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Alcohol and Substance Abuse In Older Adults Volume 38, Issue 1, An Issue of Clinics in Geriatric Medicine
- 1st Edition, Volume 38-1 - November 22, 2021
- Editors: George T. Grossberg, Rita Khoury
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 8 4 9 9 9 - 9
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 5 0 0 0 - 1
In this issue, guest editors bring their considerable expertise to this important… Read more
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Request a sales quoteIn this issue, guest editors bring their considerable expertise to this important topic.
Provides in-depth reviews on the latest updates in the field, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Forthcoming Issues
- Preface
- Alcohol Use Disorder in Older Adults
- Key points
- Introduction
- Nature of the problem and important definitions
- Diagnosis of alcohol use disorder
- Screening tools
- Discussion
- Future research
- Summary
- Clinics care points
- Screening for and Management of Opioid Use Disorder in Older Adults in Primary Care
- Key points
- Introduction
- Screening, brief intervention, and referral for treatment
- Case 1: Ms. T
- Role of naloxone
- Opioid withdrawal management
- Medications for opioid use disorder
- Buprenorphine
- Case 2: Ms. S
- Methadone
- Case 3: Mr. L
- Naltrexone
- Case 4: Mr. A
- Bolstering social support
- Addressing co-occurring disorders
- Summary
- Clinics care points
- Illicit Drug Use in Older Adults: An Invisible Epidemic?
- Key points
- Introduction
- Epidemiology
- Physical and psychiatric comorbidities
- Screening/diagnostic tools
- Challenging assessment
- Management
- Summary
- Clinics care points
- Hallucinogen Use and Misuse in Older Adults
- Introduction
- What are hallucinogens?
- Mechanisms of action
- Effects on mind and body
- Acute effects
- Potential benefits
- Diagnostic criteria for phencyclidine and other hallucinogen use disorder
- Long-term effects
- Treatment options
- Summary
- Clinics care points
- Cannabis Use and Misuse in Older Adults
- Key points
- Introduction
- Legalization/decriminalization of cannabis use
- Prevalence of cannabis use/misuse in older adults
- Perceptions of seniors regarding cannabis use
- Routes of administration in older adults
- Adverse effects of cannabis in older adults
- Therapeutic benefits of cannabis among older adults
- Cannabis use disorder: screening/diagnosis
- Treatment of cannabis use disorder in older adults
- Summary
- Clinics care points
- Abuse/Misuse of Prescription Medications in Older Adults
- Key points
- Polypharmacy and approppriate prescribing
- Prescription drug abuse and misuse
- Prevention and treatment of drug abuse in older adults
- Summary
- Clinics care points
- Over-The-Counter Remedies in Older Adults: Patterns of Use, Potential Pitfalls, and Proposed Solutions
- Key points
- Introduction
- Epidemiology
- Adverse effects of common over-the-counter products in older adults
- Regulatory oversight of over-the-counter products in the U.S. and globally
- Proposed solutions
- Summary
- Funding sources
- Clinics care points
- Nicotine Use Disorder in Older Adults
- Key points
- Introduction
- Definition of nicotine use disorder
- Effects of smoking on health
- The pathophysiology of cigarette smoking and cardiovascular disease
- Summary
- Clinics care points
- A Brewed Awakening: Neuropsychiatric Effects of Caffeine in Older Adults
- Key points
- Caffeine use, dependence, and use disorder
- Caffeine pharmacology
- Caffeine and cognition
- Caffeine and Alzheimer's disease
- Caffeine and Parkinson's disease
- Caffeine and insomnia
- Caffeine, depression, and anxiety
- Interactions with psychotropic medications
- Summary
- Disclosure
- Applying Geriatric Principles to Hazardous Drinking in Older Adults
- Key points
- Introduction
- Epidemiology of drinking and polypharmacy
- The pharmacology, chemistry, and physiology of ethanol
- Assessing drinking safety for older adults
- How to recognize unsafe drinking in older adults
- Clinical approaches to alcohol in older adults in outpatient care
- Case 1: a 70-year-old married man
- Treatment modalities
- Case 2: an 83-year-old widowed man
- Case 3: a divorced 69-year-old woman
- Summary and conclusions
- Clinics care points
- Substance Misuse and the Older Offender
- Key points
- Introduction
- Subgroups of older offenders
- Substance-related offenses
- Non-substance-related offenses
- Treatment services for alcohol and substance misuse in the older offender
- Summary
- Clinics care points
- Disclosure
- Prevention Strategies of Alcohol and Substance Use Disorders in Older Adults
- Introduction
- Discussion
- Summary
- Clinics care points
- Disclosure
- No. of pages: 240
- Language: English
- Edition: 1
- Volume: 38-1
- Published: November 22, 2021
- Imprint: Elsevier
- Hardback ISBN: 9780323849999
- eBook ISBN: 9780323850001
GG
George T. Grossberg
Affiliations and expertise
Samuel W. Fordyce Professor, Director Geriatric Psychiatry, Saint Louis UniversityRK
Rita Khoury
Affiliations and expertise
Assistant Professor of Clinical Psychiatry, Adult and Geriatric Psychiatrist, Director of the Psychiatry Residency Program, Saint George Hospital University Medical CenterSGHUMC, University of Balamand School of medicine, Beirut, Adjunct Faculty, Saint Louis University School of Medicine, Missouri, USA