Older adult in methadone treatment: socio-economic status and chronicity
DOI:
https://doi.org/10.21134/haaj.v23i1.726Keywords:
Methadone, Aging, Chronicity, Determinants of Socioeconomic Position, GenderAbstract
Introduction: People on methadone treatment are aging, becoming chronic and increasing the presence of chronic diseases. Aim: To examine the characteristics of older adults in treatment with methadone in relation to determine socio-economic status, chronic diseases and how to tackle this chronicity. Method: A scoping review was conducted for articles published since 2004 up to May 2020, in English and in Spanish. Results: This process left twenty-five documents. The 66,6 % were from the North America. Fourteen publications referred to the factors determining so- cio-economic status: increase in mean age, economic instability, social exclusion, and stigma. Only one had a gender perspective approach. Nineteen publications referred to chronic physical and mental diseases. In relation to tackling chronicity, were found sixteen publications: multidisciplinary care and participation in the treatment were apprecia- ted as something important. Conclusions: The increasing age of people who are on methadone treatment and their specific needs is evident, so it will be necessary to adapt care and resources. Owing to the scarcity of studies found, especially beyond the North American continent, this phenomenon requires further study, most particularly from a qualitative approach and a gender perspective, to benefit from the point of view of those receiving the treatment.
Downloads
References
Bobes García, J., & Bobes Bascarán, M. T. (2012). Efectividad a largo plazo de los tratamientos de mantenimiento con metadona en personas con adicción a derivados opiáceos. Adicciones, 24(3), 179. https://doi.org/10.20882/ adicciones.87
Carew, A. M., & Comiskey, C. (2018). Treatment for opioid use and outcomes in older adults: A systematic literature review. Drug and Alcohol Dependence, 182, 48-57. https://doi.org/10.1016/j.drugalcdep.2017.10.007
Carlsen, S.-E. L., Gaulen, Z., Alpers, S. E., & Fjaereide, M. (2019). Beyond medication: Life situation of older patients in opioid maintenance treatment. Addiction Research & Theory, 27(4), 305-313. https://doi.org/10.1080/1606635 9.2018.1515351
Chang, K.-C., & Lin, C.-Y. (2015). Effects of publicly funded and quality of life on attendance rate among methadone maintenance treatment patients in Taiwan: An 18-month follow-up study. Harm Reduction Journal, 12(1), 40. ht- tps://doi.org/10.1186/s12954-015-0076-8
Conner, K. O., & Rosen, D. (2008). “You’re nothing but a junkie”: Multiple experiences of stigma in an aging me- thadone maintenance population. Journal of Social Work Practice in the Addictions, 8(2), 244-264. https://doi. org/10.1080/15332560802157065
Conner, K. O., Rosen, D., Wexle, S., & Brown, C. (2010). “It’s like night and day. He’s white. I’m black”: Shared stigmas between counselors and older adult methadone clients. Best Practices in Mental Health, 6, 17-32. https://www. ingentaconnect.com/content/follmer/bpmh/2010/00000006/00000001/art00003#expand/collapse
Consejería de Sanidad de la Comunidad Autónoma de Madrid. (2013). Estrategia de atención a pacientes con en- fermedades crónicas en la Comunidad de Madrid. Consejería de Sanidad. https://www.comunidad.madrid/transpa- rencia/informacion-institucional/planes-programas/estrategia-atencion-personas-enfermedades-cronicas
