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.
For further information, please contact Liz Fox or Deborah
Hart in the Communications Department.
Telephone: 020 7235 2351 Extensions. 6298 or 6127
References:
Royal College of Psychiatrists’ Annual Meeting, Imperial College London 1 - 4 July 2008