Aging and Alcohol Abuse: Increasing Counselor Awareness
Corresponding Author
June M. Williams
Department of Human Development, Southeastern Louisiana University
Human Development Department, 110B White Hall, Southeastern Louisiana University, Hammond, LA 70402 (e-mail: jwilliams@selu.edu).Search for more papers by this authorMary B. Ballard
Department of Human Development, Southeastern Louisiana University
Search for more papers by this authorHunter Alessi
Department of Human Development, Southeastern Louisiana University
Search for more papers by this authorCorresponding Author
June M. Williams
Department of Human Development, Southeastern Louisiana University
Human Development Department, 110B White Hall, Southeastern Louisiana University, Hammond, LA 70402 (e-mail: jwilliams@selu.edu).Search for more papers by this authorMary B. Ballard
Department of Human Development, Southeastern Louisiana University
Search for more papers by this authorHunter Alessi
Department of Human Development, Southeastern Louisiana University
Search for more papers by this authorAbstract
Alcohol abuse in older adulthood is a rapidly growing but often hidden problem. The authors provide an overview of the issues related to older adult alcohol abuse through a discussion of physiological, psychological, and social risk factors; an examination of appropriate assessment procedures; and an overview of factors related to treatment.
References
- Abrams, W., Barry, K., & Fleming, M. (1996). Screening for problem drinking in older primary care patients. Journal of the American Medical Association, 276, 1964–1967.
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders ( 4th ed., text revision). Washington, DC: Author.
- Atkinson, R. M. (1995). Treatment programs for aging alcoholics. In T. Beresford & E. Gomberg (Eds.), Alcohol and aging (pp. 186–210). New York: Oxford University Press.
- Atkinson, R. M., Ganzini, L., & Bernstein, M. (1992). Alcohol and substance-use disorders in the elderly. In J. Birren, R. Sloane, & G. Cohen (Eds.), Handbook of mental health and aging ( 2nd ed., pp. 515–555). San Diego, CA: Academic Press.
- Atkinson, R. M., Tolson, R. L., & Turner, J. A. (1993). Factors affecting outpatient treatment compliance of older male problem drinkers. Journal of Studies on Alcohol, 54, 102–106.
- Barry, K. L., Oslin, D. W., & Blow, F. C. (2001). Alcohol problems in older adults: Prevention and management. New York: Springer.
- Beck, A., Ward, C., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.
- Benshoff, J. J., & Janikowski, T. P. (2000). The rehabilitation model of substance abuse counseling. Belmont, CA: Wadsworth.
-
Blixen, C.,
McDougall, G., &
Suen, L. (1997). Dual diagnosis in elders discharged from a psychiatric hospital.
International Journal of Geriatric Psychiatry, 12, 307–313.
10.1002/(SICI)1099-1166(199703)12:3<307::AID-GPS475>3.0.CO;2-6 CASPubMedWeb of Science®Google Scholar
- Blow, F., Brower, K., Schulenberg, J., Demo-Dananberg, L., Young, J., & Beresford, T. (1992). The Michigan Alcoholism Screening Test-Geriatric Version (MAST-G): A new elderly-specific screening instrument. Alcoholism: Clinical and Experimental Research, 16, 372.
- Brennan, P. L., & Moos, R. H. (1990). Later life stressors, social resources, and late-life problem drinking. Psychology and Aging, 5, 491–501.
- Broderick, P. C., & Blewitt, P. (2003). The life span: Human development for helping professionals. Upper Saddle River, NJ: Pearson Education.
- Center for Substance Abuse Treatment. (1998). Substance abuse among older Americans (DHHS No. SMA 98-3179). Washington, DC: U.S. Government Printing Office.
- Erikson, E. H. (1963). Childhood and society ( 2nd ed.). New York: Norton.
- Ewing, J. (1984). Detecting alcoholism: The CAGE questionnaire. Journal of the American Medical Association, 252, 1905–1907.
- Finney, J., Moos, R., & Brennan, P. (1991). The Drinking Problem Index: A measure to assess alcohol-related problems among older adults. Journal of Substance Abuse, 3, 395–404.
- First, M. B., Williams, J. B., & Spitzer, R. L. (1996). Structured clinical interview for DSM-IV Axis I Disorders (Clinical Version). Washington, DC: American Psychiatric Association.
- Flemming, M. (2002). Identification and treatment of alcohol use disorders in older adults. In A. M. Gurnack, R. Atkinson, & N. J. Osgood (Eds.), Treating alcohol and drug abuse in the elderly (pp. 85–108). New York: Springer.
- Flemming, M., Manwell, L., Barry, K., & Adams, W. (1999). Brief physician advice for alcohol problems in older adults: A randomized community-based trial. Journal of Family Practice, 48, 378–384.
-
Gavetti, M. F., &
Constantine, M. G. (2001). Assessment and treatment of alcoholism in older adults: Considerations for mental health clinicians.
Journal of Psychotherapy in Independent Practice, 2(3), 61–71.
10.1300/J288v02n03_05 Google Scholar
- Gomberg, E. L. (1995). Older alcoholics: Entry into treatment. In T. Beresford & E. Gomberg (Eds.), Alcohol and aging (pp. 169–185). New York: University Press.
