Treatment Needs and Service Utilization in Older U.S. Adults Evidencing High-Risk Substance Use
| Autor: | Nicole K. Early, Kathleen A. Fairman |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Substance-Related Disorders Poison control Psychological Distress Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Service utilization Injury prevention medicine Substance misuse Humans 030212 general & internal medicine Psychiatry Aged Retrospective Studies Community and Home Care Health Services Needs and Demand 030214 geriatrics business.industry Human factors and ergonomics Middle Aged Health Surveys United States Female Geriatrics and Gerontology Substance use business Gerontology Facilities and Services Utilization |
| Zdroj: | Journal of Aging and Health. 32:1363-1375 |
| ISSN: | 1552-6887 0898-2643 |
| DOI: | 10.1177/0898264320929537 |
| Popis: | Objectives: Because substance misuse by older adults poses clinical risks and has not been recently assessed, we examined substance use patterns, treatment needs, and service utilization in those evidencing high-risk use. Methods: We identified National Survey on Drug Use and Health respondents (2015–2018) aged ≥50 years reporting multiple-occasion binge drinking, illicit drug use, prescription drug misuse, or substance dependence. Past-year psychological symptoms were assessed using validated scales. Results: The sample, representing 10.2% of community-dwelling older U.S. adults, evidenced clinically important risks: 65.2% past-month binge drinking, 27.3% mental illness, 14.3% psychological distress, 10.6% combined alcohol/drug use, and 6.5% suicidality. Treatment receipt was uncommon (27.7%), positively associated with distress, and negatively associated with binge drinking. Of those not receiving treatment, 3.8% perceived treatment need. Discussion: Findings highlight the value of substance misuse screening and brief interventions, suggesting potential treatment referral opportunities for those evidencing psychological distress. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|