An evaluation of a Geriatric Substance Abuse Recovery Program in post-acute care of a skilled nursing facility
An evaluation of a Geriatric Substance Abuse Recovery Program in post-acute care of a skilled nursing facility
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DOI：
10.1080/03601277.2017.1388961
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发表时间：
2018-01-01
影响因子：
1.5
通讯作者：
Bondy, Margaret
中科院分区：
文献类型：
--
作者：
Cimarolli, Verena R.;Burack, Orah;Bondy, Margaret
酒精和药物滥用是老年人中一个被忽视和认识不足的问题。因此，相当多的老年人没有必要的康复治疗。为了满足识别和解决老年人酒精和药物滥用问题的需要，我们为熟练护理机构（SNF）内的急性护理后患者创建了老年药物滥用恢复计划（GSARP）。GSARP整合了医疗康复和药物滥用康复服务。本文提供了一个GSARP的描述和报告的评价结果。研究结果显示，高程序的可接受性证明了80%的计划参与率的患者谁的基础上筛选酒精和药物滥用问题被发现有资格接受恢复服务。与白人相比，少数族裔老年人参与的可能性显着降低。GSARP参与者与未参与者相比，更有可能回家，并且他们的30天再住院率较低。在两个随访点，至少60%的计划参与者报告说，他们没有复发。该试点证明了在SNF内实施恢复计划的可行性，并为该计划在改善患者结局方面的有效性提供了初步证据。
Alcohol and substance misuse is an overlooked and under-acknowledged problem among older adults. Hence, a substantial number of older adults go without needed recovery treatment. To meet the need of identifying and addressing alcohol and substance misuse issues in older adults, we created a Geriatric Substance Abuse Recovery Program (GSARP) for post-acute care patients within a skilled nursing facility (SNF). The GSARP integrates medical rehabilitation and substance abuse recovery services. This paper provides a description of the GSARP and reports on the results of the evaluation. Findings showed high program acceptability as demonstrated by an 80% program participation rate of patients who based on screenings for alcohol and substance misuse issues were found eligible to receive recovery services. Minority older adults were significantly less likely to participate when compared to Caucasians. GSARP participants were significantly more likely to return home when compared to those who did not participate and they had lower 30-day-rehospitalization rates. At two follow-up points, at least 60% of program participants reported that they had not relapsed. This pilot demonstrated feasibility of implementing a recovery program within an SNF and produced preliminary evidence for the effectiveness of the program in improving patient outcomes.