Substance abuse is a major class of psychiatric illnesses in all patients but poses specifically greater challenges in geriatric psychiatry. Older patients, especially those with long history of substance use, are at particular risk for chronic systemic medical and psychiatric complications of substance ...
Adverse childhood experience patterns, major depressive disorder, and substance use disorder in older adultsYoungmi KimKyeongmo KimKaren G. ChartierTraci L. WikeShelby E. McDonald
HARRISBURG, PA – Speaking to reporters Thursday, a top official at the state Department of Drug and Alcohol Programs said Pennsylvania “needs to do better” by older Pennsylvanians with substance use disorder. The official, Steve Ross, a special assistant to DDAP secretary Jen Smith, said adu...
Providers working with older adults, including primary care physicians, often miss substance abuse and misuse. They often don’t know that substance use problems affect 15% or more of the elders they serve. Some providers refuse to see substance abuse as a real problem among older adults and t...
In older populations, substance use disorders are highly prevalent, often underdiagnosed and undertreated, and are associated with significant systemic medical and psychiatric comorbidity. Diagnostic criteria for substance use disorders have changed with
Male adults had a 5.0-fold higher likelihood of developing an illicit drug use disorder (for example stimulants such as cocaine, inhibiter such as opioids, cannabinoids and multiple drugs). Physical abuse, parental divorce and witnessed violence were the strongest individual ACE predictors for this...
Despite the increasing rates of mental and substance use disorders (MSUDs) among older adults, little research has been done to investigate the influence of adverse childhood experiences (ACEs) on older adults' MSUDs. Using the life course perspective, we examined the relationship between ten types...
These findings strongly suggest the imminent need for integrating general medical care, mental health services, and addiction health services for older adults with mental illness or SUDs. 展开 关键词: mental illness substance use disorder chronic condition Medicare Medicaid ...
The highest rates of HIV infection are in individuals with dual diagnosis of severe mental illness and substance use disorder. Psychosocial factors have also been linked as a strong predictor to psychological distress as well as risk of substance abuse and HIV transmission risk. Other topics of ...
Substance use services are a central part of the context for older adults in service-assisted recovery processes. In these services, user involvement and shared decision making can enhance the sense of mattering. User involvement and shared decision-making processes are well-established in the consum...