To compare substance use treatment differences of
individuals aged 65 and older with that of those younger than 65 by analyzing
smaller age groupings.
Setting: Iowa substance use disorder treatment centers.
Individuals aged 30 to 96 admitted to substance use
treatment in Iowa between 2010 and 2013 (N = 57,591).
Successful treatment completion, program length of stay,
primary problem substance, referral source, and client demographic
characteristics were analyzed to explore differences between age groupings in
those aged 65 and older and between those aged 65 and older and those younger
than 65.
Findings demonstrated that individuals aged 65 to 69 were
more likely to complete treatment successfully than those aged 75 and older, and treatment referrals were increasingly more likely to occur from a
primary care setting with increasing age. The eldest group reported
significantly more hospitalizations because of their substance use. Finally, referrals for driving under the influence were
more likely in those aged 70 and older.
Excluding the oldest group (7,596), older age was associated
with greater successful treatment completion. Overall, greater screening and
earlier detection may be a critically important means of enhancing safety for
older persons with substance use disorders.
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By:
- 1Iowa Consortium for Substance Abuse Research and Evaluation, University of Iowa, Iowa City, Iowa.
- 2Department of Psychological and Quantitative Foundations, College of Education, Counseling Psychology Program, University of Iowa, Iowa City, Iowa.
- 3Iowa Strategic Healthcare Alliance for Rural Education, University of Iowa, Iowa City, Iowa.
- 4Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, Iowa.
- 5Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, Iowa.
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