The psychedelic 1960s, hippies in their 60s: substance abuse in the elderly.

A 77-year-old man who attended the Woodstock concert and was part of the 1960s counterculture was referred to a geriatric assessment clinic for worsening cognition. The case highlights the importance of taking a complete medication history in elderly patients, including past and present substance abuse and dietary supplements. Consultant pharmacists who understand alcohol and substance abuse and its effects on drug regimens can recommend dosage adjustments to improve quality of life.

Study at a glance

Abstract

Individuals who attended the famous Woodstock concert--known collectively as hippies--were part of the "counterculture" of the late 1960s and well known for their use of illicit, sometimes psychedelic, drugs. Did they and other former hippies, who are now in their sixties and seventies, continue their substance abuse, and how are they presenting now? This case evaluates a 77-year-old man who was referred to the geriatric assessment clinic for evaluation of worsening cognition. This case illustrates the need to conduct a complete medication history, including substance abuse and dietary supplements, in elderly patients. Consultant pharmacists with knowledge of alcohol and substance abuse and the influence of this abuse on a patient's drug regimen can make improved quality-of-life recommendations for appropriate dosage adjustments as needed.