scholarly journals Substance Use Disorders in Elderly Admissions to an Academic Psychiatric Inpatient Service over a 10-Year Period

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Dennis Dombrowski ◽  
Nelly Norrell ◽  
Suzanne Holroyd
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Psychiatric Patients ◽  
Psychiatric Inpatient ◽  
Psychiatric Inpatients ◽  
The Elderly ◽  
Inpatient Service ◽  
Chi Square ◽  
Lengths Of Stay ◽  
Psychiatric Admissions

Objective. There is a paucity of research on substance use disorders (SUDs) in the elderly psychiatric population. This study examines SUDs in a geriatric psychiatry inpatient service over a 10-year period.Methods. Data from 1788 elderly psychiatric inpatients from a ten-year period was collected. Variables collected included psychiatric diagnoses, SUD, number of psychiatric admissions, and length of stay. Those with and without a SUD were compared using Chi-Square or Student’st-test as appropriate using SPSS.Results. 11.7% (N=210) of patients had a SUD, and the most common substance was alcohol at 73.3% (N=154) or 8.6% of all admissions. Other SUDs were sedative-hypnotics (11%), opiate (2.9%), cannabis (1%), tobacco (1.4%), and unspecified SUD (38.6%). SUD patients were significantly younger, divorced, male, and less frequently readmitted and had shorter lengths of stay. The most common comorbid diagnoses were major depression (26.1%), bipolar disorder (10.5%), and dementia (17.1%).Conclusions. Over 10% of psychogeriatric admissions were associated with a SUD, with alcohol being the most common. Considering the difficulties in diagnosing SUD in this population and the retrospective study design, the true prevalence in elderly psychiatric inpatients is likely higher. This study adds to sparse literature on SUD in elderly psychiatric patients.

Alcohol and Substance-Use Disorders in the Elderly

1992 ◽  
pp. 515-555 ◽  
Author(s):  
Roland M. Atkinson ◽  
Linda Ganzini ◽  
Michael J. Bernstein
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
The Elderly

Increasing Successful Vocational Rehabilitation Outcomes for Individuals with Substance Use Disorders

2018 ◽  
Vol 49 (1) ◽  
pp. 4-10
Author(s):  
Stephanie L. Lusk ◽  
Frances R. B. Veale
Keyword(s):  
Substance Use ◽  
Vocational Rehabilitation ◽  
Substance Use Disorders ◽  
Job Search ◽  
Recovery Process ◽  
Vital Role ◽  
Chi Square ◽  
Gainful Employment ◽  
Rehabilitation Outcomes ◽  
Case Closure

Employment is essential during the treatment and recovery process for individuals with substance use disorders. As such, rehabilitation counselors play a vital role in ensuring the success of these consumers by offering services that increase the likelihood of employment. State and federal vocational rehabilitation programs can offer any of 19 services to consumers and by identifying services offered to those with substance use disorders who have been rehabilitated successfully, counselors can make a concerted effort to incorporate them when most appropriate. As a replica of a study conducted over 10 years ago, the current study seeks to determine if the services identified as increasing successful employment outcomes using data from 2005 still hold true today especially since gainful employment remain low for this population. After effective services are identified, one may then determine how to best incorporate these services into the overall Individual Plan for Employment (IPE) to better assist those with substance use disorders (SUDs). Rehabilitation Services Administration (RSA) 911 datasets were analyzed for years 2010-2014, and chi-square analyses identified five services as increasing the probability of successful case closure (i.e., employment): 1) job placement, 2) on-the-job supports, 3) maintenance, 4) job search, and 5) other. Descriptions of each service are provided as well as suggestions for application and implementation.

Physical illness in psychiatric inpatients: Comparison of patients with and without substance use disorders

2012 ◽  
Vol 59 (8) ◽  
pp. 757-764 ◽  
Author(s):  
Karel Frasch ◽  
Jens Ivar Larsen ◽  
Joachim Cordes ◽  
Bent Jacobsen ◽  
Signe Olrik Wallenstein Jensen ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Psychiatric Inpatients ◽  
Physical Illness

Long-stay forensic psychiatric inpatients in the Republic of Ireland: aggregated needs assessment

2003 ◽  
Vol 20 (4) ◽  
pp. 119-125 ◽  
Author(s):  
Conor O'Neill ◽  
Patrick Heffernan ◽  
Ray Goggins ◽  
Ciaran Corcoran ◽  
Sally Linehan ◽  
...  
Keyword(s):  
Psychiatric Patients ◽  
Psychiatric Inpatients ◽  
Multidisciplinary Teams ◽  
Mentally Disordered Offenders ◽  
Dynamic Risk Factors ◽  
Republic Of Ireland ◽  
Lengths Of Stay ◽  
Community Psychiatric ◽  
Forensic Psychiatric ◽  
The Republic

