Substance Use by Older Adults:  Estimates of Future Impact on the Treatment System

CITATION:

Cover

List of Figures

List of Tables

Overview

1. The Impact of Substance Use and Abuse by the Elderly: The Next 20 to 30 Years (Samuel P. Korper and Ira E. Raskin)
     Introduction and Background
     How Prepared Are Substance Abuse Services to Meet Anticipated Future Requirements?
     Initial Federal Response
     Overview of Report
     References

2. A Conceptual Model for Measuring Substance Misuse and Abuse Through the Life Cycle: The Importance of Recovery and Death Rates (Barbara A. Ray)
     Introduction
     Definitions
     Developing the Model
     Conceptual Model
     Data Quality for Older Adults
          Recovery Rate Estimating
          Death Rate Estimation
          Overlap Estimation
     Conclusions
     References

3. Drug Use Careers: Recovery and Mortality (Yih-Ing Hser)
     Introduction
     Background: Mortality and Recovery Rates
          Treatment Sample
          Nontreatment Sample
     California 33-year Follow-up Study
          Study Design
          Sample
          Interview Procedure
          Results
     Study of High-risk Samples
          Study Design
          Subjects
          Data Collection Procedures
          Results
     Comments
     Conclusions
     References

4. Age Differences in Multiple Drug Use: National Admissions to Publicly Funded Substance Abuse Treatment (Leigh A. Henderson)
     Description of the Dataset
          Study Population
     Analysis
     Results
     Conclusions
     Limitations
     References

5. The Aging Baby Boom Cohort and Future Prevalence of Substance Abuse (Joseph C. Gfroerer, Michael A. Penne, Michael R. Pemberton, and Ralph E. Folsom, Jr.)
     Methods
          Data Source
          Definition of Problem Substance Use
          Step One: Regression Models
          Step Two: Projection to 2020 Population
          Estimation of Standard Errors and Confidence Intervals
     Results
          Model Diagnostics
          Regression Models
          2020 Projections
     Discussion
     Conclusions
     References

6. Substance Abuse Among Older Adults in 2020: Projections Using the Life Table Approach and the National Household Survey on Drug Abuse (Albert Woodward)
     Introduction
     Life Table Approach
     Limitations of the NHSDA
     Possible Changes to the NHSDA
     References

7. National Longitudinal Alcohol Epidemiologic Survey (NLAES): Alcohol and Drug Use Across Age Groups (Frederic C. Blow, Kristen L. Barry, Deborah E. Welsh, and Brenda M. Booth)
     Introduction
          Prevalence and Patterns of Substance Use among Older Individuals
          Physical and Mental Health Consequences of Substance Abuse
          Substance Use and Abuse Across Age Cohorts
     Methods
          Survey Specifics
          Data Sources
          Variables
     Results
     Discussion
     References

8. Analysis of the National Health and Nutrition Examination Survey (NHANES): Longitudinal Analysis of Drinking Over the Life Span (Frederic C. Blow, Kristen L. Barry, Bret E. Fuller, and Brenda M. Booth)
     Introduction
          Overview of Extent of Problem Drinking in Current Elderly Cohort
          Prevalence of Alcohol Use in the Current Older Adult Populations
          Drinking Guidelines
          Future Older Adult Cohorts
     Methods
          Survey Specifics
          Data Sources
          Longitudinal Dataset
          Variables
          Age Categories
          Drinking Status
          Data Analysis Strategy
     Results
          Demographics
          Alcohol Consumption
          Changes in Drinking Categories
     Discussion
          Issues Unique to Older Adults
          Drinking Guidelines for Older Adults
          Long-Term Patterns of Use: Future Needs
     References

9. Utilization of Veterans' Health Services for Substance Abuse: A Study of Aging Baby Boomer Veterans (Brenda M. Booth and Frederic C. Blow)
     Introduction
     Methods
          Data Obtained
          Subjects
          Analyses
     Results
     Conclusions
     References

10. Conclusions and Policy Implications (Samuel P. Korper and Ira E. Raskin)
     References

About the Authors

Other Reports Relating to Older Adults

This page was last updated on June 16, 2008.

SAMHSA, an agency in the Department of Health and Human Services, is the Federal Government's lead agency for improving the quality and availability of substance abuse prevention, addiction treatment, and mental health services in the United States.