An evaluation of a Geriatric Substance Abuse Recovery Program in post-acute care of a skilled nursing facility

Recovery from Alcohol Use Disorder among Older Adults: A Scoping Review

“…Most of the studies ( n = 20, 80%) were conducted in the USA (e.g., Cimarolli et al, 2018; Ermann et al, 2016; Schutte et al, 2009), two (8%) were conducted in Denmark (Emiliussen et al, 2019; Wieben et al, 2018), one (4%) in Germany (Dauber et al, 2018), one (4%) in South Africa (Geyer, 2010), and one (4%) was cross-national covering Denmark, Germany, and the USA (Andersen et al, 2020). The majority ( n = 17, 68%) were conducted between 2000 and 2010 (e.g., D'Agostino et al, 2006; Karel et al, 2000; Oslin, Karel, Lynch, & Moye, 2009), whereas eight (32%) were conducted between 2011 and 2021 (e.g., Andersen et al, 2020; Cimarolli et al, 2018; Lewis et al, 2017).…”

“…Almost all the studies were quantitative ( n = 17, 68%), of which ten (40%) were longitudinal, two (8%) were cross-sectional (Munro et al, 2000; Stefanovics et al, 2020), and five (20%) were not specified (e.g., Fein & McGillivray, 2007). Two studies (8%) were qualitative (Ermann et al, 2016; Lewis et al, 2017), two (8%) were mixed methods (Cimarolli et al, 2018; Geyer, 2010), one (4%) was exploratory (Dauber et al, 2018), two (8%) were a randomized controlled trial (Andersen et al, 2020; Oslin et al, 2002), and one (4%) was a pilot study (Karel et al, 2000).…”

“…These programs also offered counseling with a physician, pharmacological treatment, and individual meetings, upon request (Satre et al, 2004a; 2004b, 2007). The Geriatric Substance Abuse Recovery Program (GSARP) included pharmacological treatment as well as recovery treatment that incorporated psychological therapy, group therapy, family therapy, and community-based groups (Cimarolli et al, 2018). The Geriatric Addiction Program (GAP) uses a multi-dimensional approach that included geriatric care management assessment, motivational counseling, aging services and chemical dependency linkages (D'Agostino et al, 2006).…”

“…The length of the intervention varied across programs and ranged from 3–5 weeks (Cimarolli et al, 2018), to 8 weeks (Satre et al, 2004a) to 4 months (D'Agostino et al, 2006). One of the interventions (6%) lasted 16 sessions (the duration was not specified) (Schonfeld et al, 2000).…”

“…While the literature has documented the most effective forms of treatment for older adults with AUD, only one of these studies refers specifically to recovery in this population (Cimarolli et al, 2018). Treatment is part of the recovery process and a means to achieve it, while recovery is a broader concept covering individual and social changes and individuals’ improved lifestyle in many domains (Witkiewitz et al, 2020).…”