Royal College of Psychiatrists: Specific guidance needed for treating older heroin addicts
Friday, 04 Jul 2008 08:56
Specific guidance is needed for the treatment of older heroin addicts over the age of 45, a new study has found. They should be given greater priority in terms of screening, assessment, treatment and mental health service delivery, since the evidence indicates that when they engage in treatment they do as well as, if not better than, younger addicts.
There is growing awareness of substance misuse in older people. However, since their symptoms may be subtle and easily missed by health professionals, the prevalence and complications of addiction in this group are underestimated.
The researchers undertook a retrospective record analysis of the case notes of 20 older heroin-dependent patients being prescribed substitute medication (methadone) at a specialist addictions clinic in Stoke-on-Trent.
The typical patient profile was of a single, white Caucasian male aged between 45 and 55, who was poorly educated, unemployed, living alone and involved in crime. He started using heroin at an average age of 29 and continued to use it for 18 years.
Chronic health problems were common. 67% of the group studied had Hepatitis C. 40% had self-harmed by means of an overdose, 40% had depression, 35% experienced pain, 25% had memory loss, and 25% suffered from respiratory problems.
Half had received methadone maintenance treatment for at least three years. This resulted in crime reduction, less heroin use (from £300 to £20 per week) and no intravenous use.
The researchers conclude that older substance misusers are a vulnerable group with special health needs. Addiction treatment guidelines should include specific advice on the treatment of older patients, who respond well.
Reference:
Royal College of Psychiatrists’ Annual Meeting, Imperial College London 1 - 4 July 2008
For further information contact Prof Ilana Crome, University Medical School, Staffordshire.
Tel: 01782 441 658 or 07734 061 158. E-mail: i.crome@psych.keele.ac.uk
Royal College of Psychiatrists’ Press Office: 020 7235 2351 exts. 298 or 127.
From 1-4 July, please call the Annual Meeting Press Office on 020 7594 8636 or 020 7594 1847.
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