Search results for ‘Subject term:"older people"’ Sort:
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A scoping review of treatments for older adults with substance use problems
- Authors:
- MOWBRAY Orion, QUINN Adam
- Journal article citation:
- Research on Social Work Practice, 26(1), 2016, pp.74-87.
- Publisher:
- Sage
Objectives: To identify effective treatment services for older, substance-using adults, an examination of the evidence associated with interventions for this group is presented. Methods: Using explicit, validated criteria to identify effective interventions, 22 publications were included in a review and were subject to a critical appraisal of study methodology. Results: The review identified four types of substance use treatment service settings for older adults, with mixed efficacy. These settings included (1) primary care settings or health clinics, (2) combined individual and group-based settings, (3) individual-based treatment settings, and (4) multiple treatment/multisite settings. Conclusion: Analyses of these publications revealed primary care settings or health clinic settings offered the most evidence of effective interventions, with noticeable gaps in research on interventions within other settings. Implications for social work practice and research are discussed. (Publisher abstract)
Older adults in methadone maintenance treatment: a literature review
- Author:
- DOUKAS Nick
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 11(3), July 2011, pp.230-244.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Approximately 10% of patients engaged in a methadone programme across the world are 50 years of age or over, and older people present challenges to clinics that prescribe methadone because of their unique biopsychosocial needs. This article reviews the research literature on methadone maintenance treatment or opioid replacement therapy, focusing on studies conducted with adults aged 50 or older who have been prescribed methadone. It describes the methods used and discusses the research identified, covering mortality and causes of death, medical and mental health issues, illegal drug use, social supports, barriers to treatment, and gender differences. It also discusses gaps in the research and makes recommendations for future studies. The article notes that there are a significant number of older adults in methadone maintenance treatment, but that there is limited research available, with few qualitative studies conducted so far.
Effective treatments for older adult baby boomers with alcohol-use disorders: a literature review
- Authors:
- QUINN Adam, MOWBRAY Orion
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 18(4), 2018, pp.389-410.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Research on patterns of alcohol use among the older adult baby boomer birth cohort suggests considerable challenges to the health care system in the coming decades. This review contributes to the growing knowledge base by summarizing and categorizing the most effective alcohol-use treatments for use with the baby boomer cohort. Following a manual search of more than 7,000 articles published between 1990 and 2015, a review of 19 relevant articles was performed based on guidelines set by the U.S. Preventive Services Task Force. Five articles were rated as good, 11 were rated as fair, and 3 were rated as poor. The publications were divided into 4 interpretive categories consisting of clinic-based interventions, mail-based interventions, primary care physician feedback, and day treatment. Overall, the results suggest that cognitive behaviour-based treatments for alcohol-use disorders, both clinic-based and mail-based, might be effective in reducing drinking among baby boomers. Implications and future research are discussed. (Edited publisher abstract)
The effectiveness of behavioural therapy for the treatment of depression in older adults: a meta-analysis
- Authors:
- SAMAD Zara, BREALEY Stephen, GILBODY Simon
- Journal article citation:
- International Journal of Geriatric Psychiatry, 26(12), December 2011, pp.1211-1220.
- Publisher:
- Wiley
This review examined the effectiveness of behavioural therapy in depressed older adults over 55 years. Four Randomised controlled trials (RCTs) of behavioural therapy compared with waiting list controls or other psychotherapies in older adults with clinical depression were included in the review. For post-treatment self-rated depression symptoms, behavioural therapy was not significantly more effective than a waiting list control, cognitive therapy or brief psychodynamic therapy. For post-treatment clinician-rated depression, behavioural therapy was not significantly more effective than cognitive therapy or brief psychodynamic therapy but was significantly more effective than a waiting list control. Behavioural therapy in depressed older adults appeared to have comparable effectiveness with alternative psychotherapies. The authors concluded that further research was required with larger sample sizes, more clarity on trial design and the intervention, longer term follow-up and concomitant economic evaluations
Psychological treatment of late-life depression: a meta-analysis of randomized controlled trials
- Authors:
- CUIJPERS Pim, VAN STRATEN Annemieke, SMIT Filip
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(12), December 2006, pp.1139-1149.
- Publisher:
- Wiley
Older meta-analyses of the effects of psychological treatments for depression in older adults have found that these treatments have large effects. However, these earlier meta-analyses also included non-randomized studies, and did not include newer high-quality randomized controlled trials. The authors conducted a meta-analysis of randomized studies on psychological treatments for depression in older adults. Twenty-five studies were included, of which 17 compared a psychological intervention to a control condition (mainly waiting list and care-as-usual control groups). The quality of the included studies varied. Psychological treatments have moderate to large effects on depression in older adults (standardized mean effect size d = 0.72). Heterogeneity was very low. No differences were found between individual, group or bibliotherapy format, or between cognitive behavioural therapy and other types of psychological treatment. The effects were comparable in studies where depression was defined according to diagnostic criteria, and those in which depression was measured with self rating questionnaires. Although the quality of many studies was not optimal, the results of this meta-analysis support.
Alcohol abuse treatment for older adults: a review of recent empirical research
- Authors:
- CUMMINGS Sherry M., BRIDE Brian, RAWLINS-SHAW Ann M.
