Document Detail


Screening and brief intervention for substance misuse among older adults: the Florida BRITE project.
MedLine Citation:
PMID:  19443821     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: We developed and examined the effectiveness of the Florida Brief Intervention and Treatment for Elders (BRITE) project, a 3-year, state-funded pilot program of screening and brief intervention for older adult substance misusers.
METHODS: Agencies in 4 counties conducted screenings among 3497 older adults for alcohol, medications, and illicit substance misuse problems and for depression and suicide risk. Screening occurred in elders' homes, senior centers, or other selected sites. Individuals who screened positive for substance misuse were offered brief intervention with evidence-based practices and rescreened at discharge from the intervention program and at follow-up interviews.
RESULTS: Prescription medication misuse was the most prevalent substance use problem, followed by alcohol, over-the-counter medications, and illicit substances. Depression was prevalent among those with alcohol and prescription medication problems. Those who received the brief intervention had improvement in alcohol, medication misuse, and depression measures.
CONCLUSIONS: The BRITE program effectively shaped state policy by responding to legislative mandates to address the needs of an increasing, but underserved, elder population. The pilot paved the way for obtaining a federally funded grant to expand BRITE to 27 sites in 17 counties in Florida.
Authors:
Lawrence Schonfeld; Bellinda L King-Kallimanis; Darran M Duchene; Roy L Etheridge; Julio R Herrera; Kristen L Barry; Nancy Lynn
Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  American journal of public health     Volume:  100     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-16     Completed Date:  2010-01-11     Revised Date:  2012-01-02    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  108-14     Citation Subset:  AIM; IM    
Affiliation:
Department of Aging and Mental Health Disparities, Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa, FL 33612-3899, USA. schonfeld@fmhi.usf.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Female
Florida
Follow-Up Studies
Humans
Interview, Psychological
Male
Mass Screening*
Middle Aged
Pilot Projects
Program Evaluation
Psychotherapy, Brief
Substance-Related Disorders / diagnosis*,  therapy*

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