Factors Associated With Illegal Drug Use Among Older Methadone Clients

Rosen, Daniel

doi:10.1093/geront/44.4.543

Cited by 27 publications

(31 citation statements)

References 14 publications

(11 reference statements)

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“…As this population ages, it is likely they will require increased care and put a strain on existing resources and treatment services (Rosen, 2004). Encouraging methadone treatment engagement and working with clients to ensure retention are essential for meeting these challenges.…”

Section: Discussionmentioning

confidence: 99%

Injection drug users' experience with and attitudes toward methadone clinics in Denver, CO

Al-Tayyib

Koester

2011

Journal of Substance Abuse Treatment

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Section: Discussionmentioning

confidence: 99%

Injection drug users' experience with and attitudes toward methadone clinics in Denver, CO

Al-Tayyib

Koester

2011

Journal of Substance Abuse Treatment

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“…Rosen (2004) examined the factors related to drug abuse at a methadone clinic in a small midwestern city. Rosen's study was limited to 143 African-American and Caucasian clients over the age of 50 being served by the methadone clinic.…”

Section: Handbook Of Psychosocial Interventions With Older Adultsmentioning

confidence: 99%

Chapter 9; Substance Abuse

Cummings

Bride

Cassie

et al. 2008

Journal of Gerontological Social Work

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Alcohol abuse poses special risks for increased morbidity and mortality among older adults, contributing to the heightened use of medical resources and the related increase in medical costs. Although the prevalance of alcohol use disorders in the older adults is generally less than that found in younger groups, it is expected to increase with the aging of the "baby-boom" generation. In spite of this, little attention has focused on developing, and evaluating the efficacy of, treatment programs for older adults with alcohol related disorders. This article discusses the availability of effective treatment strategies for older alcohol abusers and reviews the epidemiological and outcomes research literatures related to alcohol abuse and older adults. The few empirical studies that examine outcomes associated with the treatment of older substance abusers reveal positive outcomes, especially when "age-specific," cognitive-behavioral, and less confrontational treatment approaches are employed.

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“…There is an ageing cohort of heroin users in treatment (United Nations Office on Drugs and Crime, 2015). Trends in the methadone treatment population show this group is growing in number and are also ageing (Rosen, 2004), with many presenting for the first time aged 50-70 years (Doukas, 2011(Doukas, , 2014. European trend analysis shows increasing mean ages of first heroin use and first treatment in Western European countries (Barrio et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Treatment for opioid use and outcomes in older adults: a systematic literature review

Carew

Comiskey

2018

Drug and Alcohol Dependence

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A B S T R A C TBackground: Historically, issues relating to problem substance use among older people have received little attention, and have only recently been recognised. Methods: A literature review of relevant material was conducted in November 2015 to assess current outcome research among older adults treated for opioid dependence. Multiple electronic databases were searched and results were supplemented by grey literature, library and online searches, and relevant references within selected articles. Retrieved articles were assessed for relevance against the inclusion and exclusion criteria. Results were reviewed to identify major findings and recommendations. Results: A total of 76 titles were included in the review. Most research conducted on older adults involves alcohol and prescription medications. Older drug users are growing in number and have a unique profile, with many presenting for treatment for the first time aged 50-70 years. Findings reveal (1) opioid treatment numbers are decreasing, however the average age of treatment admissions is increasing, (2) there is no consensus on what old is (3) two distinct types of older opioid substance users exist (early/late onset), (4) older clients achieve better treatment outcomes than younger counterparts, and (5) older women achieve better treatment outcomes than men. Conclusions: Findings suggest that little is known about treatment outcomes among older people. Problematic drug use (of which opioids make up the largest proportion) had been incorrectly assumed to end as patients age. Defining an age limit for 'older' is important. Addiction and healthcare services must anticipate and prepare for increased demand by this group.

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Factors Associated With Illegal Drug Use Among Older Methadone Clients

Cited by 27 publications

References 14 publications

Injection drug users' experience with and attitudes toward methadone clinics in Denver, CO

Injection drug users' experience with and attitudes toward methadone clinics in Denver, CO

Chapter 9; Substance Abuse

Treatment for opioid use and outcomes in older adults: a systematic literature review

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