AM25 Paid-Downloadable Course Booklet (PDF)

Downloadable Course Booklet (PDF)
Pdf Summary
The presentation by Dr. Louis A. Trevisan focuses on substance-related and addictive disorders among older adults, highlighting the prevalence, signs, and evidence-based treatment options. The term "older adults" is preferred over arbitrary age categories like "elderly," as it better represents the population aged 50-55 and above, including baby boomers who are increasingly facing substance use issues.<br /><br />Key substances used by older Americans include tobacco, alcohol, opioids, stimulants, and cannabis. Notably, cigarette smoking rates are highest among those aged 45-64 years, though alcohol use is seeing unprecedented rises in this demographic, spurred by factors including the COVID-19 pandemic. Opioid misuse primarily stems from prescription practices, while cannabis use is markedly rising among those over 50.<br /><br />It was suggested that older adults with substance use disorders may face distinct challenges due to multiple medical issues, social factors like isolation, and age-related conditions, often complicating diagnosis and treatment. Screening instruments such as the Fagerstrom Test for Nicotine Dependence, CAGE questionnaire for alcohol use, and others are valuable tools for identifying issues in this population.<br /><br />Regarding treatment, age-specific interventions are deemed more effective. Biological, psychotherapeutic, and social treatments should be tailored to older adults, considering factors like co-morbid conditions and cognitive abilities. Nicotine replacement therapies, alongside medications such as varenicline and bupropion, are recommended for tobacco cessation. For alcohol use disorder, medications like naltrexone, acamprosate, and disulfiram are utilized, alongside psychotherapeutic options such as cognitive-behavioral therapy.<br /><br />Overall, improving the approach to treatment for older adults requires sensitive interventions that acknowledge their unique experiences, while also managing polypharmacy prudently. Age-specific settings and support systems enhance treatment efficacy and adherence. The presentation underscores the critical role of effective screening, proper diagnosis, and comprehensive treatment plans for older adults facing substance use disorders.
Keywords
substance-related disorders
addictive disorders
older adults
treatment options
tobacco
alcohol
opioids
cannabis
screening instruments
age-specific interventions