The elderly is a growing population in the U.S. Compared to younger populations, the elderly are much more likely to abuse alcohol only. Current estimates of alcohol substance abuse among all elderly range from 2% to 10% and as many as 17% of elderly abuse alcohol and/or prescription drugs (Weintraub et al. 2002, 337). Because of the dramatic rise in elderly expected from the aging of the Baby Boomer generation, these numbers are predicted to rise considerably. Despite the prevalence of substance abuse among the elderly, such abuse often goes under-detected and under-treated in the health care system. There are a variety of reasons for this. The elderly population is often viewed as a hidden population in U.S. culture. Family members, the elderly, and physicians are often remiss to deal with such issues. Isolation, poverty, loss of loved ones, and cognitive disorders often place the elderly at high risk for substance abuse, in addition to accidental mixing of prescription drugs or over dosing. Because of this, only 1% of all elderly patients are referred to substance abuse counseling (Weintraub et al. 2003, 337).
Researchers have tried to develop screening methods designed to address the special needs of elderly substance abusers. Such methods must be routinely used by physicians and effective to have an impact. Mersy (2003) recommends the modified CAGE questionnaire in order to pinpoint “red flags” that will cue physicians in to suspicions of substance abuse among elderly patients. Van Wormer (2003) argues that the geriatric version of the Michigan Alcohol Screening Test (MAST) is a more suitable alternative. Special elderly populations may be even more at risk for substance abuse, while at the same time even more ignored by health care professionals. Arndt (2002) points to the growing numbers of elderly inmates whose substance abuse problems are often ignored, “Little research has been conducted on the mental h...