Substance abuse treatment initiation among older adults in the GET SMART program: effects of depression and cognitive status

Aging & Mental Health
D D SatreL F Jarvik

Abstract

This study examines how individual patient characteristics predict substance abuse treatment initiation among older adults, in an investigation based on the behavioral health service use model. Analyses tested the impact of demographic factors, substance abuse symptoms, depression and cognitive status on subsequent treatment initiation. The sample included 250 older male veterans screened for substance abuse problems during inpatient medical treatment, who also participated in a clinical evaluation for substance abuse treatment. Measures included demographics and CAGE alcohol screening score. A subset of patients also completed the Michigan Alcohol Screening Test-Geriatric Version (MAST-G), Hamilton Depression Scale (HAM-D), and Folstein Mini Mental State Exam (MMSE). Patients who initiated treatment following evaluation had more years of education, better cognitive status, and more symptoms of substance abuse and depression, compared with patients who did not initiate treatment. In logistic regression analysis, CAGE and MMSE scores independently predicted treatment initiation. Findings contribute to the understanding of how clinical characteristics of older adults affect substance abuse treatment initiation.

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Citations

Feb 5, 2008·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Faika ZanjaniDavid W Oslin
Dec 20, 2012·The Primary Care Companion to CNS Disorders·Matthew H Taylor, George T Grossberg
Sep 18, 2007·Journal of Substance Abuse Treatment·Emily F RothmanRichard Saitz
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Oct 8, 2011·International Journal of Aging & Human Development·James B CurrinJeff R Temple
Jun 23, 2010·International Journal of Psychiatry in Medicine·Derek D SatreConstance Weisner
Nov 7, 2006·Journal of Geriatric Psychiatry and Neurology·Faika ZanjaniDavid Oslin
Jan 25, 2019·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Ingrid A BinswangerGwen T Lapham
Jan 27, 2019·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Amy M LoreeBrian K Ahmedani

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