Treating Substance Use Disorder in Older Adults NCBI Bookshelf
Studies have found that increased social what is alcoholism interaction among seniors has been linked with positive outcomes such as improved cognitive functioning and lower rates of depression and anxiety. Statements from elders in recovery suggest that older patients are grateful for a new life in free of substance abuse. Elders in recovery also express feeling relieved to find alternatives to prescription medications for chronic pain and anxiety, glad to contribute to society in meaningful ways, and happy to find new friends and relief from loneliness through engaging in treatment. Because of the unique issues facing older adults, both individual and group treatments are recommended.
How can family members or caregivers recognize and address substance use disorder in older adults?
- They may be taking these substances in the same doses or amounts they always did without realizing they now face a higher risk.
- Identification of problem use among older adults does not depend on the quantity and frequency of use but on the context in which substances are used.
- However, it is important to note that the NIAAA also recommends that adults age 65 or older limit their alcohol consumption to 1 standard drink per day or 7 standard drinks per week with no more than 3 drinks per occasion 13.
The increasing recognition of substance misuse among older adults underscores the importance of appropriate treatment. In 2018, nearly 1 million adults aged 65 and older were reported to live with a substance use disorder. This has led to advancements in care that are better suited for this demographic. Many older adults’ substance misuse goes underrecognized and undertreated, increasing the risk of harmful drug interactions, particularly in those who take multiple medications 7. Recognizing these social indicators can help family and caregivers provide essential support.
What are the most common substances of misuse?
This review provides updated information on epidemiology, special considerations, and management of substance use disorders in older adults. As substance use disorders become more prevalent in older adults, primary care https://zipbr.com.br/the-benefits-of-aftercare-and-continued-support-in/ physicians must be prepared to recognize and diagnose substance use disorders as well as collaborate with and refer patients to geriatric medicine, geriatric psychiatry, and addiction medicine. At NewYork-Presbyterian/Weill Cornell Medicine, geriatric psychiatrists, clinical psychologists, social workers, nurses, and others provide dedicated care to older people challenged by mental health issues, including SUD.
Types of Care Available in the Formal Treatment System
Further exacerbating this issue is the fact that counties with a higher percentage of Black, rural, and/or uninsured residents were less likely to have an SUD facility that accepts Medicaid 83. There are specific biologic and social factors in older adults that make it difficult to diagnose SUDs using Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 criteria. Many criteria are not relevant to older adults because of changing social norms in older adults 7.
Risk Factors for Substance Use Disorders Among Seniors
Among adults aged 50 years and older in 2012, 4.6 million reported past-year marijuana use, and less than one million reported cocaine, inhalants, hallucinogens, methamphetamine, and/or heroin use in the past year. The older population is certainly not immune to the horrible repercussions of the opioid epidemic or the possible unfavorable reactions between alcohol and other prescription drugs, among other SUD issues. Chronic alcohol use, for example, can lead to liver disease, cardiovascular problems, and neurological damage.
Treatment
- Identifying the signs of substance misuse in older adults can be crucial for early intervention and effective support.
- Pharmacologic treatment of SUD has been extensively studied in adult patients but not older adults.3,12 There are no randomized, control trials that study pharmacologic treatment of SUD in older adults.3,12 Disulfiram, acamprosate, and naltrexone have indications for alcohol abuse.
- An example of such an intervention in this framework could be implemented in opioid treatment programs given the increasing age of their treatment population in many countries (Carew & Comiskey, 2018) and the frequent and long-term contact between patients and providers.
- For example, a person dealing with trauma may benefit most from eye movement desensitization and reprocessing (EMDR).
- Finding the right support resources is essential for individuals diagnosed with substance use disorder.
Elderly substance abuse poses significant dangers to physical and mental health.6 Older adults are more vulnerable to the adverse effects of drugs and alcohol due to changes in metabolism and increased susceptibility to prescription drug interactions. This can lead to accidents, falls, overdose, and worsened medical health problems. Recognizing this growing concern, Wellbridge offers treatment and support to seniors battling addiction and dual diagnosis issues. With a compassionate and specialized approach, Wellbridge addresses the complex interplay between substance use disorder and underlying mental health conditions, empowering older adults to reclaim their well-being and thrive in their golden years. Our comprehensive programs encompass personalized therapy, medical intervention, and holistic wellness practices to ensure a multifaceted approach to recovery. Through our collaborative efforts, we aim not only to treat the symptoms but also to foster resilience and strengthen the foundations of long-term sobriety.
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This is why it’s vital for older women – and all people – to enjoy alcoholic beverages and other substances responsibly and mindfully. For example, Medicare Part B takes care of costs for services in opioid treatment programs. According to NIDA, older adults typically metabolize substances more slowly, and their brains can be more sensitive to drugs. Older substance abuse in older adults adults have an increased sensitivity to drug and alcohol misuse because their bodies metabolize substances differently than younger individuals, causing more severe side effects. In addition, older adults are more than likely prescribed medications that can cause dangerous interactions.
RISK FACTORS FOR OLDER ADULTS USING SUBSTANCES
This increases the risk of drug-drug interactions significantly, as noted by the National Institute on Drug Abuse. Informational campaigns can help ensure that older adults understand the potential for interactions and the importance of monitoring their substance use. Roughly 65% of those aged 60 and older reported engaging in high-risk drinking practices, which are defined as exceeding daily guidelines at least weekly in the past year 1. Additionally, more than 10% of older adults binge drink, which can lead to serious health problems such as liver issues, heart failure, and cognitive decline. Hand-in-hand with prescription drug misuse is the prevalence of chronic pain in aging populations.
Addiction may carry an especially powerful stigma among older adults, whose religious communities may view substance abuse as a lack of self-control rather than an illness. When rehab centers provide specialized care for older adults, they may offer support groups for this demographic. Addiction is an isolating disorder, and feelings of isolation can trigger alcohol and drug use.