The Mental Health and Substance Use Workforce for Older Adults

The Mental Health and Substance Use Workforce for Older Adults

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2012-10-26

Total Pages: 396

ISBN-13: 0309256658

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At least 5.6 million to 8 million-nearly one in five-older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation. For decades, policymakers have been warned that the nation's health care workforce is ill-equipped to care for a rapidly growing and increasingly diverse population. In the specific disciplines of mental health and substance use, there have been similar warnings about serious workforce shortages, insufficient workforce diversity, and lack of basic competence and core knowledge in key areas. Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? assesses the needs of this population and the workforce that serves it. The breadth and magnitude of inadequate workforce training and personnel shortages have grown to such proportions, says the committee, that no single approach, nor a few isolated changes in disparate federal agencies or programs, can adequately address the issue. Overcoming these challenges will require focused and coordinated action by all.


Textbook of Addiction Treatment

Textbook of Addiction Treatment

Author: Nady el-Guebaly

Publisher: Springer Nature

Published: 2020-11-03

Total Pages: 1512

ISBN-13: 3030363910

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Addiction is increasingly being recognized as a major global public health issue, and an ever-growing number of medical specialties, psychological and social science training programs, and professional associations are including addiction as part of their training and continuing education curricula. The first edition of this book presented an overview of the spectrum of addiction-related problems across different cultures around the globe. Sharing the experience and wisdom of more than 260 leading experts in the field, and promoted by the International Society of Addiction Medicine, it compared and contrasted clinical practices in the field of addiction medicine on the basis of neurobiological similarities as well as epidemiological and socio-cultural differences. Building on the success of this inaugural edition, and taking into account the formal and informal comments received as well as an assessment of current need, this textbook presents general updated information while retaining the most requested sections of the first edition as demonstrated by the number of chapter downloads. It also provides a basic text for those preparing for the ISAM annual certification exam. Written by some 220 international experts, it is a valuable reference resource for anyone interested in medicine, psychology, nursing, and social science.


Ending Discrimination Against People with Mental and Substance Use Disorders

Ending Discrimination Against People with Mental and Substance Use Disorders

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-09-03

Total Pages: 171

ISBN-13: 0309439124

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Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.


Aging and Addiction

Aging and Addiction

Author: Carol Colleran

Publisher: Simon and Schuster

Published: 2010-04-20

Total Pages: 220

ISBN-13: 1592859100

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The authors, both experts in the field of addiction treatment and intervention, provide a respectful, definitive guide for recognizing and addressing substance abuse among older adults. Addiction among older adults is a hidden and hushed problem. Signs and symptoms of alcohol or medication abuse can easily be mistaken for conditions related to aging. And even when friends or family members recognize signs of addiction, they often discount the need for intervention or treatment. With an estimated three million older Americans struggling with alcohol and drug misuse and abuse, Aging and Addiction is a much-needed resource. The authors, both experts in the field of addiction treatment and intervention, provide a respectful, definitive guide for recognizing and addressing substance abuse among older adults. Key topics include: understanding the relationship between aging and addiction, finding help for a loved one, and recognizing the treatment needs of older adults.Key features and benefitsauthors are widely recognized experts in the field of addictionaddresses one of the nation's most underestimated, under treated health problemsprovides how-to-help information for family members and friends


Old and High

Old and High

Author: Robert Youdin

Publisher: Oxford University Press, USA

Published: 2019

Total Pages: 297

ISBN-13: 0190672897

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"Old & High addresses unmet mental health needs of older adults experiencing psychotropic substance dependence. It provides insight for clinical professionals in psychology, social work, gerontology, nursing, and medicine on how to integrate current neuroscience findings with contemporary psychotherapy techniques and harm reductive interventions to help older adults achieve successful recovery from substance abuse problems. Extensive use of clinical vignettes brings a humanistic perspective to the academic, evidenced-based research presented"--


Substance Use and Older People

Substance Use and Older People

Author: Ilana Crome

Publisher: John Wiley & Sons

Published: 2014-12-31

Total Pages: 424

ISBN-13: 1119975387

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Substance use and addiction is an increasing problem amongst older people. The identification of this problem is often more difficult in older patients and is frequently missed, particularly in the primary care context and in emergency departments, but also in a range of medical and psychiatric specialties. Substance Use and Older People shows how to recognise and treat substance problems in older patients. However, it goes well beyond assessment and diagnosis by incorporating up-to-date evidence on the management of those older people who are presenting with chronic complex disorders, which result from the problematic use of alcohol, inappropriate prescribed or over the counter medications, tobacco, or other drugs. It also examines a variety of biological and psychosocial approaches to the understanding of these issues in the older population and offers recommendations for policy. Substance Use and Older People is a valuable resource for geriatricians, old age psychiatrists, addiction psychiatrists, primary care physicians, and gerontologists as well as policy makers, researchers, and educators. It is also relevant for residents and fellows training in geriatrics or geri-psychiatry, general practitioners and nursing home physicians.


TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019)

TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019)

Author: U.S. Department of Health and Human Services

Publisher: Lulu.com

Published: 2019-11-19

Total Pages: 208

ISBN-13: 1794755136

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Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.


Substance Abuse Among Older Adults

Substance Abuse Among Older Adults

Author: Frederic C. Blow

Publisher: DIANE Publishing

Published: 1999-08

Total Pages: 198

ISBN-13: 0788180711

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Researchers are only beginning to realize the pervasiveness of substance abuse, such as alcohol and prescription drug misuse, among older people, thousands of whom need treatment but do not receive it. This Treatment Improvement Protocol (TIP) recommends best practices for identifying, screening, assessing, and treating alcohol and prescription drug abuse among people age 60 and older. Sections: alcohol; use and abuse of psychoactive prescription drugs and OTC medications; identification, screening, and assessment; referral and treatment approaches; outcomes and cost issues; legal and ethical issues; tools. Bibliography. 19 charts and tables.


Substance and Non-Substance Related Addictions

Substance and Non-Substance Related Addictions

Author: Evaristo Akerele

Publisher: Springer Nature

Published: 2022-01-03

Total Pages: 238

ISBN-13: 3030848345

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This book reviews the myriad of elements that layer substance abuse disorder, a significant public health issue. It addresses the strong stigma associated with the disease, particularly in regard to the doctor patient relationships. The book begins by explaining the importance of integrating psychiatric and substance use disorder treatment by demonstrating the efficacy of this treatment model. Subsequent to this are chapters dedicated to specific addiction disorders, including cocaine, opioids, gambling, food, and sex addictions. Chapters also examine how addiction can differ among various neurobiological, genetic, socioeconomic, and age demographics. The book closes with histories, policies, and modalities of drug use which serve as a key component to building a foundation for effective and ethical health policy. Written by international experts in addiction psychiatry, Substance and Non-Substance Related Addictions: A Global Approach is a valuable resource for all practitioners seeking to expand their knowledge of addiction medicine.