Substance use and abuse in older adulthood: experiences of older-adult substance users and adult family members

摘要

This thesis is organised into two volumes. The first comprises a literature review and a research report which explored experiences related to substance use and misuse in older adulthood. The second volume is a collection of Clinical Practice Reports. udVolume One includes a literature review entitled “Older adults’ experiences of substance use: a systematic narrative review of qualitative literature” and an empirical research paper which was designed to explore experiences of an adult with children who was also providing care or support for their parent who had an alcohol use problem.udVolume Two is made up of five reports. The first presents psychodynamic and cognitive formulations of depression and anxiety experienced by a 33-year-old woman, whilst the second is a case study of cognitive therapy completed with a 23-year-old man with obsessional thoughts and associated notions of inflated responsibility. The third report describes an evaluation of the proposed development of a community forensic service for people with a learning disability, with an evaluation of an intervention based on solution focused therapy with a 69-year-old woman experiencing depression and anxiety being the penultimate report. The volume ends with a summary of an oral presentation detailing the development of an outcome measure for a children’s centre.ud