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

Rao, Rahul

doi:10.1080/17523281.2012.754785

Cited by 19 publications

(15 citation statements)

References 14 publications

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“…Although the exact definition of unhealthy use continues to be debated, 36 37 the impact of alcohol misuse in older populations continues to weigh heavy on clinical services 38 39…”

Section: Discussionmentioning

confidence: 99%

Alcohol use, socioeconomic deprivation and ethnicity in older people

2015

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“…Although the exact definition of unhealthy use continues to be debated, 36 37 the impact of alcohol misuse in older populations continues to weigh heavy on clinical services 38 39…”

Section: Discussionmentioning

confidence: 99%

Alcohol use, socioeconomic deprivation and ethnicity in older people

2015

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“…It refers to a paucity of research and evidence for treatment interventions, and services relating to the management of substance use disorders in older adults however also report that available studies have shown that older adults can and do benefit from treatment and in some cases have better outcomes than younger people and may remain in treatment for longer. For example, a study from Camden and Islington Alcohol Support Association (CASA), older persons’ service in North London, found that 72% of older adults showed improved self-care and psychosocial functioning following alcohol reduction treatment (Taber, 2001), and another study (Rao, 2013) reported that 38% of older adults with alcohol-related problems referred to community mental health teams achieved abstinence from alcohol or controlled drinking at six-month follow-up.…”

Section: Benefits Of Detecting and Treatingmentioning

confidence: 99%

Detecting alcohol problems in older adults: can we do better?

Taylor

Jones

Dening

2014

Int. Psychogeriatr.

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Alcohol problems in older adults aged 65 years or over, in the United Kingdom and internationally, have risen steadily over the past decade. These are a common but underdiagnosed and under-recognized problem. A UK survey in 2008 found that 21% of men and 10% of women aged 65 years and over reported drinking more than four and three units of alcohol respectively on at least one day per week (National Health Service Information Centre, 2010). A recent Royal College of Psychiatrists Report (2011) cited research that showed there has been a rise in the number drinking over weekly recommended limits by 60% in men and 100% in women between 1990 and 2006 with the number of people aged over 65 years requiring treatment for a substance misuse problem, set to more than double between 2001 and 2020, all of which points to a significant public health problem both now and in the future (National Health Service Information Centre, 2009).

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“…A recent study of this service has shown that 40% of older people with dual diagnosis referred from medical in-patient settings achieved either abstinence or controlled drinking within the Mental Health of Older Adults Clinical Academic Group (Rao, 2013). Although there was no control group, this outcome is similar to outcomes in younger people.…”

Section: Approaches To Recoverymentioning

confidence: 99%

“…If they have made partial or no recovery during rehabilitation, then relocation to a care home may be the only viable option. ARBD presents a challenge to recovery in that older people with alcohol misuse and ARBD are less likely to move to controlled drinking or abstinence than those cognitively intact older people with alcohol misuse (Rao, 2013).…”

Section: Approaches To Recoverymentioning

confidence: 99%

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Substance misuse in later life: challenges for primary care: a review of policy and evidence

Rao

Crome

et al. 2019

Prim Health Care Res Dev

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Background Substance misuse in older people represents a growing clinical and public health problem within primary care. Aim The aim of article is to explore policy and research evidence for informing best practice in the assessment, treatment effectiveness, treatment implementation and approaches to recovery for older people with substance misuse in primary care. Methods Relevant search terms were used to examine the databases MEDLINE, EMBASE, CINAHL and PsychINFO up to January 2016. Results An age-sensitive approach is required to overcome barriers to assessment. Training is essential for developing relevant knowledge, skills and attitudes. Clinical audit be used to develop care pathways, particularly for older people with dual diagnosis. There is also a need to develop closer links between primary care and the secondary care specialties, as well as added value in working with carers and voluntary agencies. Discussion Further research is needed to inform more effective approaches to treatment. Adequate funding for workforce development and quality improvement in service development are also essential to improve health outcomes and quality of life in older people with substance misuse.

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

Cited by 19 publications

References 14 publications

Alcohol use, socioeconomic deprivation and ethnicity in older people

Alcohol use, socioeconomic deprivation and ethnicity in older people

Detecting alcohol problems in older adults: can we do better?

Substance misuse in later life: challenges for primary care: a review of policy and evidence

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