Cotton, B. P., Bryson, W. C., & Bruce, M. L. (2017). Methadone Maintenance Treatment for older adults: Cost and logistical considerations. Psychiatric Services, 69(3), 338-340. https://doi.org/10.1176/appi.ps.201700137
Dirección General de Salud Pública y Sanidad Exterior, & Ministerio de Sanidad y Política Social. (2012). Propuesta de políticas e intervenciones para reducir las desigualdades sociales en salud en España. Gaceta Sanitaria, 26(2), 182-189. https://doi.org/10.1016/j.gaceta.2011.07.024
Dole, V. P., & Nyswander, M. (1965). Medical treatment for diacetylmorphine (heroin) addiction: A clinical trial with
methadone hydrochloride. JAMA, 193(8), 646-650. https://doi.org/10.1001/jama.1965.03090080008002
Doukas, N. (2014). Are methadone counselors properly equipped to meet the palliative care needs of older adults in Methadone Maintenance Treatment? Implications for training. Journal of Social Work in End-Of-Life & Palliative Care, 10(2), 186-204. https://doi.org/10.1080/15524256.2014.906370
Doukas, N. (2017). Older adults prescribed methadone for opiate replacement therapy: A literature review. Journal of Addiction and Preventive Medicine, 02(01). https://doi.org/10.19104/japm.2017.109
Dürsteler-MacFarland, K. M., Vogel, M., Wiesbeck, G. A., & Petitjean, S. A. (2011). There is no age limit for me- thadone: A retrospective cohort study. Substance Abuse Treatment, Prevention, and Policy, 6(1), 9. https://doi.or- g/10.1186/1747-597X-6-9
EMCDDA. (2020). Informe europeo sobre drogas 2020: Cuestiones clave. Publications Office. https://data.europa.
eu/doi/10.2810/315023
Engel, R. J., & Rosen, D. (2015). Pathological gambling and treatment outcomes for adults age 50 or older in Metha- done Maintenance Treatment. Journal of Gerontological Social Work, 58(3), 306-314. https://doi.org/10.1080/016 34372.2014.960989
Firoz, S., & Carlson, G. (2004). Characteristics and treatment outcome of older Methadone-Maintenance patients.
The American Journal of Geriatric Psychiatry, 12(5), 539-541. https://doi.org/10.1097/00019442-200409000-00015
Gol-Montserrat, J., Llano, J. E. del, Amo, J. del, Campbell, C., Navarro, G., Segura, F., Suárez, I., Teira, R., Brañas, F., Serrano-Villar, S., Moreno, S., Morillo, R., Fernández, E., Marco, M. P., Blanch, J., Castaño, M., Pujol, F., Fuster, M. J., Hernández, J. S., … Elizondo, N. (2018). VIH en España 2017: Políticas para una nueva gestión de la cronicidad más allá del control virológico. Revista Española de Salud Pública, 92. http://scielo.isciii.es/scielo.php?script=sci_abstrac- t&pid=S1135-57272018000100305&lng=es&nrm=iso&tlng=es
Guo, S., Winslow, M., Manning, V., & Thane, K. K. (2010). Monthly take-home Methadone Maintenance Regime for elderly opium- dependent users in Singapore. Annals Academy of Medicine, 39(6), 429. https://annals.edu.sg/ pdf/39VolNo6Jun2010/V39N6p429.pdf
Gutiérrez-Cáceres, S., Pedraz-Marcos, A., & Serrano-Gallardo, P. (2019). Envejecer en un programa de mantenimien- to con metadona. Una perspectiva desde el marco de los determinantes sociales de la salud. Rev. esp. Salud Pública, 93, e201908048. https://pesquisa.bvsalud.org/portal/resource/%20es/mdl-31447482
Hamilton, A. B., & Grella, C. E. (2009). Gender differences among older heroin users. Journal of Women & Aging,
(2), 111-124. https://doi.org/10.1080/08952840902837129
Hightower, L. (2016). A phenomenological study of Methadone Treatment by opiate-dependent individuals ages 50- 55 years [Dissertations & Theses, Walden University]. https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?arti- cle=3418&context=dissertations&httpsredir=1&referer=
