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Substance abuse elderly

Cynthia Lien, Tony Rosen, Elizabeth M Bloemen, Robert C Abrams, Maria Pavlou, Mark S Lachs
OBJECTIVES: To identify patterns of personal experience or behavior in self-neglect by exploring narratives of cognitively intact older adults. DESIGN: Descriptive study involving semistructured interviews and unstructured narratives. SETTING: A parent study of self-neglect characteristics. PARTICIPANTS: Cognitively intact, self-neglecting older adults referred from 11 community-based senior services agencies (N = 69)...
October 14, 2016: Journal of the American Geriatrics Society
Tony Rosen, Elizabeth M Bloemen, Veronica M LoFaso, Sunday Clark, Neal E Flomenbaum, Risa Breckman, Arlene Markarian, Catherine Riffin, Mark S Lachs, Karl Pillemer
Elder abuse is a common phenomenon with potentially devastating consequences for older adults. Although researchers have begun to identify predisposing risk factors for elder abuse victims and abusers, little is known about the acute precipitants that lead to escalation to physical violence. We analyzed legal records from highly adjudicated cases to describe these acute precipitants for physical elder abuse. In collaboration with a large, urban district attorney's office, we qualitatively evaluated legal records from 87 successfully prosecuted physical elder abuse cases from 2003 to 2015...
August 9, 2016: Journal of Interpersonal Violence
Traci Rieckmann, Laurie A Moore, Calvin D Croy, Douglas K Novins, Gregory Aarons
American Indians and Alaska Natives (AIANs) experience major disparities in accessing quality care for mental health and substance use disorders. There are long-standing concerns about access to and quality of care for AIANs in rural and urban areas including the influence of staff and organizational factors, and attitudes toward evidence-based treatment for addiction. We conducted the first national survey of programs serving AIAN communities and examined workforce and programmatic differences between clinics located in urban/suburban (n=50) and rural (n=142) communities...
September 2016: Journal of Substance Abuse Treatment
Sandra L Momper, Mary Kate Dennis, Amelia C Mueller-Williams
In this Great Lakes Indian reservation qualitative study we utilized focus groups in the form of talking circles to elicit tribal members' views of alcohol use. We report on how the elder participants utilized the talking circles to inform the youth of the deleterious effects of alcohol use and abuse. Indigenous research methods were utilized so elder tribal members were consulted about the study; an elder was hired as a research associate; youth were hired as note takers/observers; and the 2-hour groups were led by a tribal community member...
July 12, 2016: Journal of Ethnicity in Substance Abuse
Nancy Elder, Michelle Penm, Harini Pallerla, Mary Beth Vonder Meulen, Amy Diane Short, Tiffiny Diers, Ryan Joseph Imhoff, Brendan Wilson, Jill Martin Boone
BACKGROUND: Chronic pain (CP) care in the patient-centered medical home (PCMH) model has not been well studied. We assessed whether PCMH recognition is associated with increased provision of key practice recommendations for CP assessment and management. METHODS: Chart reviews were completed for 12 primary care practices affiliated with one health system in the Cincinnati Area Research and Improvement Group (CARInG). Recommendations were abstracted and compared based on PCMH status: 3 practices had received prior PCMH level 3 recognition, 5 were in an ongoing process of applying, and 4 had no recognition and were not applying...
July 2016: Journal of the American Board of Family Medicine: JABFM
Adele Minutillo, Roberta Pacifici, Giulia Scaravelli, Roberto De Luca, Ilaria Palmi, Claudia Mortali, Luisa Mastrobattista, Paolo Berretta
INTRODUCTION: Gender disparity in different fields of addiction such as tobacco smoking, alcohol use, drugs of abuse consumption and doping practice has been investigated in Italian population. METHODS: We used the surveys and studies carried out for the above reported issues in recent years as revised by the "National Observatory on Tobacco smoke, Drugs of abuse, Alcohol and Doping" at Istituto Superiore di Sanità. RESULTS: Concerning tobacco habit, the trend of smoking women has been in constant decrease from a 19...
April 2016: Annali Dell'Istituto Superiore di Sanità
Sonia Abad, Carla Ramon, David Pubill, Jorge Camarasa, Antonio Camins, Elena Escubedo
MDMA is one of the most used drugs by adolescents and its consumption has been associated with many psychobiological problems, among them psychomotor problems. Moreover, some authors described that early exposure to MDMA may render the dopaminergic neurons more vulnerable to the effects of future neurotoxic insults. Alzheimer disease (AD) is the main cause of dementia in the elderly and a percentage of the patients have predisposition to suffer nigrostriatal alterations, developing extrapyramidal signs. Nigrostriatal dysfunction in the brain of aged APPswe/PS1dE9 (APP/PS1), a mouse model of familiar AD (FAD), has also been described...
