Questo nuovo numero tematico annuale di Advances in Dual Diagnosis si concentrerà sulle questioni relative alla doppia diagnosi negli anziani al fine di migliorare l'intervento di valutazione, il trattamento e la cura degli anziani con doppia diagnosi sia dal punto di vista della salute pubblica che da quello clinico.

Gli argomenti trattati includono (ma non sono limitati a):

• Epidemiologia e demografia
• Prevenzione e intervento precoce
• Psicologia
• Sociologia, cultura ed etnia
• Salute fisica e fragilità
• Trattamento e recupero
• Parere di esperti (commenti, opinioni personali di esperti per...

The Drink Wise, Age Well programme was delivered over five years from 2015 to 2020 in five intervention areas across the UK.

The project had 4 objectives:

1. To raise awareness of the issue of alcohol misuse among people over 50, change attitudes, reduce stigma, convey harm reduction messages and influence community norms about the use of alcohol.
2. To increase individual and community resilience to alcohol problems in people over 50 and to reduce hazardous, harmful and dependent drinking and related harm in this age group.
3. To increase the extent to which community service providers and...

The Drink Wise, Age Well programme supported people to make healthier choices about alcohol as they age.

The programme was designed to change attitudes, combat stigma and reduce alcohol harm in the over 50s so they can live longer, healthier lives.

To achieve this, the programme focused on four outcomes:

• Raising awareness and changing attitudes about alcohol use in people over 50, influencing community norms about the use of alcohol
• Increasing individual and community resilience in people over 50, reducing alcohol-related harm in this age group
• Helping community service providers and...

Questa guida, pubblicata dal Royal College of Psychiatrists, fornisce un resoconto approfondito del trattamento dell'abuso di sostanze tra gli anziani.

Contenuto

Parte 1

Valutazione iniziale dell'abuso di sostanze nelle persone anziane

Interventi psicosociali per l'abuso di sostanze nelle persone anziane

Famiglie e accompagnatori 

Considerazioni giuridiche, etiche e pratiche

Parte 2

La presentazione fisica dell'emergenza

La presentazione psichiatrica d'emergenza

Gestione nella comunità 

Danni cerebrali correlati all'alcol

Guarigione 

Donne anziane e abuso di alcol

Interazioni...

Substance use disorder (SUD) is a growing issue in adults aged 65 and older in the United States. Older adults are more likely to take prescription medications and experience chronic health problems associated with aging, including chronic pain. These factors, as well as stressors such as grief and loss of independence, may contribute to substance misuse and complicate SUD treatment in older adults. 

NIDA has gathered a selection of resources examining substance use amount older adults.

Substance Use in Older Adults DrugFacts

Saving a “Lost Generation”: The Need to Prevent Drug and Alcohol...

This factsheet reviews the special problems relating to the detection and treatment of older people with a history of substance misuse and those who are still using substances.

The fact sheet includes a selection of case studies, example questions to ask during assessments, and an overview of treatment options.

This presentation covered the results of a systematic literature review that sought to assess the existing evidence for interventions with people experiencing problematic substance use in later life.

Both Dr Hafford-Letchfield and Ms McQuarrie emphasised that while problematic substance use, especially in social work and social care settings, can be an over-looked or mis-diagnosed problem, older people respond well to interventions, if they are given the right support.

Publication

This guide assists providers in offering treatment to women living with substance use disorders. It reviews gender-specific research and best practices, such as common patterns of initial use and specific treatment issues and strategies.

Astratto

Sfondo

Il consumo nocivo di alcol nelle persone anziane è aumentato e sono necessari approcci efficaci per comprendere e affrontare questa preoccupazione sociale.

Metodi

Revisione sistematica di studi qualitativi nelle popolazioni anziane (55+ anni) per identificare barriere, facilitatori o contesto del bere nelle persone anziane. Dal 2000 al febbraio 2017 sono stati cercati diversi database (MEDLINE, EMBASE, PsycINFO, CINAHL, CENTRAL, Social Sciences Citation Index, York Centre for Reviews and Dissemination, Cochrane database e letteratura grigia) per studi in inglese...