Search results for ‘Subject term:"mental health problems"’ Sort:
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How can older people's mental health services in the UK respond to the escalating prevalence of alcohol misuse among older adults?
- Authors:
- RAKSHI Maureen, et al
- Journal article citation:
- Advances in Dual Diagnosis, 4(1), 2011, pp.17-27.
- Publisher:
- Emerald
Alcohol use among older adults (aged 65 and over) in the UK is an increasing cause of concern for health and social care services. Statistical and research evidence suggests that the prevalence of alcohol misuse is increasing among older adults. Alcohol misuse among older people can be difficult to detect and may often go unidentified and untreated. Older adults with mental health problems have increased vulnerability to problematic alcohol use, and this is likely to have a significant impact on older people's mental health services (OPMHS). This paper discusses some of the problems facing OPMHS in relation to increasing alcohol misuse among services users, particularly considering the use of alcohol-screening tools (ASTs) as part of a health care assessment to improve detection. This paper reviews the use of different ASTs in the detection of alcohol related illness among older adults with mental health problems, and proposes a care pathway for the management of alcohol misuse in OPMHS.
Addressing the needs of older people with co-morbid alcohol and mental health disorders: a case series from a London Community Mental Health Team (CMHT)
- Authors:
- ANDREWS Tresa, REDDY Lenna, WHELAN Paul
- Journal article citation:
- Advances in Dual Diagnosis, 4(1), 2011, pp.8-16.
- Publisher:
- Emerald
Community mental health teams (CMHTs) for older adults inevitably encounter service users with alcohol use disorders (AUDs). However, little attention has been given to the needs of older adults with a dual diagnosis. This paper argues against a wholesale transfer of knowledge and practices from working age adults with dual diagnosis to the older age group. Drawing on the experience of care professionals in a central London’s CMHT between 2008 and 2010, the paper illustrates the challenges encountered when working with older adults with co-morbid mental health problems and AUDs. The management and progress of 4 older adult service users are described. This case study series illuminates some of the clinical and professional dilemmas and challenges encountered when working with this group. Suggestions of how to respond to some of these challenges are provided by focussing on aspects of identification, assessment and treatment.
The role of social isolation of elders in recidivism of self-neglect cases at San Francisco Adult Protective Services
- Author:
- SPENSLEY Catherine
- Journal article citation:
- Journal of Elder Abuse and Neglect, 20(1), 2008, pp.43-61.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study is based on data for 704 individuals from the automated client tracking system of the San Francisco Adult Protective Services. Bivariate and multivariate analyses showed a positive relationship between substance or alcohol abuse and a relapse to self-neglect, and a negative relationship between cognitive decline and such relapse. No significant relationships were found for social isolation or mental health concerns and recidivism. These findings support previous studies that have identified a significant relationship between self-neglect and substance abuse. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Screening for problem drinking in older people referred to a mental health service: a comparison of CAGE and AUDIT
- Authors:
- PHILIPOT M., et al
- Journal article citation:
- Aging and Mental Health, 7(3), May 2003, pp.171-175.
- Publisher:
- Taylor and Francis
The aim of the study was to evaluate the validity of the Alcohol Use Disorders Identification Test (AUDIT), the five-item version (AUDIT-5) and the CAGE as screening tests for problem drinking in mentally ill older people. The study was of prospective cross-sectional design with Questionnaire survey and interview and included all consecutive referrals to an old age psychiatry service fulfilling inclusion criteria. Sensitivity, specificity and positive predictive values and areas under the receiver operating characteristic curves (AUROC) for the AUDIT, AUDIT-5, and CAGE were the primary outcome measures. Using clinical criteria as the gold standard, the AUDIT, AUDIT-5 and CAGE had AUROCs of 0.961, 0.964, and 0.780 respectively. The AUDIT-5 performed best of the three scales with a sensitivity of 75.0%, specificity of 97.2% and positive predictive value of 83.3% when using a 4/5 cut-point. The AUDIT-5 performed as well as the AUDIT and better than the CAGE in identifying problem drinking in this sample. The AUDIT-5 may be a useful addition to the specialist mental health assessment of older people.
Screening for alcohol abuse and dependence in older people using DSM criteria: a review
- Authors:
- BEULLENS J., AERTGEERTS B.
- Journal article citation:
- Aging and Mental Health, 8(1), January 2004, pp.76-82.
- Publisher:
- Taylor and Francis
Alcohol abuse and dependence in older people are important problems, which frequently remain undetected by health services. Therefore, screening instruments for alcohol abuse and dependence in elderly people would be useful in clinical practice. To assess the quality of screening instruments we performed a literature search in Medline (1966-2002) and PsycINFO (1967-2002). Seven research reports were found. The MAST-G and especially the CAGE appear appropriate. The two questions of Cyr and Wartman, AUDIT and the MAST do not appear appropriate in screening for alcohol abuse and dependence in elderly people in a clinical environment.
