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Variation Among Aging Alcoholic Patients in Treatment

Received June 27, 2000; revised October 5, 2000; accepted October 30, 2000. From the Department of Psychiatry, Oregon Health and Science University, and the Chemical Addictions Rehabilitation Section, Mental Health Division, Veterans Affairs Medical Center, Portland OR. Address correspondence to Dr. Atkinson, Psychiatry (OP02), OHSU, 3181 SW Sam Jackson Park Road, Portland OR 97201.

The authors compared demographic and clinical features of two groups of older patients with alcohol use disorders (n=205 and 124) selected before and after major program changes took place at a clinic designed specifically to treat aging alcoholic patients. Program changes (admission criteria, case-finding practices, treatments offered), significantly altered case-mix and treatment adherence. Results demonstrate variability among older alcoholic patients as well as the impact of program policies and practices on patient profiles and treatment responses.

Key Words: Alcoholism

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