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COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006<br />

Age-Appropriate Levels of<br />

Distribution<br />

• No more than one drink per day.<br />

• Maximum of two drinks per occasion.<br />

• Lower limits for women.<br />

• “Safety zone”- foster sensible drinking that<br />

avoids health risks, while allowing<br />

beneficial effects that may occur from<br />

drinking.<br />

Types<br />

• Early On-Set drinkers compromise the<br />

majority of those receiving treatment.<br />

Plus, psychiatric comorbidity is common.<br />

• Late On-Set drinkers may appear<br />

healthier, and are more likely to have<br />

begun drinking due to recent losses<br />

(death, divorce, and decreased health).<br />

Easily overlooked by health care<br />

providers.<br />

Patterns of Drinking<br />

• Continuous is ongoing drinking.<br />

• Intermittent-is regular, daily, heavy<br />

drinking after a period of abstinence of<br />

three to five days.<br />

• Binge- for older adults drinking four or<br />

more per occasion.<br />

Prescription Drugs<br />

• Those age 65+ consume more<br />

prescription drugs and over-the-counter<br />

medications than any other age group in<br />

the U.S.<br />

• Older adults comprise 13% of the<br />

population but received 25-30% of all<br />

prescriptions.<br />

• Experienced more than ½ of all reported<br />

adverse drug reactions leading to<br />

hospitalization.<br />

Facts<br />

• 80-86% of those 65+ suffer from one or more<br />

chronic diseases or conditions.<br />

• 83% of those 60+ take at least one medication.<br />

• 30% of those aged 65+ take eight or more<br />

prescriptions daily.<br />

• Usually, prescriptions are for psychoactive,<br />

mood-changing drugs that carry potential for<br />

misuse, abuse, or dependence.<br />

• More likely to continue use for longer periods<br />

than younger adults.<br />

Patterns of Use<br />

• Elderly’s abuse usually fall within the<br />

“misuse” category of the DSM-IV<br />

(unintentional misuse).<br />

• Usually because they are more likely to<br />

misunderstand the directions for<br />

appropriate use.<br />

• Overdose, addictive effects, and adverse<br />

reations are more likely to occur from<br />

combining drugs.<br />

4

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