✦ LIBER ✦

Alcohol Abuse in Later Life: Issues and Interventions for Counselors

✍ Scribed by Jane E. Myers; Carol E. Dice; Brian J. Dew

Publisher: American Counseling Association
Year: 2000
Tongue: English
Weight: 763 KB
Volume: 2
Category: Article
ISSN: 1524-6817
DOI: 10.1002/j.2161-0029.2000.tb00087.x

No coin nor oath required. For personal study only.

✦ Synopsis

The authors discuss risk factor sfor late l;fe alcohol abuse a n d characteristics that differentiate early-and Late-onset abusers. Problems in identification, diagnosis, assessment, a n d treatment of older abusers are reviewed. A case example illustrates the dynamics of effective treatment

with this population.

"The substance abuse problem in older adults is a serious one . . . [ranking] third among leading mental disorders in older Americans, accounting for 10 to 12 percent of those who receive services from mental hedth professionals'' (Smyer & Qualls, 1999, p. 212). Prevalence estimates of alcoholrelated problems among older adults range from 5% to 60% of older persons living independently (Marcus, 1993) and from 15% to 44% of older persons living in institutional settings. A conservative estimate is that 10% of the older adult population experiences substance abuse problems, which typically are undiagnosed and untreated because of the tendency for all substance abusers to deny usage (Segal, Van Hasselt, Hersen, & King, 1996). As the number of older Americans increases from the present 33 million to an estimated 70 million in 2030 (American Association of Retired Persons [AARP], 1996), it is likely that the number of older persons experiencing problems related to alcohol will also increase.

Although treatment success with older persons is comparable to that with younger substance-abusing populations (Blow, 199 l ) , older adults with alcohol problems are far less likely to receive professional care (King,

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