Resettled older people: what works and reasons for failure
- Authors:
- CRANE Maureen, WARNES Anthony M.
- Journal article citation:
- Housing Care and Support, 6(3), August 2003, pp.18-25.
- Publisher:
- Emerald
Examines the support needs of resettled older people. Evidence is from a longditunal study of resettled 64 older homeless people. At the end of 24 months, 34% had either abandoned accommodation or been evicted.
Dementia in the elderly male alcoholic: a retrospective clinicopathological study
- Authors:
- FISMAN Michael, RAMSAY D., WEISER M.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(3), March 1996, pp.209-218.
- Publisher:
- Wiley
Although intellectual decline associated with alcohol use has been extensively documented, the neuropathological basis for this cognitive change remains controversial. This article looks at a naturalistic survey of a population of patients identified as having an excessive alcohol intake.
Psychiatric disorders among older prisoners: a systematic review and comparison study against older people in the community
- Authors:
- DI LORITO Claudio, VOLLM Birgit, DENING Tom
- Journal article citation:
- Aging and Mental Health, 22(1), 2018, pp.1-10.
- Publisher:
- Taylor and Francis
Objectives: Despite emerging evidence that older prisoners experience poor mental health, literature in this area is still limited. In the present systematic review and meta-analysis, the authors report on the prevalence of psychiatric disorders among older prisoners and compare their findings against community studies on older people. Methods: The authors searched on Assia, PsycInfo, MedLine, Embase, Web of Science, Google and Gov.uk. They carried out bias assessments, rated studies for quality and ran a heterogeneity test. They meta-analysed prevalence rates of psychiatric disorders through an aggregate weighted mean and calculated relative risk (RR) and statistical significance against community studies. Sensitivity analyses were further performed. Results: They reviewed nine studies and obtained the following prevalence: ‘Any psychiatric disorder’ 38.4%, depression 28.3%, schizophrenia/psychoses 5.5%, bipolar disorder 4.5%, dementia 3.3%, cognitive impairment 11.8%, personality disorder 22.9%, alcohol abuse 15.9%, anxiety disorders 14.2%, PTSD 6.2%. Older prisoners were found to have higher RR for every single psychiatric disorder against older people in the community, with the sole exception of alcohol abuse and dementia. The prevalence rates were statistically significantly higher among the prisoners for ‘Any psychiatric disorder’, depression and personality disorder. Overall, the sensitivity analyses confirmed the authors' original results. Conclusion: The findings point at a high prevalence of every single psychiatric disorder among older prisoners, who also experience rates of dementia and alcohol abuse comparable to those reported in the community. The results have relevant implications for policy and practice in this area. Further research is crucial to confirm findings from this study. (Edited publisher abstract)
Public health transformation four years on: maximising the use of limited resources
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2017
- Pagination:
- 63
- Place of publication:
- London
This compilation of case studies is intended to show how local authorities continue to make progress on improving health and wellbeing and tackling health inequalities since public health was formally transferred from the NHS in April 2013. Public health teams, working with a ‘Health in All Policies' approach across councils, are tackling persistent problems like adult and childhood obesity, mental illness, alcohol abuse, sexually transmitted infections and the health impact of isolation and loneliness in old age, as well as addressing some of the serious health inequalities that still exist within and between communities. These case studies aim to show what potential there is for public health, if properly resourced, to make inroads in improving health and wellbeing. The case study sites cover Birmingham City Council; Cambridgeshire County Council and Peterborough City Council; Cheshire and Merseyside Public Health Collaborative (Champs); London Borough of Redbridge; Redcar and Cleveland Council; Sheffield City Council; Somerset County Council; and London Borough of Tower Hamlets. (Edited publisher abstract)
Impact of mid-life symptoms of alcoholism on the health and wellbeing of aging parents of adults with disabilities
- Authors:
- GHOSHA Subharati, et al
- Journal article citation:
- Journal of Gerontological Social Work, 59(1), 2016, pp.56-72.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The study examined the effect of adult children’s disability on parents’ physical health in later life and the extent to which parents’ symptoms of alcoholism in mid-life moderates the link between children’s disability and later life parental health. Analyses are based on data from the Wisconsin Longitudinal Study. The analytic sample included parents of children with developmental disabilities (n = 145) or mental health problems (n = 200) and 2,432 parents of unaffected children. The results showed that the negative health consequences in later life of having a child with a developmental disability were greater for those who showed more symptoms of alcoholism in mid-life. However, symptoms of alcoholism in mid-life did not significantly moderate the impact of an adult child’s mental health problems on parents’ later life physical health. The findings suggest a potential area where gerontological social workers could intervene, given the negative impact of symptoms of alcoholism on the health of ageing parents of children with a disability who may be significantly more susceptible to the negative health impacts of alcohol compared to their younger counterparts. (Edited publisher abstract)