- Journal article citation:
- Journal of Evidence-Based Social Work, 3(1), 2006, pp.79-99.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The purpose of this article is to enhance social work practitioners and researchers' understanding of the nature of elder alcohol abuse, the needs of elders with alcohol abuse disorders, and the availability of effective treatment strategies by reviewing the epidemiological and outcomes research literatures related to alcohol abuse and the elderly. The few empirical studies that examine outcomes associated with the treatment of elderly substance abusers reveal positive outcomes, especially when “age-specific,” cognitive-behavioural, and less confrontational treatment approaches are employed. The authors highlight the need for further research concerning the nature of alcohol abuse among the elderly and the impact of specific alcohol treatment strategies on older adults. Such research should consider the needs and experiences of specific sub-populations of elders such as women, minorities, and those with late onset disorders. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Augmentation strategies in geriatric depression
- Author:
- FLINT Alastair J.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(2), February 1995, pp.137-146.
- Publisher:
- Wiley
Approximately 30-40 per cent of elderly patients with major depression have inadequate response to an initial therapeutic trial of antidepressant medication. In these cases augmentation of the anti depressant has been recommended as one way of improving the rate of response. A review of the Canadian literature on augmentation strategies in treatment-resistant geriatric depression shows that it is difficult to draw conclusions about the efficacy of these strategies in late life, especially since treatment failures seldom get reported. Other factors such as side-effects may also limit the usefulness of some augmentation regimens in old age. Argues for the need to have controlled studies to better determine the clinical utility of augmentation strategies in physically well depressed elderly, as well as those with depression complicating medical illness, dementia and other neurological disorders.
Alcohol and elderly people: an overview of the literature for social work
- Authors:
- SIMPSON Murray, WILLIAMS Bryan, KENDRICK Andrew
- Journal article citation:
- Ageing and Society, 14(4), December 1994, pp.575-587.
- Publisher:
- Cambridge University Press
Attempts to highlight the pressing need for social work to take more account of the existence of alcohol problems being experienced by many elderly people. Surveying the available sketchy data, it would appear that perhaps as many as 15% of elderly social work clients may have alcohol related problems. Continues by considering whether a discernible pattern of elderly drinking is identifiable. The main implications for social work practice are drawn out.
What do we know about hoarding behaviour and treatment approaches for older people? A thematic review
- Authors:
- STEILS Nicole, et al
- Publisher:
- NIHR Policy Research Unit in Health and Social Care Workforce, The Policy Institute, King's College London
- Publication year:
- 2022
- Pagination:
- 117
- Place of publication:
- London
This thematic literature review about hoarding behaviour provides an overview of research findings and debates for researchers, practitioners, and other interested parties, and to inform a wider study on social care responses to self-neglect and hoarding behaviour among older people in England. Hoarding behaviour is complex and not always easy to understand. Over the years, several clinical terms have been used in relation to hoarding behaviour, such as clutter(ing), squalor, or Diogenes syndrome. These terms are used to describe the excessive accumulation of items and possessions in people's homes. Hoarding behaviour can lead to dangerous circumstances such as unhygienic living conditions, greater risk of falls, increased risk of injury in fires, homelessness, and even death, as well as harm to other people. This review explores theories about and definitions of hoarding behaviour and hoarding disorder, known causes for and risk factors associated with hoarding behaviour. It also presents research findings on age of onset, progression, severity and prevalence of hoarding behaviour among older people. It also provides information on what is known about treatment and interventions, including therapeutic approaches, community-based schemes, and medication. Another section explores critical perspectives on hoarding behaviour discourses. Finally, the review offers some conclusions and considerations for practice. (Edited publisher abstract)
A meta-analysis of third wave mindfulness-based cognitive behavioral therapies for older people
- Authors:
- KISHITA Naoko, TAKEI Yuko, STEWART Ian
- Journal article citation:
- International Journal of Geriatric Psychiatry, 32(12), 2017, pp.1352-1361.
- Publisher:
- Wiley
Objectives: The aim of this study is to review the effectiveness of third wave mindfulness-based cognitive behavioural therapies (CBTs) for depressive or anxiety symptomatology in older adults across a wide range of physical and psychological conditions. Methods: Electronic literature databases were searched for articles, and random-effects meta-analysis was conducted. Results: Ten studies met the inclusion criteria, of which nine reported the efficacy of interventions on depressive symptoms and seven on anxiety symptoms. Effect-size estimates suggested that mindfulness-based CBT is moderately effective on depressive symptoms in older adults (g = 0.55). The results demonstrated a similar level of overall effect size for anxiety symptoms (g = 0.58). However, there was a large heterogeneity, and publication bias was evident in studies reporting outcomes on anxiety symptoms, and thus, this observed efficacy for late-life anxiety may not be robust. The quality of the included studies varied. Only one study used an active psychological control condition. There were a limited number of studies that used an intent-to-treat (last observation carried forward method) analysis and reported appropriate methods for clinical trials (e.g., treatment-integrity reporting). Conclusions: Third wave mindfulness-based CBT may be robust in particular for depressive symptoms in older adults. The authors recommend that future studies (i) conduct randomised controlled trials with intent-to-treat to compare mindfulness-based CBT with other types of psychotherapy in older people and (ii) improve study quality by using appropriate methods for checking treatment adherence, randomisation, and blinding of assessors. (Edited publisher abstract)