AbstractObjectives:To profile the current cohort of forensic psychiatric inpatients in the Republic of Ireland, comparing psychiatric healthcare and placement needs of long-stay patients with those more recently admitted.Method:All forensic psychiatric inpatients in the Central Mental Hospital, Dundrum on a census date were included in the study. Patients and key worker were interviewed using a standardised schedule and validated research instruments. Static and dynamic risk factors for violence including demographic, diagnostic and legal characteristics were supplemented by detailed chart review. Standardised anonymised case vignettes were presented to panels of forensic and community psychiatric multidisciplinary teams who assessed current and future treatment and placement requirements for the cohort.Results:There were 88 forensic psychiatric inpatients on the census date. Forty-three had lengths of stay over two years (17 over 20 years). Both patient groups were predominantly males with severe mental illness and histories of violent offending. The majority of the long-stay group were receiving regular parole and this group had lower levels of positive symptoms and comorbid substance misuse disorders. Significant gaps in existing rehabilitation inputs were identified. Almost half the long-stay patients were inappropriately placed. Thirty per cent of long-stay patients could be safely transferred to lower levels of security within six months and 63% within three years.Conclusions:Holding patients in conditions of excessive security impedes rehabilitation and has considerable human rights implications. Almost half of long-stay forensic psychiatric patients in Ireland are inappropriately placed. Barriers to discharge include legislative inadequacies, lack of local low-secure facilities and under-resourcing of community psychiatric services. Such barriers lead to inappropriate utilisation of limited resources and limit access to secure facilities for higher-risk mentally disordered offenders. These findings are of particular relevance in the context of proposed new insanity legislation.

Substance use disorders in hospitalized psychiatric patients: The experience of one psychiatric emergency service in Turin

2014 ◽  
Vol 55 (5) ◽  
pp. 1234-1243 ◽  
Author(s):  
Frieri Tiziana ◽  
Montemagni Cristiana ◽  
Crivelli Barbara ◽  
Scalese Mara ◽  
Villari Vincenzo ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Emergency Service ◽  
Psychiatric Patients ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Service

scholarly journals A Study to Assess the Suicidal Behaviour among the Psychiatric Patients in a Tertiary Care Teaching Hospital, Guntur

2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr Vaddadi. Venkata kiran ◽  
Dr. Neeli Uma Jyothi ◽  
Mounica. Bollu
Keyword(s):  
Substance Use ◽  
Suicide Attempt ◽  
Psychiatric Disorders ◽  
Substance Use Disorders ◽  
Suicidal Behaviour ◽  
Psychiatric Patients ◽  
Tertiary Care ◽  
Wide Range ◽  
Self Harm ◽  
Commit Suicide

Suicide attempt is a deliberate act of self harm with at least some intent of die that does not result in death. Such act has a wide range of medical seriousness. Individuals with psychiatric disorders are far more likely to commit suicide than the others. People who are psychologically disabled are often commit suicide from years of pain, frustration and depression. Spiritually they may perceive themselves as hopelessly damaged and lose all sense of purpose and meaning of life. Suicide is not a diagnosis or a disorder. it is a behaviour. Suicide is a worldwide, national, local and familial problem. 90% of people who kill themselves suffer from a diagnosable and preventable problem such as depression co-occurring mental and substance use disorders are common and potent combination among those who die by suicide.

scholarly journals Substance use disorders in the elderly: A review

2015 ◽  
Vol 2 (2) ◽  
pp. 74 ◽  
Author(s):  
Siddharth Sarkar ◽  
Arpit Parmar ◽  
Biswadip Chatterjee
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
The Elderly

Substance Use Disorders in the Elderly

2017 ◽  
Author(s):  
Michael Burgard ◽  
Robert Kohn
Keyword(s):  
Older Adults ◽  
Substance Use ◽  
Alcohol Use ◽  
Substance Use Disorders ◽  
Alcohol Use Disorder ◽  
Illicit Drugs ◽  
Nursing Home Residents ◽  
The Elderly ◽  
The United States ◽  
Driving Under The Influence

Substance use disorders in older adults remains lower than in younger adults; however, the prevalence is rising in the elderly population. In the United States, the lifetime prevalence of an alcohol use disorder among persons age 65 and older is 16.1%. Studies of Veteran’s Administration nursing home residents have found that 29% to 49% of those admitted have a lifetime diagnosis of alcohol use disorder. A sizable proportion of the elderly acknowledge driving under the influence. In 2013, 1.5% of the elderly had used illicit drugs. The number requiring treatment for substance abuse is expected to double by 2020. The populations with the fastest increase in opiate mortality are those age 55 and older, including those 65 and older. This chapter presents the epidemiology of substance use among older adults and discusses issues related to elders’ substance use, including use in nursing homes, impaired driving and arrests, use of non-prescription medications, screening for substance use, and treatment.

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