Working with Older consumers: - the Hidden Problem Greg Scott, Sean Dudley, Hammersmith and Fulham Older People s se

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Working with Older consumers: - the Hidden Problem Greg Scott, Sean Dudley, Hammersmith and Fulham Older People's administration, 20 May 2010

Alcohol & more established individuals 17% of populace is more than 65 Alcohol related passings in UK multiplied shape 1991-2005 Highest demise rate from liquor among those matured 55-7 Older Men drink about as frequently as all grown-ups

Detection GP's A&E confirmations/Nurse Liaison Housing Social Services

Vulnerability to liquor related mischief Reduced resilience to impacts Mistaken for normal physical or psychiatric conditions Alcohol – prescription associations Inadequate screening & announcing Masked by co-horrible physical or psychiatric disease Ageism Belief in constructive medical advantages? Age assemble more averse to unveil Risk of manhandle and disregard

Engagement Not exhibiting to administrations Home visits yielding great results Good results by and large, more assets, educational experience and so forth

Education Alcohol mindfulness is key Family individuals GP's Housing laborers

Barriers Barnes Ward inquire about in Brighton: Practitioners: Difficulties in knowing how to approach the issue with more established individuals Inability of more seasoned individuals to recognize issue Lack of suitable administrations for referral The issue of "rights" – would it be a good idea for us to intercede?

Myths about liquor and more established individuals At your age what does it make a difference? You can't instruct an old pooch new traps! The issue of rights – no privilege to mediate

Changes in liquor related confirmations for 65+ % expansion 2002 - 2007 Malignant neoplasm of oesophagus 6.6 Fall injuries 19.3 Liver disease 45.9 Epilepsy and Status epilepticus 51.8 Cardiac arrhythmias 70.9 Mental/behavioral disorders 76.9 Hypertensive diseases 119.4 source: NHS Information community for Health and Social Care

Implications Evidence of huge neglected requirement for administrations Demographic projections propose rising requirement for liquor intercessions with 65+ age amass Need to create information and experience Older individuals seem to welcome fitting help Alcohol related damages are regularly reversible

Hammersmith and Fulham Older Persons' Alcohol Service One Year On

Out of 49 customers completely surveyed by the administration between June 09 and March 2010 42 drank at home alone 19 purchased liquor coordinate from shops 8 had liquor conveyed to their home 15 had liquor purchased for them via carers or relatives 27 customers drank in abundance of 70 units for each week

Reasons for not getting to administrations 30 out of 49 customers had not gotten to administrations already 27 customers were physically not able to get to building based administrations effortlessly 15 customers said they would feel scared or demonized by getting to liquor administrations 7 customers said they didn't feel liquor was an issue in their lives

Reasons for drinking 22 customers expressed social confinement and dejection 19 customers expressed uneasiness and sadness 8 customers said they drank next to no before they resigned

The Older Persons Team Response Essential to work close by bleeding edge specialists, carers, family to bring issues to light of issues including liquor and more seasoned individuals Provide exhortation, data, support and preparing

The Training Session Looks at fundamental liquor mindfulness and how liquor influences the more established group Places liquor immovably with regards to general physical and mental prosperity breaking the unthinkable of raising the subject Increases referrals to the administration before the customer achieves emergency Encourages successful joint working

How would it be a good idea for us to address liquor use among more established individuals? More research & better information Guidance on improvement of neighborhood treatment pathways Cross-expert co-operation to create administrations Greater mindfulness among wellbeing & social care staff Greater regard for drinking propensities Some expansion in treatment limit

www.foundation66.org.uk info@foundation66.org.uk Foundation 66 7 Holyrood St London SE1 2EL 020 7234 9940

References & other foundation data: ANARP Alcohol Needs Assessment Research Project DH 2005 MoCAM Models of Care for Alcohol Misusers DH 2006 Review of the viability of treatment for liquor issues (NTA 2006) Fillmore K M et al 2006 Addiction Research & Theory 14 (2) 101-132 Fillmore K M et al 2006 Addiction Research & Theory 15 (1) 35-46 Alcohol utilization among elderly EU natives Hallgren et al 2009 National Statistics Online: Population gauges - 27 August 2009 National Statistics Online: Aging – 27 August 2009 Robinson S and Lader D. General Household Survey 2007: Smoking and drinking among grown-ups, Newport Office for National Statistics 2009. Joseph Rowntree Foundation: Drinking in the UK: An investigation of patterns May 2009