholar
Slaymaker, V. J., Owen, P. (2008) ‘Alcohol and other drug dependence severity among older adults in treatment: Measuring characteristics and outcomes’. Alcohol Treat Q 26: 259–73.Google Scholar

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