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Article
Publication date: 23 November 2022

Rahul (Tony) Rao

Abstract

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Advances in Dual Diagnosis, vol. 15 no. 4
Type: Research Article
ISSN: 1757-0972

Content available
Article
Publication date: 23 November 2022

Rahul (Tony) Rao

Abstract

Details

Advances in Dual Diagnosis, vol. 15 no. 4
Type: Research Article
ISSN: 1757-0972

Content available
Article
Publication date: 6 July 2022

Rahul (Tony) Rao

190

Abstract

Details

Advances in Dual Diagnosis, vol. 15 no. 3
Type: Research Article
ISSN: 1757-0972

Content available

Abstract

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Advances in Dual Diagnosis, vol. 14 no. 2
Type: Research Article
ISSN: 1757-0972

Content available
Article
Publication date: 13 July 2021

Rahul (Tony) Rao

149

Abstract

Details

Advances in Dual Diagnosis, vol. 14 no. 2
Type: Research Article
ISSN: 1757-0972

Article
Publication date: 3 August 2020

Rahul Tony Rao

The purpose of this paper is to detail developments in UK alcohol policy for older people over the past 20 years, based on evidence for a growing public health problem…

Abstract

Purpose

The purpose of this paper is to detail developments in UK alcohol policy for older people over the past 20 years, based on evidence for a growing public health problem with alcohol misuse in older people.

Design/methodology/approach

A literature search was carried out using health and social care databases, including grey literature.

Findings

There has been considerable progress in areas such as screening and brief intervention, low-risk drinking and service provision for integrated care in older people with dual diagnosis.

Research limitations/implications

There remains a dearth of research and policy for older people with alcohol misuse and dual diagnosis prior to 2011. Although there remains limited empirical evidence for public health interventions to improve health outcomes from alcohol-related harm, improvements in population health from implementation of recent policy changes and intervention programmes remains to be seen.

Practical implications

This review has implications for best practice in the provision of integrated care to reduce harm and improve health and social outcomes in older people with alcohol misuse and dual diagnosis.

Originality/value

This review draws together a large area of research and policy on alcohol misuse in older people that has the potential to improve public mental health for older people who are at risk of alcohol-related harm.

Details

Journal of Public Mental Health, vol. 19 no. 3
Type: Research Article
ISSN: 1746-5729

Keywords

Content available
Article
Publication date: 21 April 2022

Beth Bareham and Rahul (Tony) Rao

132

Abstract

Details

Advances in Dual Diagnosis, vol. 15 no. 2
Type: Research Article
ISSN: 1757-0972

Article
Publication date: 1 October 2019

Rahul Rao

The assessment of patterns in risky drinking and its association with dual diagnosis in community services for older people remains under-explored. The paper aims to…

Abstract

Purpose

The assessment of patterns in risky drinking and its association with dual diagnosis in community services for older people remains under-explored. The paper aims to discuss this issue.

Design/methodology/approach

Drinking risk using the Alcohol Use Disorders Identification Test (AUDIT) and the presence of co-existing mental disorders was examined in 190 people aged 65 and over.

Findings

In total, 24 per cent of drinkers drank above lower risk levels and 22 per cent reported binge drinking over the past 12 months. Those scoring 1 or more on the AUDIT were more likely to be male and to have greater cognitive impairment than non-drinkers and those reporting no past problems with alcohol.

Research limitations/implications

Given the limitations of the Mini Mental State Examination in the detection of alcohol related cognitive impairment (ARCI), the use of other cognitive screening instruments in larger study populations is also warranted.

Practical implications

Greater attention needs to be paid to the assessment of risky drinking in older male drinkers and those with cognitive impairment.

Originality/value

There is considerable scope for the routine detection of cognitive impairment and dementia in older people with alcohol use within mainstream mental health services, particularly in those with binge drinking. As ARCI is associated with loss of function and independence, early detection and intervention can improve health and social outcomes.

Details

Advances in Dual Diagnosis, vol. 12 no. 4
Type: Research Article
ISSN: 1757-0972

Keywords

Article
Publication date: 17 May 2021

Rahul Rao, Christoph Mueller and Matthew Broadbent

There is a dearth of literature examining the impact of the COVID-19 pandemic on older people with dual diagnosis referred to mental health services. The purpose of this…

Abstract

Purpose

There is a dearth of literature examining the impact of the COVID-19 pandemic on older people with dual diagnosis referred to mental health services. The purpose of this study was to compare dual diagnosis before and after lockdown in people aged between 55 and 74 with alcohol use.

Design/methodology/approach

Data were collected for people referred to mental health services using an anonymised database of de-identified records to identify people with both substance use disorder alone, or accompanied by co-existing mental disorders.

Findings

In total, 366 older people were assessed with the Alcohol Use Disorders Identification Test (AUDIT), 185 before and 181 after lockdown. People with dual diagnosis were more likely to be referred than those without, after compared to before lockdown (13 and 6%, respectively, p < 0.05). People with any substance use disorder with and without dual diagnosis showed an even greater likelihood of referral after, compared with before, lockdown (61 and 34%, respectively, p < 0.0001). Opioid use more than once a month was more likely to be reported after, compared with before, lockdown (66 and 36%, respectively, p < 0.005).

Research limitations/implications

The finding of a higher likelihood of opioid use after compared with before lockdown during the COVID-19 pandemic warrants further exploration. There is also further scope for further studies that involve older non-drinkers.

Originality/value

A greater likelihood of both dual diagnosis and substance use disorder alone after, compared with before lockdown has implications for both mental health and addiction service provision during a pandemic.

Details

Advances in Dual Diagnosis, vol. 14 no. 2
Type: Research Article
ISSN: 1757-0972

Keywords

Article
Publication date: 21 February 2011

Rahul Rao and Andy Shanks

The provision of a seamless service to address the needs of older people with substance misuse is now more pressing than ever, particularly given the impact of a growing…

289

Abstract

Purpose

The provision of a seamless service to address the needs of older people with substance misuse is now more pressing than ever, particularly given the impact of a growing population of older people in society, and with co‐morbid mental health and substance use issues. There is growing recognition of the public health needs of older people with mental health problems and substance misuse. This paper seeks to consider the development and implementation of one particular dual diagnosis strategy.

Design/methodology/approach

The paper examines the background, development and implementation of a dual diagnosis strategy designed to address the growing problem of substance misuse of older people in an inner city area in London, UK.

Findings

A needs assessment highlighted workforce training needs which led to the commissioning of innovative training to address this. Pathways were created to allow seamless transition between services, thus enabling older adults with dual diagnosis to receive the care that they required.

Originality/value

Most local dual diagnosis strategies have focused on adults of working age. This paper concentrates on a local strategy aimed at improving services for older people with mental health and substance misuse problems.

Details

Advances in Dual Diagnosis, vol. 4 no. 1
Type: Research Article
ISSN: 1757-0972

Keywords

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