Substance Abuse in the Elderly

  • Nages Nagaratnam
  • Kujan Nagaratnam
  • Gary Cheuk
Reference work entry


There are two different groups in terms of age of onset of alcohol drinking among the older drinkers. The ‘early-onset’ alcoholics begin drinking in their early twenties. The ‘late onset’ tend to be highly educated, and stressful life event frequently precipitates or exacerbates their drinking. Women are more prone to late-onset alcoholism than men.


‘Late-onset’ alcoholics ‘Early-onset’ alcoholics Chronic alcoholism Prescription and over-the-counter drugs Baby boomers 


  1. 1.
    Menninger JA. Assessment and treatment of alcohol and substance related disorders in the elderly. Bulletin of the Menninger Clinic. 2002;40:160–184.Google Scholar
  2. 2.
    Offsay J. Treatment of alcohol-related problems in the elderly. Ann Long term Care: Care & Aging 2007;15)7):39–44.Google Scholar
  3. 3.
    Gomberg ES. Older women and alcohol. Use and abuse. Recent Dev Alcohol. 1995;12:61–79.PubMedGoogle Scholar
  4. 4.
    Liberto JG, Oslin DW, Ruskin PE. Alcoholism in older persons: a review of the literature. Hosp Community Psychiatry 1992;43(10):975–84.PubMedGoogle Scholar
  5. 5.
    Wetterling T, Veltrup C, John U, Driessen M. Late onset alcoholism. Eur Psychiatry. 2003;18(3):112–8.CrossRefPubMedGoogle Scholar
  6. 6.
    Bayard LM, McIntyre J, Hill KR, Woodside J, Alcohol withdrawal syndrome. Am Fam Physician 2004;69(6):1443–50PubMedGoogle Scholar
  7. 7.
    Muncie HL Jr, Yasinian Y, Oge L. Outpatient management of alcohol withdrawal syndrome. Am Fam Physician.. 013;88(9):589–95.Google Scholar
  8. 8.
    McKeon A, Frye MA, Delanty V. The alcohol withdrawal syndrome. J Neurol Neurosurg Psychiatry. 2008;79(8):854–62.CrossRefPubMedGoogle Scholar
  9. 9.
    Dufour M, Fuller RK. Alcohol in the elderly. Ann Rev Med. 1995;46:123–32.CrossRefPubMedGoogle Scholar
  10. 10.
    Schonfeld L, Dupree W. Treatment approaches for older problem drinkers. Int J Addict. 1995;30:1819CrossRefPubMedGoogle Scholar
  11. 11.
    The Australian Guidelines to Reduce Health Risks from Drinking Alcohol. National Health & Medical Research Council. February 2009.Google Scholar
  12. 12.
    Kopelman The Korsakoff syndrome: Clinical aspects. Psychology and treatment. Alcohol Alcoholism. 148–154.
  13. 13.
    Rigler SK. Alcoholism in the elderly. Amer Fam Physician. March 15, 2000.Google Scholar
  14. 14.
    Dar K. Alcohol use disorders in elderly people fact or fiction? Advances in Psychiatric Treatment. 2006;12:1731–81.CrossRefGoogle Scholar
  15. 15.
    King CJ, Ven Hasselt VB, Segal DL Hersen M. Diagnosis and treatment of substance abuse in older adults. Correct strategies and issues. Addictive Behaviour. 1994;19:41–55.CrossRefGoogle Scholar
  16. 16.
    Blow F. Michigan Alcoholism Screening Test-Geriatric version (MAST-G). Ann Arbor MI, University of Michigan Alcohol Research Centre.Google Scholar
  17. 17.
    Babor TF, Higgins-Biddle JC, Sanders JB, Monteiro MG. Alcohol Use Disorders Identification Test(AUDIT). Guidelines for use in Primary Care. 2nd Ed World Health Organisation-Department of Mental Health and Substance Dependence.Google Scholar
  18. 18.
    Buddy T. Alcohol Use Disorders Identification Test. Updated june 12,2007.Google Scholar
  19. 19.
    Bogunovic O. Substance abuse in aging and elderly adults: New issues for psychiatrists.Psych Central Professional. Accessed 16 January 2017.
  20. 20.
    Steinhagen KA, Friedman MB. Substance abuse and misuse in older adults. Aging well Vol No.3.p20. Accessed 16 January 2017.
  21. 21.
    Schonfeld L, Dupree LW. Treatment approaches for older problem drinkers. Int J Addict 1995;30(3):119–1842.Google Scholar
  22. 22.
    Sullivan LE, Fiellin DA, O’Connor PG. The prevalence and impact of alcohol problems in major depression: A systematic review. Am J Med. 2005;118(4):330–341.CrossRefPubMedGoogle Scholar
  23. 23.
    Gfroerer J, Penne M, Pemberton M, Folsom R. Substance abuse treatment need among older adults in 2020: the impact of the aging baby-boom cohort. Drug Alcohol Dependence. 2003;69(2):127–135.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Nages Nagaratnam
    • 1
  • Kujan Nagaratnam
    • 1
  • Gary Cheuk
    • 2
  1. 1.The University of SydneyWestmead Clinical SchoolWestmeadAustralia
  2. 2.Rehabilitation and Aged Care ServiceBlacktown-Mt Druitt HospitalMount DruittAustralia

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