Lagares Roibás, A., López Melendro, A. I., & Gallego Montes, M. J. (2010). Perspectivas de futuro y propuestas de recursos terapéuticos para adictos de edad avanzada. Revista Española de Drogodependencias, 35(2). http://www. aesed.com/descargas/revistas/v35n2_4.pdf
Levac, D., Colquhoun, H., & O’Brien, K. K. (2010). Scoping studies: Advancing the methodology. Implementation Science, 5(1), 69. https://doi.org/10.1186/1748-5908-5-69
Lofwall, M. R., Brooner, R. K., Bigelow, G. E., Kindbom, K., & Strain, E. C. (2005). Characteristics of older opioid mainte- nance patients. Journal of Substance Abuse Treatment, 28(3), 265-272. https://doi.org/10.1016/j.jsat.2005.01.007
Madrid Salud. (2018). Memoria Anual 2017. http://www.madridsalud.es/pdf/memorias/Memoria_anual_ MS2017completa.pdf
Maruyama, A., Macdonald, S., Borycki, E., & Zhao, J. (2013). Hypertension, chronic obstructive pulmonary disease, diabetes and depression among older methadone maintenance patients in British Columbia: Diseases for MMT. Drug and Alcohol Review, 32(4), 412-418. https://doi.org/10.1111/dar.12031
Mattick, R. P., Breen, C., Kimber, J., & Davoli, M. (2009). Methadone Maintenance Therapy versus no opioid replace- ment therapy for opioid dependence. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858. CD002209.pub2
McCall, J., Brusoski, M., & Rosen, D. (2017). Research with older adult methadone clients: The importance of moni- toring suicide ideation. Journal of Gerontological Social Work, 60(6-7), 458-470. https://doi.org/10.1080/0163437 2.2017.1328479
Mortazavi, S. S., Shati, M., Malakouti, S. K., & Kazem, M. (2015). Psychiatric comorbidities among iranian elderly patients on Methadone Maintenance Treatment. Archives of Iranian Medicine, 18(11), 740-746.
Notley, C., Blyth, A., Maskrey, V., Craig, J., & Holland, R. (2013). The experience of long-term Opiate Maintenance Treatment and reported barriers to recovery: A qualitative systematic review. European Addiction Research, 19(6), 287-298. https://doi.org/10.1159/000346674
Notley, C., Blyth, A., Maskrey, V., Pinto, H., & Holland, R. (2015). Exploring the concepts of abstinence and recovery through the experiences of Long-Term Opiate Substitution. Substance Abuse, 36(2), 232-239. https://doi.org/10.10 80/08897077.2014.941085
OMS, & Management of Substance Dependence Team. (2004). Neurociencia del consumo y dependencia de sus- tancias psicoactivas. World Health Organization. https://www.who.int/substance_abuse/publications/neuroscien- ce_spanish.pdf
Pedrero-Pérez, E. J., & MethaQoL, G. (2016). Dosis de metadona y su relación con calidad de vida, satisfacción, psi- copatología, rendimiento cognitivo y consumo adicional de sustancias no prescritas. Adicciones, 29(1), 37. https:// doi.org/10.20882/adicciones.831
Pierce, M., Millar, T., Robertson, J. R., & Bird, S. M. (2018). Ageing opioid users’ increased risk of methadone-specific
death in the UK. International Journal of Drug Policy, 55, 121-127. https://doi.org/10.1016/j.drugpo.2018.02.005
Quimbayo Díaz, J. H. (2018). El adulto mayor frente a las adicciones, un problema de salud pública. Revista Edu-fi- sica.com Ciencias Aplicadas al Deporte, 10(22), 109-118. http://revistas.ut.edu.co/index.php/edufisica/article/ view/1286
Rajaratnam, R., Sivesind, D., Todman, M., Roane, D., & Seewald, R. (2009). The aging methadone maintenance patient: Treatment adjustment, long-term success, and quality of life. J Opioid Manag, 5, 27-37. https://doi.org/ 10.5055/jom.2009.0004
Roncero, C., Bachiller, D., Ross, E., & Casas, M. (2011). Ancianos y drogodependencias. En Manual de Trastornos Adictivos (2.a ed., pp. 268-275).
