An increasing number of home care recipients over 65 have alcohol problems, according to a new report from Sweden’s National Board of Health and Welfare (Socialstyrelsen). The trend is causing concern among staff who are raising alarms about increased risks and problems linked to substance abuse.
In Sweden, alcohol consumption has decreased over the past 20 years across all age groups, except for people over 65 who are instead drinking more. The problem is particularly evident in home care services, where alcohol abuse among people in this age group has increased by 73 percent over the past ten years.
– This only applies to people who have been identified through specialized healthcare, which means it’s likely an underestimate and suggests there could also be a significant number of unreported cases, says Isabella Björling, investigator at the National Board of Health and Welfare, in a press release.
Home care staff are also raising alarms about increased substance abuse and the problems that arise. Among other things, the risk of fall injuries increases while there is generally a greater need for care for a person with substance abuse. It also creates a more unpredictable work situation for staff.
– It’s quite common that we have to come in when the situation has become dire. Many times they have been hospitalized, says nursing assistant and safety representative Sofia Andersson to Sweden’s public radio SR.
Difficult to do anything about
The National Board of Health and Welfare believes that competence development is needed within home care services, but also that new working methods need to be developed to handle the growing group of elderly substance abusers.
There is also a need for increased collaboration between healthcare providers as both care needs and the work environment are affected by substance abuse problems.
Despite home care staff seeing the risks, it’s difficult to do anything about substance abuse, according to Andersson.
– We have to, quite bluntly, order alcohol for them. Of course we go in and try to talk about the situation, but if they want us to shop for them, that’s their right, she says.