September 2016: Biochimica et Biophysica Acta
Agnieszka Lisowska, Magdalena Makarewicz-Wujec, Krzysztof J Filipiak
Myocardial infarction (MI) is one of the most common causes of death in Europe. Young people below 45 years account for approximately 10% of the population already affected by the disease. Among younger patients mechanisms of MI other than in the elderly often can be observed, including: non-atherosclerotic coronary artery disease, hypercoagulable state and substance abuse. However, the dominant cause of MI is atherosclerosis, regardless of age. The prevalence of risk factors among patients with MI is different in those below 45 and above that age...
June 14, 2016: Kardiologia Polska
Jennifer A Mallow, Laurie A Theeke, Patricia Crawford, Elizabeth Prendergast, Chuck Conner, Tony Richards, Barbara McKown, Donna Bush, Donald Reed, Meagan E Stabler, Jianjun Zhang, Geri Dino, Taura L Barr
PURPOSE: Rural communities have limited knowledge about genetics and genomics and are also underrepresented in genomic education initiatives. The purpose of this project was to assess genomic and epigenetic knowledge and beliefs in rural West Virginia. SAMPLE: A total of 93 participants from three communities participated in focus groups and 68 participants completed a demographic survey. The age of the respondents ranged from 21 to 81 years. Most respondents had a household income of less than $40,000, were female and most were married, completed at least a HS/GED or some college education working either part-time or full-time...
2016: Online Journal of Rural Nursing and Health Care: the Official Journal of the Rural Nurse Organization
Ivan Koychev, Klaus P Ebmeier
Anxiety disorder in the elderly is twice as common as dementia and four to six times more common than major depression. Anxiety is associated with poorer quality of life, significant distress and contributes to the onset of disability. Mortality risks are also increased, through physical causes, especially cardiovascular disease, and suicide. Diagnosing anxiety disorders in older adults remains a challenge because of the significant overlap in symptoms between physical disorders (shortness of breath; abdominal and chest pain; palpitations) and depression (disturbed sleep; poor attention, concentration and memory; restlessness)...
January 2016: Practitioner
Kendon J Conrad, Pi-Ju Liu, Madelyn Iris
Substance abuse has long been identified as a risk factor for elder mistreatment, yet research on the topic remains sparse. This study tested hypotheses whether perpetrator and victim substance use problems were associated with financial exploitation, physical abuse, emotional abuse, and neglect versus no abuse. Cross-sectional data were collected on 948 cases with yes/no substantiation decisions where 357 cases had no abuse in elder mistreatment investigations. Hypotheses were tested using odds ratios, bivariate, and multiple linear regression analyses including a control for victim vulnerability...
April 4, 2016: Journal of Interpersonal Violence
David Tierney, Paul Bolton, Barnabas Matanu, Lorraine Garasu, Essah Barnabas, Derrick Silove
BACKGROUND: The Bougainville Crisis (1988-1997) was the largest armed conflict in the Pacific since WW-II. Despite this, there has been no assessment of the Mental Health and Psychosocial (MHPS) impact of the war. The aim of this paper is to summarize the available data regarding the longer-term MHPS impact of the Bougainville Crisis. METHODS: A literature review and a sequence of consultations in Bougainville were conducted to identify the MHPS impact of the Bougainville Crisis and the capacity within Bougainville to address these issues...
2016: International Journal of Mental Health Systems
Jinjiao Wang, Joan A Kearney, Haomiao Jia, Jingjing Shang
BACKGROUND: Current evidence on mental health disorders (MHDs) in the U.S. elderly home care population is highly varied and limited to the local level. AIM: The objective of this study was to examine the prevalence and characteristics of U.S. elders with MHDs on the national level. METHODS: This is a primary analysis of secondary use data from a 5% random sample of the 2010 National Outcome and Assessment Information Set (OASIS) data spanning a 60-day home care session...