Rosen, D., Hunsaker, A., Albert, S. M., Cornelius, J. R., & Reynolds, C. F. (2011). Characteristics and consequences of he- roin use among older adults in the United States: A review of the literature, treatment implications, and recommen- dations for further research. Addictive Behaviors, 36(4), 279-285. https://doi.org/10.1016/j.addbeh.2010.12.012
Rosen, D., Morse, J. Q., & Reynolds, C. F. (2011). Adapting problem-solving therapy for depressed older adults in me- thadone maintenance treatment. Journal of Substance Abuse Treatment, 40(2), 132-141. https://doi.org/10.1016/j. jsat.2010.09.003
Rosen, D., Smith, M. L., & Reynolds, C. F. (2008). The prevalence of mental and physical health disorders among older methadone patients. The American Journal of Geriatric Psychiatry, 16(6), 488-497. https://doi.org/10.1097/ JGP.0b013e31816ff35a
Rúa Vieites, A., Martínez de Ibarreta Zorita, C., Redondo Palomo, R., & Fabra Florit, M. E. (2017). Informe 2015 vul- nerabilidad social. Estudio estadístico. https://repositorio.comillas.edu/xmlui/handle/11531/22993
Searby, A., Maude, P., & McGrath, I. (2015). An Ageing Methadone Population: A Challenge to Aged Persons’ Mental Health Services? Issues in Mental Health Nursing, 36(11), 927-931. https://doi.org/10.3109/01612840.2015.1081 655
Smye, V., Browne, A. J., Varcoe, C., & Josewski, V. (2011). Harm reduction, methadone maintenance treatment and the root causes of health and social inequities: An intersectional lens in the Canadian context. Harm Reduction Jour- nal, 8(1), 17. https://doi.org/10.1186/1477-7517-8-17
Solar, O., & Irwin, A. (2007). A conceptual framework for action on the social determinants of health. www.who.int/ social_determinants/resources/csdh_framework_action_05_07.pdf
Tran, B. X., Vu, P. B., Nguyen, L. H., Latkin, S. K., Nguyen, C. T., Phan, H. T. T., & Latkin, C. A. (2016). Drug addiction stig- ma in relation to methadone maintenance treatment by different service delivery models in Vietnam. BMC Public Health, 16(1), 238. https://doi.org/10.1186/s12889-016-2897-0
Tuchman, E. (2010). Menopause symptom attribution among midlife women in Methadone Treatment. Social Work in Health Care, 49(1), 53-67. https://doi.org/10.1080/00981380902958486
Ubuguyu, O., Tran, O. C., Bruce, R. D., Masao, F., Nyandindi, C., Sabuni, N., McCurdy, S., Mbwambo, J., & Lambdin, B.
H. (2016). Improvements in health-related quality of life among methadone maintenance clients in Dar es Salaam,
Tanzania. International Journal of Drug Policy, 30, 74-81. https://doi.org/10.1016/j.drugpo.2016.03.005
Weiss, R. D., & Rao, V. (2017). The Prescription Opioid Addiction Treatment Study: What have we learned. Drug and Alcohol Dependence, 173, S48-S54. https://doi.org/10.1016/j.drugalcdep.2016.12.001
WHO. (2016). Determinantes sociales de la salud. World Health Organization. https://www.who.int/social_determi- nants/es
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Health and Addictions Journal/Revista Salud y Drogas
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors publishing in this journal agree to the journal's statement of ethical principles and to the following terms:
The rights of the published material shall belong to their respective authors. Articles published in HAAJ may be used under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International license, and may be read, copied, distributed, printed, searched, or linked to in the full text of this journal without prior permission from the publisher or author, provided that HAAJ and the authors are acknowledged and not used for commercial purposes.
Authors may include the work in institutional repositories or other publications as long as this journal is acknowledged and properly cited.
The HAAJ editorial team encourages authors to disseminate their published work through any means (conferences, classes, lectures, talks, etc.) and/or platforms (social networks, repositories, websites, etc.).
HAAJ follows the Core Practices of COPE (Committee on Publication Ethics).
How to Cite
