Older Adult Substance Use Treatment First-Time Admissions Between 2008 and 2018

Weber, Andrea N.; Lynch, Alison; Miskle, Benjamin; Arndt, Stephan; Ación, Laura

doi:10.1016/j.jagp.2022.03.003

Cited by 6 publications

(6 citation statements)

References 12 publications

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“…The prevalence rates of SUDs in the geriatric population have increased over the years, especially considering that more recent cohorts have had higher rates of earlier life substance use and might continue their substance use as they age [ 3 ]. Data from the Treatment Episode Data Set-Admissions (TEDS-A), a national data set on annual admissions to substance use treatment facilities, show that between 2008 and 2018, the proportion of admissions attributed to adults aged 55 or over increased, from 9.04% to 15.64%, relative to younger adults [ 4 ]. The number of older adults’ admissions increased 190% [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Data from the Treatment Episode Data Set-Admissions (TEDS-A), a national data set on annual admissions to substance use treatment facilities, show that between 2008 and 2018, the proportion of admissions attributed to adults aged 55 or over increased, from 9.04% to 15.64%, relative to younger adults [ 4 ]. The number of older adults’ admissions increased 190% [ 4 ]. During this period, the percentage of first admissions for alcohol only decreased while the proportion of admissions attributed to drugs only increased in older adults [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…The number of older adults’ admissions increased 190% [ 4 ]. During this period, the percentage of first admissions for alcohol only decreased while the proportion of admissions attributed to drugs only increased in older adults [ 4 ]. First-time admissions due to illicit drug only surpassed those due to alcohol only and a combination of alcohol and illicit drug use by 2018 [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…During this period, the percentage of first admissions for alcohol only decreased while the proportion of admissions attributed to drugs only increased in older adults [ 4 ]. First-time admissions due to illicit drug only surpassed those due to alcohol only and a combination of alcohol and illicit drug use by 2018 [ 4 ]. During this same period, older adults mentioned the following substances more than 1% of the time at admission: alcohol (66.7%), cocaine (14.8%), cannabis (14.1%), heroin (14.0%), other opioids (8.6%), methamphetamine (5.8%), benzodiazepines (2.4%), and other (2.7%) [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…First-time admissions due to illicit drug only surpassed those due to alcohol only and a combination of alcohol and illicit drug use by 2018 [ 4 ]. During this same period, older adults mentioned the following substances more than 1% of the time at admission: alcohol (66.7%), cocaine (14.8%), cannabis (14.1%), heroin (14.0%), other opioids (8.6%), methamphetamine (5.8%), benzodiazepines (2.4%), and other (2.7%) [ 4 ]. 42% of older adults entering substance use treatment were self-referred and only 11% of older adults entering substance use treatment were referred by a healthcare provider [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Substance Use Disorders in the Geriatric Population: a Review and Synthesis of the Literature of a Growing Problem in a Growing Population

Lin

Arnovitz

Kotbi

et al. 2023

Curr Treat Options Psych

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Purpose of review Substance use disorders are becoming increasingly prevalent in the geriatric population, necessitating an updated understanding of the existing literature. This review aims to describe the epidemiology, special considerations, and management of substance use disorders in older adults. Recent findings PubMed, Ovid MEDLINE, and PsychINFO databases were searched from their inception through June 2022 using the following keywords: “substance use disorder,” “substance abuse,” “abuse,” “illicit substances,” “illicit drugs,” “addiction,” “geriatric,” “elderly,” “older adults,” “alcohol,” “marijuana,” “cannabis,” “cocaine,” “heroin,” “opioid,” and “benzodiazepine.” Our findings suggest an increasing trend in substance use in older adults despite medical and psychiatric consequences when using such substances. The majority of older patients admitted to substance abuse treatment programs were not referred by healthcare providers, suggesting room for improvement in the screening and discussion of substance use disorders. Our review also suggests that there should be careful consideration of COVID-19 and racial disparities when screening, diagnosing, and treating substance use disorders in the older population. Summary This review provides updated information on epidemiology, special considerations, and management of substance use disorders in older adults. As substance use disorders become more prevalent in older adults, primary care physicians must be prepared to recognize and diagnose substance use disorders as well as collaborate with and refer patients to geriatric medicine, geriatric psychiatry, and addiction medicine.

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Section: Introductionmentioning

confidence: 99%