Computerized screening of substance abuse problems in a primary care setting: Older vs. younger adults

American Journal of Drug and Alcohol Abuse

Volumn 30, Issue 3, 2004, Pages 627-642

  Nemes, Susanna ^a   Rao, Patricia A ^a   Zeiler, Christine ^b   Munly, Kelly ^a   Holtz, Kristen D ^a   Hoffman, Jeffrey ^a  

^a Danya International Inc   (United States)

^b Department of Energy ^*

Author keywords

Alcohol abuse; DAPA PC; Drug abuse; Older adults; Primary care

Indexed keywords

ADULT; AGED; ALCOHOL ABUSE; ARTICLE; ATTITUDE; AUTOMATION; HUMAN; PRIMARY MEDICAL CARE; RISK; SCREENING; SUBSTANCE ABUSE;

ADOLESCENT; ADULT; AGE FACTORS; AGED; AGED, 80 AND OVER; ALCOHOLISM; ATTITUDE TO HEALTH; CROSS-SECTIONAL STUDIES; DIAGNOSIS, COMPUTER-ASSISTED; DISTRICT OF COLUMBIA; FEMALE; HUMANS; MALE; MASS SCREENING; MIDDLE AGED; MMPI; PRIMARY HEALTH CARE; PSYCHOMETRICS; REPRODUCIBILITY OF RESULTS; SUBSTANCE-RELATED DISORDERS;

EID: 7244223195     PISSN: 00952990     EISSN: None     Source Type: Journal    
DOI: 10.1081/ADA-200032312     Document Type: Article

References (22)

1. Menninger JA. Assessment and treatment of alcoholism and substance-related disorders in the elderly. Bull Menninger Clin 2002; 66(2):166-183.
2. Fingerhood M. Substance abuse in older people. J Am Geriatr Soc 2000; 48(8):985-995.
3. Center for Substance Abuse Treatment (CSAT). Substance Abuse Among Older Adults. Treatment Improvement Protocol Series. DHHS Pub No (SMA:98-3179). Washington, DC: US Government Printing Office, 1998:26.
4. Barrick C, Conners GJ. Relapse prevention and maintaining abstinence in older adults with alcohol-use disorders. Drugs Aging 2002; 19(8):583-594.
5. Johnson I. Alcohol problems in old age: a review of recent epidemiological research. Int J Geriatr Psychiatry 2000; 15(7):575-581.
6. Patterson TL, Jeste DV. The potential impact of the baby-boom generation on substance abuse among elderly persons. Psychiatr Serv 1999; 50(9):1184-1188.
7. Columbia's National Center on Addiction and Substance Abuse. Under the Rug: Substance Abuse and The Mature Woman. 1998. Available online at http://www.casacolumbia.org/publications1456/publications_show.htm?doc_id=5882.
8. Moos RH, Mertens JR, Brennan PL. Patterns of diagnosis and treatment among late-middle-aged and older substance abuse patients. J Stud Alcohol 1993; 54(4):479-487.
9. Carroll L. AMA focuses on alcoholism in the elderly. Med Trib Family Phys 1995; 36(19):1-7.
10. National Institute on Drug Abuse & National Institute on Alcohol Abuse and Alcoholism. National Drug and Alcoholism Treatment Unit Survey (NDATUS), 1987 Final Report, DHHS Publication No. (ADM) 89-1626; Alcohol, Drug Abuse, and Mental Health Administration, Rockville, MD, 1989.
11. Hinkin CH, Castellon SA, Dickson-Fuhrman E, Daum G, Jaffe J, Jarvik L. Screening for drug and alcohol abuse among older adults using a modified version of the CAGE. Am J Addict 2001; 10:319-326.
12. Holtz K, Landis RD, Nemes S, Hoffman J. DAPA-PC: development of a computerized screening system to identify substance abuse in primary care. J Health Qual 2001; 23(3):34-37.
13. Israel Y, Hollander O, Sanchez-Craig M, Booker S, Miller V, Ginguck R, Rankin JG. Screening for problem drinking and counseling by the primary care physician-nurse team. Alcohol Clin Exper Res 1996; 20(8):1443-1450.
14. Nemes S, Zeiler C, Hoffman J, Holtz K, Landis RD. Poster Presentation: Psychometric Properties of Online Drug Problem Screen. Los Angeles, CA: American Society of Addiction Medicine; April 2001.
15. Nemes S, Rao PA, Hoffman J, Holtz K, Zeiler C. A role for an online drug and alcohol screening instrument in primary health care settings. J Am Board Fam Pract (under review).
16. Zeiler CA, Nemes S, Holtz KD, Landis RD, Hoffman J. Responses to a drug and alcohol problem assessment for primary care by ethnicity. Am J Drug Alcohol Abuse 2002; 28(3):513-524.
17. Gerbert B, Bronstone A, Pantilat S, McPhee S, Allerton M, Moe J. When asked, patients tell. Med Care 1999; 37:104-111.
18. Nguyen K, Fink A, Beck JC, Higa J. Feasibility of using an alcohol-screening and health education system with older primary care patients. J Am Board of Fam Pract 2001; 14(1):7-15.
19. Bucholz KK, Sheline Y, Helzer JE. The epidemiology of alcohol use, problems, and dependence in elders: a review. In: Beresford TP, Gomberg E, eds. Alcohol and Aging. New York: Oxford University Press, 1995; 19-41.
20. Bergman S, Amir M. Crime and delinquency among the aged in Israel. Geriatrics 1973; 28(1):149-157.
21. Pascarelli EF, Fischer W. Drug dependence in the elderly. Int J Aging Hum Dev 1974; 5(4):347-356.
22. Robins LN, Helzer JE, Croghan JL, Ratcliff KS. National Institue of Mental Health Diagnostic Interview Schedule: Its history, characteristics and validity. Archives of General Psychiatry 38:381-389.