March 2016: Nursing Research
H Joanna Jiang, Amy E Boutwell, James Maxwell, Angel Bourgoin, Marsha Regenstein, Ellie Andres
BACKGROUND: Efforts on reducing hospital readmissions, which are intended to improve quality and reduce costs, tend to focus on elderly Medicare beneficiaries without recognition of another high-risk population--adult nonmaternal Medicaid patients. This study was undertaken to understand the complexity of Medicaid readmission issues at the patient, provider, and system levels. METHODS: Multiple qualitative methods, including site visits to nine safety-net hospitals, patient/family/caregiver inter views, and semistructured interviews with health plans and state Medicaid agencies, were used in 2012 and 2013 to obtain information on patient, provider, and system issues related to Medicaid readmissions; strategies considered or currently used to address those issues; and any perceived financial, regulatory or, other policy factors inhibiting or facilitating readmission reduction efforts...
March 2016: Joint Commission Journal on Quality and Patient Safety
Timothy L Boaz, Marion A Becker, Ross Andel, Nicole McCutchan
OBJECTIVES: Hospitalizations for physical health problems can cause great mental health challenges. We examined risk factors and expenditures for early readmission for inpatient psychiatric treatment following a hospitalization for a non-psychiatric condition. METHOD: We used eight years of Florida Medicaid enrollment and claims data for (FY 2003-2011) as well as data obtained from the Florida Center for Health Information and Policy Analysis, Inpatient Hospital Database, to identify episodes of hospitalization for all Medicaid-enrolled older adults...
November 2, 2015: Aging & Mental Health
Seyede Salehe Mortazavi, Mohsen Shati, Seyed Kazem Malakouti, Kazem Mohammad
BACKGROUND: Comorbidity of psychiatric disorders and substance abuse can intensify both conditions, and when advanced age is added to the combination, the patient will face a distinctive array of issues. This study evaluated the prevalence of psychiatric disorders in elderly substance users as well as certain related factors. METHODS: This cross-sectional study was performed on 160 consenting elderly substance users 60 years and over who had been on methadone maintenance...
November 2015: Archives of Iranian Medicine
Stephanie C Yarnell
OBJECTIVE: To raise awareness about the growing trend of cocaine abuse in later years as an underdiagnosed, undertreated, and comorbid condition in older individuals. Three cases of cocaine use in patients over the age of 50 years in the Malcolm Randall Veterans Medical Center, Gainesville, Florida, within a 10-day span in 2013 are presented. DATA SOURCES: PubMed was searched using combinations of keywords, including cocaine, addiction, elderly, and aging, to find articles published between 1986 and 2013...
2015: Primary Care Companion to CNS Disorders
Roopali B Parikh, Patricia Junquera, Yusef Canaan, Juan D Oms
BACKGROUND: The increasing trend in elderly binge drinking in the U.S. is cause for alarm. We sought to describe the predictors of binge drinking in elderly men and women and evaluate the relationship between binge drinking and mental health disorders in this population. METHODS: The 2008 Centers for Disease Control's Behavioral Risk Factor Surveillance Survey was utilized to identify a cohort of 4,815 individuals in the U.S. of age 65 or older. The primary outcome of interest was self-reported binge drinking, defined as an affirmative response to the question: "How many times in the past 30 days have you had more than five drinks (in men) or more than four drinks (in women) on an occasion?" RESULTS: Among 4,815 elderly participants studied, a total of 466 (9...
October 2015: American Journal on Addictions
Connie Boh, Huihua Li, Eric Finkelstein, Benjamin Haaland, Xiaohui Xin, Susan Yap, Yogeswary Pasupathi, Marcus Eh Ong
OBJECTIVES: This study aimed to determine which factors contribute to frequent visits at the emergency department (ED) and what proportion were inappropriate in comparison with nonfrequent visits. METHODS: This study was a retrospective, case-control study comparing a random sample of frequent attenders and nonfrequent attenders, with details of their ED visits recorded over a 12-month duration. Frequent attenders were defined as patients with four or more visits during the study period...
September 2015: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Angelo Rusconi, Simone Sangiorgi, Lidia Bifone, Sergio Balbi
Chronic subdural hematomas mainly occur amongst elderly people and usually develop after minor head injuries. In younger patients, subdural collections may be related to hypertension, coagulopathies, vascular abnormalities, and substance abuse. Different techniques can be used for the surgical treatment of symptomatic chronic subdural hematomas : single or double burr-hole evacuation, with or without subdural drainage, twist-drill craniostomies and classical craniotomies. Failure of the brain to re-expand, pneumocephalus, incomplete evacuation, and recurrence of the fluid collection are common complications following these procedures...
May 2015: Journal of Korean Neurosurgical Society
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