Addressing the needs of older people with co‐morbid alcohol and mental health disorders: a case series from a London Community Mental Health Team (CMHT)

Andrews, Tresa; Reddy, L. K.; Whelan, Paul

doi:10.1108/17570971111155577

Cited by 4 publications

(1 citation statement)

References 22 publications

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“…There is a need to improve the provision of integrated care for screening and intervention for older people (Andrews et al, 2011;Rakshi et al, 2011). However, this will mean the use of standardised screening instruments for both alcohol use and for cognitive impairment.…”

Section: Discussionmentioning

confidence: 99%

Risky drinking and dual diagnosis in older people under a UK community old age psychiatry service

Rao

2019

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Purpose The assessment of patterns in risky drinking and its association with dual diagnosis in community services for older people remains under-explored. The paper aims to discuss this issue. Design/methodology/approach Drinking risk using the Alcohol Use Disorders Identification Test (AUDIT) and the presence of co-existing mental disorders was examined in 190 people aged 65 and over. Findings In total, 24 per cent of drinkers drank above lower risk levels and 22 per cent reported binge drinking over the past 12 months. Those scoring 1 or more on the AUDIT were more likely to be male and to have greater cognitive impairment than non-drinkers and those reporting no past problems with alcohol. Research limitations/implications Given the limitations of the Mini Mental State Examination in the detection of alcohol related cognitive impairment (ARCI), the use of other cognitive screening instruments in larger study populations is also warranted. Practical implications Greater attention needs to be paid to the assessment of risky drinking in older male drinkers and those with cognitive impairment. Originality/value There is considerable scope for the routine detection of cognitive impairment and dementia in older people with alcohol use within mainstream mental health services, particularly in those with binge drinking. As ARCI is associated with loss of function and independence, early detection and intervention can improve health and social outcomes.

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Section: Discussionmentioning

confidence: 99%

Risky drinking and dual diagnosis in older people under a UK community old age psychiatry service

Rao

2019

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Altgewordene Suchtkranke

Wolter

2018

Z Gerontol Geriat

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During the past 20 years substance-related and addictive disorders in old age have markedly increased and this increase is going to continue. It is quite common to make a distinction between early onset (EO) and late onset (LO) of these disorders. EO-addicts are in a more disadvantageous position due to constitutional and psychosocial burdens and the cumulating harmful medical, mental and social consequences of addiction place them at a further disadvantage during the course of the disorder. In old age they are at a disadvantage compared to others of the same age with LO addiction problems because of more and more severe chronic medical conditions, psychiatric comorbidity, less personal and social resources, dysfunctional coping style, and social problems. They present with lower treatment adherence and the treatment is difficult due to the combination of typical addictive behavior, psychiatric comorbidity, somatic diseases and in many cases also cognitive impairment. Treatment goals must be mostly individually defined and abstinence is rarely a realistic goal. Even the treatment has to be carried out mostly individually and often unconventionally. This article gives a review of the characteristic features of the course, presentation and adverse consequences of addictive disorders in EO addicts who have reached old age. The article covers alcohol, prescription drugs, illicit drugs and smoking as well as behavioral addictions.

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Outcomes from liaison psychiatry referrals for older people with alcohol use disorders in the UK

Rao

2013

Mental Health and Substance Use

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Addressing the needs of older people with co‐morbid alcohol and mental health disorders: a case series from a London Community Mental Health Team (CMHT)

Cited by 4 publications

References 22 publications

Risky drinking and dual diagnosis in older people under a UK community old age psychiatry service

Risky drinking and dual diagnosis in older people under a UK community old age psychiatry service

Altgewordene Suchtkranke

Outcomes from liaison psychiatry referrals for older people with alcohol use disorders in the UK

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