PMID- 28830504
OWN - NLM
STAT- MEDLINE
DCOM- 20180410
LR  - 20181202
IS  - 1472-6963 (Electronic)
IS  - 1472-6963 (Linking)
VI  - 17
IP  - 1
DP  - 2017 Aug 22
TI  - Trends in substance use admissions among older adults.
PG  - 584
LID - 10.1186/s12913-017-2538-z [doi]
LID - 584
AB  - BACKGROUND: Substance abuse is a growing, but mostly silent, epidemic among older 
      adults. We sought to analyze the trends in admissions for substance abuse 
      treatment among older adults (aged 55 and older). METHODS: Treatment Episode Data 
      Set - Admissions (TEDS-A) for period between 2000 and 2012 was used. The trends 
      in admission for primary substances, demographic attributes, characteristics of 
      substance abused and type of admission were analyzed. RESULTS: While total number 
      of substance abuse treatment admissions between 2000 and 2012 changed slightly, 
      proportion attributable to older adults increased from 3.4% to 7.0%. Substantial 
      changes in the demographic, substance use pattern, and treatment characteristics 
      for the older adult admissions were noted. Majority of the admissions were for 
      alcohol as the primary substance. However there was a decreasing trend in this 
      proportion (77% to 64%). The proportion of admissions for following primary 
      substances showed increase: cocaine/crack, marijuana/hashish, heroin, 
      non-prescription methadone, and other opiates and synthetics. Also, admissions 
      for older adults increased between 2000 and 2012 for African Americans (21% to 
      28%), females (20% to 24%), high school graduates (63% to 75%), homeless (15% to 
      19%), unemployed (77% to 84%), and those with psychiatric problems (17% to 
      32%).The proportion of admissions with prior history of substance abuse treatment 
      increased from 39% to 46% and there was an increase in the admissions where more 
      than one problem substance was reported. Ambulatory setting continued to be the 
      most frequent treatment setting, and individual (including self-referral) was the 
      most common referral source. The use of medication assisted therapy remained low 
      over the years (7% - 9%). CONCLUSIONS: The changing demographic and substance use 
      pattern of older adults implies that a wide array of psychological, social, and 
      physiological needs will arise. Integrated, multidisciplinary and tailored 
      policies for prevention and treatment are necessary to address the growing 
      epidemic of substance abuse in older adults.
FAU - Chhatre, Sumedha
AU  - Chhatre S
AD  - Department of Psychiatry, Perelman School of Medicine, University of 
      Pennsylvania, 3535 Market Street, Suite 4051, Philadelphia, Pennsylvania, 19104, 
      USA. rasu@mail.med.upenn.edu.
FAU - Cook, Ratna
AU  - Cook R
AD  - Department of Medicine, Perelman School of Medicine, University of Pennsylvania, 
      Philadelphia, Pennsylvania, USA.
FAU - Mallik, Eshita
AU  - Mallik E
AD  - Department of Biotechnology, School of Engineering and Applied Sciences, 
      University of Pennsylvania, Philadelphia, Pennsylvania, USA.
FAU - Jayadevappa, Ravishankar
AU  - Jayadevappa R
AD  - Department of Medicine, Perelman School of Medicine, University of Pennsylvania, 
      Philadelphia, Pennsylvania, USA.
AD  - Division of Urology, Department of Surgery, Perelman School of Medicine, 
      University of Pennsylvania, Philadelphia, Pennsylvania, 19104, USA.
AD  - Corporal Michael J. Crescenz VAMC, Philadelphia, Pennsylvania, USA.
AD  - Leonard Davis Institute of Health Economics, University of Pennsylvania, 
      Philadelphia, Pennsylvania, USA.
AD  - Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania, 
      USA.
LA  - eng
GR  - R01 HS024106/HS/AHRQ HHS/United States
PT  - Journal Article
DEP - 20170822
PL  - England
TA  - BMC Health Serv Res
JT  - BMC health services research
JID - 101088677
SB  - IM
MH  - Aged
MH  - Alcoholism/complications/epidemiology
MH  - Female
MH  - Hospitalization/*trends
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Opioid-Related Disorders/complications/epidemiology
MH  - Substance-Related Disorders/*epidemiology/ethnology
MH  - United States/epidemiology
PMC - PMC5568321
OTO - NOTNLM
OT  - Older adults
OT  - Substance abuse
OT  - Treatment episode data set - admissions (TEDS-A)
OT  - Trends in admission
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: This analysis uses aggregate public 
      use data set only. Consent to participate is Not Applicable. CONSENT FOR 
      PUBLICATION: Not Applicable COMPETING INTERESTS: The authors declare that they 
      have no competing interests. PUBLISHER'S NOTE: Springer Nature remains neutral 
      with regard to jurisdictional claims in published maps and institutional 
      affiliations.
EDAT- 2017/08/24 06:00
MHDA- 2018/04/11 06:00
PMCR- 2017/08/22
CRDT- 2017/08/24 06:00
PHST- 2016/05/27 00:00 [received]
PHST- 2017/08/14 00:00 [accepted]
PHST- 2017/08/24 06:00 [entrez]
PHST- 2017/08/24 06:00 [pubmed]
PHST- 2018/04/11 06:00 [medline]
PHST- 2017/08/22 00:00 [pmc-release]
AID - 10.1186/s12913-017-2538-z [pii]
AID - 2538 [pii]
AID - 10.1186/s12913-017-2538-z [doi]
PST - epublish
SO  - BMC Health Serv Res. 2017 Aug 22;17(1):584. doi: 10.1186/s12913-017-2538-z.