Abstract
This chapter will outline the scale of the problem of substance misuse in older people, the burden of disease it incurs, morbidity and mortality, societal costs, and financial liability. Predictions are that over the next 20 years, there will be both an increase in the proportion of older people in the population and that older people will be using more alcohol, illicit substances, and prescription drug use compared with the past two decades. The nature and extent, the predictors and preventive potential, and the adaptations of successful treatment interventions will be outlined. Evidence is provided to demonstrate that the detection, intervention, and development of care models that are likely to improve the health and well-being of older people with substance misuse should be instituted. This is an area of utmost relevance to all clinicians: old age psychiatrists, addiction specialists, geriatricians, nurses, psychologists, social workers, and their teams. Researchers in gerontology, sociology, and economics, as well as policy makers and commissioners, are likely to find the implications and gaps of interest.
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Crome, I.B. (2015). Older People and Substance Misuse. In: el-Guebaly, N., Carrà , G., Galanter, M. (eds) Textbook of Addiction Treatment: International Perspectives. Springer, Milano. https://doi.org/10.1007/978-88-470-5322-9_97
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