Substance misuse in older adults: An emerging policy priority

Abstract

Demographic trends suggest that substance misuse is increasing significantly in the general population and is becoming the most prevalent psychiatric disorder. As the current younger generation ages, there will be significant implications for the provision of general and mental healthcare to this population. The generation most closely associated with a massive increase of illicit drug use ('the baby boomers') is approaching what is considered to be old age. Defining what constitutes drug and alcohol use and misuse among older people remains fraught with difficulties because of the problem of determining what constitutes both old age and drug and alcohol misuse. The few studies that exist are difficult to compare owing to methodological inconsistencies. Against this background, the current research evidence is described, and recommendations are made for healthcare policy changes to accommodate the needs of this population