For the past 30 years, inadequate care for older persons, particularly care that results in charges of abuse, neglect, or exploitation, has been recognized as an important social issue. Published accounts appear to sug-

Estimates of older persons' alcohol abuse vary from 10 to 18% of the older population (Perkins & Tice 1999). Cohort effects-those born at a particular point in time-are highly likely (NIAAA, 1998). "Old," defined as those over 60, now includes those who survi ved Prohibition, the Great Depression, World War II, the Cold War, and most recently those who were young in the 1960s and 70s when attitudes toward alcohol and drug use changed for part of the population (0' Connell, Chin, Cunningham, & Lawlor, 2003).