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The aim of this study was to document the patterns of substance use, health status, cognition, social conditions, and health service utilisation of older clients in D&amp;A treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Methods<\/jats:title><jats:p>A cross\u2010sectional observational study of 99 clients aged \u226550 years (M\u2009=\u200955, SD\u2009=\u20094.5; 77% male) attending specialist <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>&amp;<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content> services (N\u2009=\u200930 alcohol treatment, N\u2009=\u200969 opioid treatment) in <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>ydney, <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia. Participants completed a confidential research interview. Findings were compared to aggregated data from younger opioid substitution treatment (<jats:styled-content style=\"fixed-case\">OST<\/jats:styled-content>) clients attending the same services (N\u2009=\u2009214).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Alcohol (46%), benzodiazepines (40%) and cannabis (38%) were the most commonly reported substances used in the past 4 weeks; 23% reported no recent substance use, and 17% reported using three or more drugs. Participants reported high levels of physical and mental health problems, social isolation, low levels of employment, and a third reported difficulties with daily living activities. Forty percent had been injured in a fall in the past 12 months. The mean <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ddenbrooke's Cognitive Examination\u2010R score was 82.4\u2009\u00b1\u20099.6, with 40% performing at a level consistent with severe cognitive impairment. A significantly higher proportion of older participants used alcohol and benzodiazepines than younger clients, and older participants had significantly poorer psychological health, physical health and quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>&amp;<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content> services will require strategies to address the complex physical, mental, cognitive and social problems of older clients. <jats:italic>[Lintzeris N, Rivas C, Monds LA, Leung S, Withall A, Draper B. Substance use, health status and service utilisation of older clients attending specialist drug and alcohol services.<\/jats:italic> Drug Alcohol Rev <jats:italic>2016;35:223\u201331]<\/jats:italic><\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.12266","type":"journal-article","created":{"date-parts":[[2015,10,16]],"date-time":"2015-10-16T20:38:30Z","timestamp":1445027910000},"page":"223-231","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Substance use, health status and service utilisation of older clients attending specialist drug and alcohol services"],"prefix":"10.1111","volume":"35","author":[{"given":"Nicholas","family":"Lintzeris","sequence":"first","affiliation":[{"name":"Drug and Alcohol Services South Eastern Sydney Local Health District  Sydney Australia"},{"name":"Discipline of Addiction Medicine Central Clinical School Sydney Medical School University of Sydney  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Consuelo","family":"Rivas","sequence":"additional","affiliation":[{"name":"Drug and Alcohol Services South Eastern Sydney Local Health District  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren A.","family":"Monds","sequence":"additional","affiliation":[{"name":"Drug and Alcohol Services South Eastern Sydney Local Health District  Sydney Australia"},{"name":"Discipline of Addiction Medicine Central Clinical School Sydney Medical School University of Sydney  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefanie","family":"Leung","sequence":"additional","affiliation":[{"name":"Drug and Alcohol Services South Eastern Sydney Local Health District  Sydney Australia"},{"name":"Discipline of Addiction Medicine Central Clinical School Sydney Medical School University of Sydney  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrienne","family":"Withall","sequence":"additional","affiliation":[{"name":"School of Public Health and Community Medicine University of New South Wales  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Draper","sequence":"additional","affiliation":[{"name":"School of Psychiatry University of New South Wales  Sydney Australia"},{"name":"Sydney and Academic Department for Old Age Psychiatry Prince of Wales Hospital  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,10,26]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Australian Institute of Health and Welfare.Alcohol and other drug treatment services in Australia 2011\u201312. 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