{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T11:52:59Z","timestamp":1792151579324,"version":"4.4.0"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The New South Wales Involuntary Drug and Alcohol Treatment (IDAT) program provides last-resort involuntary inpatient treatment for severe substance dependence. This study described older adults with severe alcohol use disorder (AUD) admitted to IDAT and their alcohol-related emergency department (ED) use after discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included patients aged \u226560\u00a0years with primary AUD admitted to an IDAT unit during 2016\u20132022. Demographic, social and clinical variables were summarised. Alcohol-related ED presentations before admission and after discharge were compared; time to first post-discharge presentation was examined using Kaplan\u2013Meier analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 374 admissions, 37 older adults met inclusion criteria. Medical and psychiatric comorbidity, living alone and residence outside major cities were common. Among 36 participants included in post-discharge analyses, alcohol-related ED presentations were lower in the 6\u00a0months after discharge than in the 6\u00a0months before admission (median 1 vs 3,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Within 6\u00a0months, 22 participants (61%) re-presented, of whom 18 (82%) first re-presented within 3 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Older adults admitted to IDAT for severe AUD formed a clinically and socially complex cohort. Alcohol-related ED re-presentations were concentrated within 3\u00a0months of discharge, highlighting a high-risk transition period requiring structured continuity of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562261497181","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T07:37:07Z","timestamp":1791963427000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Post-discharge alcohol-related emergency department use among older adults following involuntary inpatient treatment for alcohol use disorder"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6572-0039","authenticated-orcid":false,"given":"Yoon","family":"Park","sequence":"first","affiliation":[{"name":"Northern Sydney Local Health District"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgina","family":"Luscombe","sequence":"additional","affiliation":[{"name":"The University of Sydney"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stanley","family":"Theodorou","sequence":"additional","affiliation":[{"name":"Western NSW Local Health District"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynette","family":"Bullen","sequence":"additional","affiliation":[{"name":"Western NSW Local Health District"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1776-3974","authenticated-orcid":false,"given":"Mark","family":"Montebello","sequence":"additional","affiliation":[{"name":"Northern Sydney Local Health District"},{"name":"The University of Sydney"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_3_8_2_2","volume-title":"Older people's use of alcohol, tobacco, e-cigarettes and other drugs","author":"Australian Institute of Health and Welfare","year":"2024","unstructured":"Australian Institute of Health and Welfare. Older people's use of alcohol, tobacco, e-cigarettes and other drugs. Canberra: Australian Institute of Health and Welfare, 2024. Available at: https:\/\/www.aihw.gov.au\/reports\/older-people\/older-people-alcohol-drugs (accessed 21 August 2026)."},{"key":"e_1_3_8_3_2","volume-title":"Australian guidelines to reduce health risks from drinking alcohol","author":"National Health and Medical Research Council","year":"2020","unstructured":"National Health and Medical Research Council. Australian guidelines to reduce health risks from drinking alcohol. Canberra: National Health and Medical Research Council, 2020. 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Drug and Alcohol Treatment Act 2007 No 7. Sydney: New South Wales Government, 2007. Available at: https:\/\/legislation.nsw.gov.au\/view\/html\/inforce\/current\/act-2007-007 (accessed 21 August 2026)."},{"key":"e_1_3_8_14_2","volume-title":"The Involuntary Drug and Alcohol Treatment Program","author":"NSW Health","year":"2024","unstructured":"NSW Health. The Involuntary Drug and Alcohol Treatment Program. Sydney: NSW Health, 2024. Available at: https:\/\/www.health.nsw.gov.au\/aod\/programs\/Pages\/idat-gi.aspx (accessed 21 August 2026)."},{"key":"e_1_3_8_15_2","doi-asserted-by":"publisher","DOI":"10.5694\/mja12.10387"},{"key":"e_1_3_8_16_2","volume-title":"Severe Substance Dependence Treatment Act 2010 (Vic)","author":"Victorian Government","year":"2010","unstructured":"Victorian Government. Severe Substance Dependence Treatment Act 2010 (Vic). Melbourne: Victorian Government, 2010. Available at: https:\/\/www.legislation.vic.gov.au\/in-force\/acts\/severe-substance-dependence-treatment-act-2010 (accessed 21 August 2026)."},{"key":"e_1_3_8_17_2","volume-title":"Substance Addiction (Compulsory Assessment and Treatment) Act 2017 No 4 (NZ)","author":"New Zealand Government","year":"2017","unstructured":"New Zealand Government. Substance Addiction (Compulsory Assessment and Treatment) Act 2017 No 4 (NZ). Wellington: New Zealand Government, 2017. 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