Profile of the elderly assisted in a psychosocial care center: alcohol and other drugs
Perfil de los ancianos asistido en el centro de atención psicosocial: alcohol y otras droga
Perfil dos idosos atendidos em um centro de atenção psicossocial: álcool e outras drogas
Sandra Cristina Pillon; Lucilene Cardoso; Gisela Amorim Marques Pereira; Emmanuel Mello
Abstract
The objective was to identify the profile of the elderly at the Center for Psychosocial Care - alcohol and other drugs in Ribeirão Preto SP, in the period of 1996 to 2009. The methodological design was the descriptive retrospective study based on secondary data. The sample consisted of 191 (3.2%) customer over 60 years assisted in the service. The sample was characterized by elders with a mean age of 64 years, predominantly male, with low educational level, 78.4% had primary school and 86% were retired. The most commonly drugs used were alcohol, marijuana, crack and cocaine. It concludes that the number of elderly who seeks for expert assistance is very low. Studies of this nature are important to assess the needs of this group in the clear growth as well as the use of psychoactive substances for planning effective practices.
Keywords
Resumen
El objetivo del estudio fue identificar el perfil de los ancianos del Centro de Atención Psicosocial de alcohol y otras drogas de Ribeirao Preto, SP, en el período 1996 a 2009. El diseño metodológico es descriptivo del tipo retrospectivo basado en los datos secundarios. La muestra consistió de 191 (3,2%) clientes mayores de 60 años asistidos en ese servicio. La muestra se caracterizó por los ancianos con media de edad de 64 años con un predominio masculino, con bajo nivel educacional: 78,4% tenía estudios primarios y el 86% eran jubilados. Las drogas de mayor uso fueron: alcohol, marihuana, crack y cocaína. Se concluye que el número de ancianos que buscan la asistencia de expertos es muy bajo. Estudios de esa naturaleza son importantes paraevaluar las necesidades de ese grupo en el evidente crecimiento, así como el uso de sustancias psicoactivas para la planificación de prácticas efectivas.
Palabras clave
Resumo
O objetivo do estudo foi identificar o perfil dos idosos usuários de substâncias psicoativas atendidos no Centro de Atenção Psicossocial de álcool e drogas no interior paulista, no período de 1996 a 2009. O desenho metodológico é descritivo, do tipo retrospectivo, baseado em dados secundários. A amostra foi composta por 191 clientes com idade acima de 60 anos, que correspondem a 3,2% de todos os atendidos no referido serviço. Os idosos caracterizaram-se por serem predominantemente do sexo masculino; a média de idade foi 64 anos, com baixo nível de escolaridade; 78,4% tinham até o ensino fundamental; e 86% eram aposentados. As drogas de maior uso foram: o álcool, a maconha, o crack e a cocaína. Conclui-se que o número de idosos que buscam assistência especializada é muito baixo. Estudos dessa natureza são importantes para avaliar as necessidades desse grupo em evidente crescimento, bem como o uso de substâncias psicoativas para o planejamento de práticas efetivas.
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Referencias
1. Instituto Brasileiro de Geografia e Estatística- IBGE. Indicadores sociodemográficos e de saúde no Brasil; 2009.
2. Crome IB, Day E. Substance misuse and dependence: older people deserve better services. Rev Clin Gerontol. 1999; 9: 327-42
3. Philips P, Katz A. Substance misuse in older adults: an emerging policy priority. Res Nurs. 2001; 6(6): 898-905.
4. Levin SM, Kruger J. Substance abuse among older adults: a guide for social services providers. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration. Center for Substance Abuse Treatment; 2000.
5. Dar K. Alcohol use disorders in elderly people: fact or fiction? Adv Psychiatr Treat. 2006; 12: 173-81.
6. Dufour M, Fuller RK. Alcohol in the elderly. Annu Rev Med 46:123-132, 1995.
7. O'Connell H, Chin AV, Cunningham C, Lawlor B. Alcohol use disorders in elderly people redefining an age old problem in old age. BMJ: british medical journal 2003; 327: 664-67.
8. Menninger J. Assessment and treatment of alcoholism and substance related disorders in the elderly. Bull Menninger Clin. 2002; 66(2), 166-83.
9. Rigler SK. Alcoholism in the elderly. Am Fam Physician. 2000; 61(6):1710-16.
10. Bell AJ, Talbot-Stern JK, Hennessy A. Characteristics and outcomes of older patients presenting to the emergency department after a fall: a retrospective analysis. Med J Aust. 2000; 173:179.
11. McLnnes E, Powell J. Drug and alcohol referrals; are elderly substance abuse diagnoses and referrals being made. BMJ: british medical journal 1994; 308: 444-46
12. National Household Survey on Drug Abuse, Summary of National Findings. Rockville, MD: Office of Applied Studies; 2002. v.1.
13. Boyle AR, Davis H. Early screening and assessment of alcohol and substance abuse in the elderly: clinical implications. J Addict Nurs. 2006; 17: 95-103.
14. Curtis JR, Geller G, Stokes EG, et al: Characteristics,diagnosis and treatment of alcoholism in elderly patients. J Am Geriatr Soc. 1989; 37: 310-16.
15. Simoni-Wastila L, Yang HK. Psychoactive drug abuse in older adults. Am J Geriatr Pharmacother. 2006; 4(4): 380-94.
16. Gfroerer J, Penne M, Pemberton M, Folsom R. Substance abuse treatment need among older adults in 2020: the impact of the aging babyboom cohort. Drug Alcohol Depend. 2003; 69(2): 127-35.
17. Finlayson RE, Davis LJ Jr. Prescription drug dependence in the elderly population: demographic and clinical features of 100 inpatients. Mayo Clin Proc. 1994, 69(12): 1215-17.
18. Department of Health. Smoking kills: a white paper on tobacco. London: Stationary Office; 1998. CM 4177.
19. Atkinson RM, Ganzini L, Bernstein MJ. Alcohol and substance-use disorders in the elderly. In: Birren JE, Sloane RB, Cohen GD, editores. Handbook of mental health and aging, 2 nd ed. San Diego, CA: Academic Press; 1992.
20. Prigerson HG; Desai RA; Rosenheck RA. Older adult patients with both psychiatric and substance abuse disorders: prevalence and health service use. Psychiatric Quaterly. 2001; 72: 1-18.
Submitted date:
29/04/2010
Reviewed date:
19/08/2010
Accepted date:
17/10/2010