- A. M. Gurnack (Ed.). (1997). Older adults misuse of alcohol, medicines, and older drugs: Research and practical issues. New York: Springer.
- S. A. Levin, & J. Kruger (Eds.). (2000). Substance abuse among older adults: Physicians guide. Rockville, MD: U.S. Department of Health and Human Services.
- Liberto, J. G., & Oslin, D. W. (1995). Early versus late onset of alcoholism in the elderly. International Journal of Addiction, 30, 1799–1818.
- King, C., van Hasselt, V., Segal, D., & Hersen, M. (1994). Diagnosis and assessment of substance abuse in older adults: Current strategies and issues. Addictive Behaviors, 19, 41–55.
- Menninger, J. A. (2002). Assessment and treatment of alcoholism and substance-related disorders in the elderly. Bulletin of the Menninger Clinic, 66, 166–183.
- Miller, W. R., & Sanchez, V. C. (1993). Motivating young adults for treatment and lifestyle change: Issues in alcohol use and misuse in young adults. Notre Dame, IN: University of Notre Dame Press.
- Moore, A., Seeman, T., Morgenstern, H., Beck, J., & Reuben, D. (2002). Are there differences between older persons who screen positive on the CAGE Questionnaire and the Short Michigan Alcoholism Screening Test-Geriatric Version? Journal of the American Geriatrics Society, 50, 858–862.
-
Myers, J. E.,
Dice, C. E., &
Dew, B. J. (2000). Alcohol abuse in later life: Issues and interventions for counselors.
Adultspan Journal, 2, 2–14.
10.1002/j.2161-0029.2000.tb00087.x Google Scholar
- National Institute on Alcohol Abuse and Alcoholism. (1998, April). Alcohol alert: No. 40. Retrieved October 29, 2003, from http:www.niaaa.nih.govpublicationsaa40.htm.
- Norton, D. E. (1998). Counseling substance-abusing older clients. Educational gerontology, 24, 373–390.
- Ondus, K., Hujer, M., Mann, A., & Mion, L. (1999). Substance abuse in the elderly. Orthopaedic Nursing, 18(4), 27–34.
- Oslin, D., & Holden, R. (2002). Recognition and assessment of alcohol and drug dependence in the elderly. In A. Gurnack, R. Atkinson, & N. Osgood (Eds.), Treating alcohol and drug abuse in the elderly (pp. 11–31). New York: Springer.
-
Oslin, D.,
Katz, I.,
Edell, W., &
TenHave, T. (2000). The effects of alcohol consumption on the treatment of depression among the elderly.
American Journal of Geriatric Psychiatry, 5, 324–332.
10.1097/00019442-199700540-00007 Google Scholar
- Saunders, J., Aasland, O., Babor, T., de la Fuente, J., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT). Addiction, 88, 791–804.
- Schultz, S. K., Arndt, S., & Liesveld, J. (2003). Locations of facilities with special programs for older substance abuse clients in the U.S. International Journal of Geriatric Psychiatry, 18, 839–843.
- Sedlack, C. A., Doheny, M. O., Estok, P. J., & Zeller, R. A. (2000). Alcohol use in women 65 years of age and older. Health Care for Women International, 21, 567–581.
- Selzer, M. (1971). The Michigan Alcoholism Screening Test: The quest for a new diagnostic instrument. American Journal of Psychiatry, 127, 1653–1658.
- Solomon, K., Manepalli, J., Ireland, G. A., & Mahon, G. M. (1993). Alcoholism and prescription drug abuse in the elderly: St. Louis University grand rounds. Journal of the American Geriatric Society, 41(1), 57–69.
- Speer, D., & Bates, K. (1992). Comorbid mental and substance disorders among older adults. Journal of the American Geriatric Society, 40, 886–890.
- Stevens, P., & Smith, R. (2001). Substance abuse counseling: Theory and practice ( 2nd ed.). Upper Saddle River, NJ: Prentice Hall.
-
Stoddard, C. E., &
Thompson, D. L. (1996). Alcohol and the elderly: Special concerns for counseling professionals.
Alcoholism Treatment Quarterly, 14(4), 59–69.
10.1300/J020V14N04_04 Google Scholar
- Tarter, R., Kirisci, L., & Mezzich, A. (1996). The Drug Use Screening Inventory: School adjustment correlates of substance abuse. Measurement and Evaluation in Counseling and Development, 29, 25–34.
- U.S. Census Bureau. (2001, November). An aging world: 2001. Retrieved October 28, 2003, from http:www.census.govprod2001pubsp95-01-1.pdf.
- Welte, J., & Mirand, A. (1993). Alcohol and other drug abuse in older persons. In W. Reichel (Ed.), Care of the elderly: Clinical aspects of aging ( 4th ed., pp. 133–141). Baltimore: Williams & Wilkins.
- Yesavage, J. A., Brink, T. L., Rose, T. L., & Adey, M. (1983). The geriatric depression rating scale: Comparison with other self-report and psychiatric rating scales. In T. Crook, S. Ferris, & R. Bartus (Eds.), Assessment in geriatric psychopharmacology (pp. 153–165). New Canaan, CT: Mark Powley Associates.