The authors conducted a retrospective study of problem drinking among
persons admitted to a Veterans Affairs Nursing Home Care Unit (VA NHCU
). Lifetime problem drinking was prevalent in 36% of admissions, two-t
hirds of whom had active alcohol problems. Problem drinkers were young
er and less often currently married than NHCU residents without alcoho
l problems. Forty-seven per cent of persons with active alcohol proble
ms returned to independent living. The results suggest that VA NHCUs m
ay be an important transition between hospital and home for elderly pa
tients with alcohol problems, affording an opportunity for identificat
ion and intervention.