Résumé
Background: Benzodiazepine receptor agonist (BZRA) use disorder among older adults is a relatively common and challenging clinical condition. Method: The Canadian Coalition for Seniors' Mental Health, with financial support from Health Canada, has produced evidencebased guidelines on the prevention, identification, assessment, and management of this form of substance use disorder. Results: Inappropriate use of BZRAs should be avoided by considering non-pharmacological approaches to the management of late life insomnia, anxiety, and other common indications for the use of BZRA. Older persons should only be prescribed BZRAs after they are fully informed of alternatives, benefits, and risks associated with their use. Clinicians should have a high index of suspicion for the presence of BZRA use disorders. The full version of these guidelines can be accessed at www.ccsmh.ca Conclusions: A person-centred, stepped care approach utilizing gradual dose reductions should be used in the management of BZRA use disorder.
| Langue d'origine | English |
|---|---|
| Pages (de-à) | 116-122 |
| Nombre de pages | 7 |
| Journal | Canadian Geriatrics Journal |
| Volume | 23 |
| Numéro de publication | 1 |
| DOI | |
| Statut de publication | Published - mars 2020 |
Note bibliographique
Funding Information:The project was funded by Health Canada (Substance Use and
Funding Information:
The Canadian Coalition for Seniors’ Mental Health (CC-SMH), with financial support from the Substance Use and Addictions Program of Health Canada, has created a set of four guidelines on the prevention, assessment, and management of substance use disorders among older adults for alcohol, benzodiazepine receptor agonists (BZRAs), cannabis, and opioids. This article deals with the BZRA use disorder guideline.
Funding Information:
Funding for the CCSMH Substance Use Disorder Guidelines was provided by Health Canada, Substance Use and Addictions Program. The CCSMH gratefully acknowledges Health Canada for its ongoing support and continued commitment to the area of seniors’ mental health. We would also like to thank Drs. Simon Davies, Barbara Farrell, Meldon Kahan, and Karen Reimers for reviewing the draft guideline document and providing clinical perspective to the CCSMH. We would like to thank the Canadian Centre on Substance Use and Addiction and the Behavioural Supports Ontario Substance Use Collaborative for their contributions throughout the development of the Guidelines, Tonya Mahar (Manager, Library Services, Baycrest) for her assistance with literature searches, and CCSMH staff who provided outstanding support of the project (Claire Checkland, Indira Fernando, Natasha Kachan, and Marc-Andre LeBlanc). The CCSMH is a project of the Canadian Academy of Geriatric Psychiatry. Members of the BZRA Use Disorder Among Older Adults Guideline Development Working Group: David K. Conn (co-lead), David B. Hogan, (co-lead), Lori Amdam, Keri-Leigh Cassidy, Peter Cordell, Christopher Frank, David Gardner, Morris Goldhar, Joanne M-W Ho, Christopher Kitamura, Nancy Vasil.
Funding Information:
Funding for the CCSMH Substance Use Disorder Guidelines was provided by Health Canada, Substance Use and Addictions Program. The CCSMH gratefully acknowledges Health Canada for its ongoing support and continued commitment to the area of seniors' mental health. We would also like to thank Drs. Simon Davies, Barbara Farrell, Meldon Kahan, and Karen Reimers for reviewing the draft guideline document and providing clinical perspective to the CCSMH. We would like to thank the Canadian Centre on Substance Use and Addiction and the Behavioural Supports Ontario Substance Use Collaborative for their contributions throughout the development of the Guidelines, Tonya Mahar (Manager, Library Services, Baycrest) for her assistance with literature searches, and CCSMH staff who provided outstanding support of the project (Claire Checkland, Indira Fernando, Natasha Kachan, and Marc-Andre LeBlanc). The CCSMH is a project of the Canadian Academy of Geriatric Psychiatry. Members of the BZRA Use Disorder Among Older Adults Guideline Development Working Group: David K. Conn (co-lead), David B. Hogan, (co-lead), Lori Amdam, Keri-Leigh Cassidy, Peter Cordell, Christopher Frank, David Gardner, Morris Goldhar, Joanne M-W Ho, Christopher Kitamura, Nancy Vasil.
Publisher Copyright:
© 2020 Author(s). Published by the Canadian Geriatrics Society.
ASJC Scopus Subject Areas
- Gerontology
- Geriatrics and Gerontology
PubMed: MeSH publication types
- Journal Article
ODD de l’ONU
Cette action contribue à la réalisation des objectifs de développement durable suivants
