Senior Substance Abuse: Understanding Addiction in Older Adults

Although alcohol caused very few deaths in this age group, the rates have increased in recent years. In fact, the number of older adults dying from alcohol-related causes rose by 18.2 percent between 2019 and 2020. The AUDIT65 was developed by the WHO as a screening tool to assess for excessive drinking. The AUDIT has been used in a variety of settings and diverse populations including older adults.66 The AUDIT contains ten items that assess for alcohol consumption, drinking behaviors, and alcohol-related problems in the past year.

substance abuse in older adults

These groups foster relational connections, where individuals share their struggles and successes, thereby reducing feelings of isolation and loneliness that can accompany addiction. Although telehealth services have introduced more flexibility for consultations, many seniors lack familiarity with the required technology, which can deter them from utilizing this option. Ageism in the healthcare sector adds another layer, often resulting in subpar treatment options being made available to older patients. Given the rising prevalence of substance use among older adults, age-specific strategies play a significant role in improving treatment outcomes and adherence.

Prescription Drug Abuse​

substance abuse in older adults

Alcohol can also interact with other drugs that older adults may take for medical reasons, such as opioids, benzodiazepines, antidepressants, and anticoagulants, increasing the risk of overdose and death. Drug or alcohol abuse among the elderly is particularly dangerous because senior citizens are more susceptible to the deteriorating effects of these substances. Individuals over 65 have a decreased ability to metabolize drugs or alcohol along with an increased brain sensitivity to them. This makes it dangerous for seniors to use drugs or alcohol at all, even if the person isn’t addicted. Educational campaigns targeting older adults and their caregivers can improve awareness of the signs of substance abuse and available treatment options. By increasing understanding, more individuals can take proactive steps toward recovery.

Opioid Medications

substance abuse in older adults

All information provided in featured rehab listings is verified by the facility officials. The details are kept up to date to help people with addiction treatment needs get the most full and precise facts about the rehabilitation facility. The treatment of cannabis use disorder in older adults is similar to that of the general population. Cannabis use disorder treatment is primarily done through CBT, motivational enhancement therapy (MET), and contingency management (CM) with a combination of the three modalities producing the best outcomes 47. Use of illegal drugs like cocaine and heroin (and marijuana, in some states) is much lower in people 50 and up than in younger people.

  • Han et al. found that, among adults 65 years and older, an estimated 1.2% reported past-year prescription opioid misuse in 2015–2016 56.
  • Recognizing these symptoms early can help individuals access proper care before addiction worsens.
  • The involvement of family and social connections enhances recovery support, while integrating wellness programs addresses mental and emotional well-being.
  • For more information on recovery, check out articles on the importance of a strong support system in recovery and why early intervention matters in substance abuse.
  • Because of the unique issues facing older adults, both individual and group treatments are recommended.
  • Buprenorphine can also be prescribed by primary care physicians whereas methadone must be administered at qualified opioid treatment centers.

Recovery@50Plus: Drug and Alcohol Rehab for Older Adults

Elders are able to utilize offered treatments and benefit from the positive effects of brief interventions, education, counseling and inpatient treatment. The Michigan Alcohol Screening Test-Geriatric Version (MAST-G)101 is an instrument designed to identify drinking problems and was developed specifically for the elderly by modifying the Michigan Alcohol Screening Test. This screening tool contains 24 questions Alcoholics Anonymous with yes/no responses; 5 or more positive responses indicate problematic use.

By implementing tailored treatment approaches, enhancing family and community support networks, and improving access to age-specific resources, we can support older adults on their journey to recovery. It is crucial for healthcare providers, caregivers, and society to prioritize compassionate and comprehensive care for seniors, ensuring they can lead healthier, more fulfilling lives in their golden years. As demographics change, cases of geriatric addictions are more frequently encountered in clinical practice.

substance abuse in older adults

  • Healthcare providers may fail to identify substance misuse due to limited time with patients or a lack of training in recognizing substance abuse in older adults.
  • Adults with SUD often receive both uncoordinated addiction treatment and fragmented primary medical care to manage their chronic medical problems.
  • Evidence suggests that the current “Baby Boom” cohort of aging adults, born from the mid-1940s to mid-1960s, abuses alcohol and psychoactive prescription medications at a higher rate than previous generations did.
  • For example, a person dealing with trauma may benefit most from eye movement desensitization and reprocessing (EMDR).
  • These changes create stress, and people may abuse drugs and alcohol to cope with that stress.

As a result, a given amount of alcohol results in a higher blood alcohol level in older adults and ultimately puts older adults at risk for intoxication and harm at a lower intake of alcohol 16. When you call the number listed on this ad, your call will be answered by Treatment X, a licensed addiction treatment provider and paid advertiser on AddictionResource.net. Addiction creates many difficulties, especially when it occurs in underrepresented communities. The following resources can help older adults, their loved ones, and care providers with SUD management. Older adults and their loved ones might start by looking for Medicare-accepting services. These programs recognize that various demographics face specific challenges and stressors, and they provide treatment that addresses those issues.

substance abuse in older adults

The DSM criterion related to continued use of the substance despite recurrent or persistent problems may not apply to many seniors who do not realize that these problems, such as depression, are related to alcohol use or misuse of prescription drugs. Interruption in social and occupation roles or other repercussions of elderly drug abuse may be less noticeable or likely to occur at this stage of life. With age, one departs from these roles naturally in the vast majority of cases, such as through social isolation due to age-group peer mortality or retirement. According to statistics from the 2005–2006 National Survey on Drug Use and Health, prevalence rates for risky alcohol consumption (more than seven drinks per week or more than three drinks in one sitting) are approximately 10.9% for women and 16.0% for men. In addition, many older adults have binge drinking issues (five or more standard drinks in one sitting). Almost 20% of men and just over 6% of women in this age group are binge drinkers.

This oversight means that many cases of substance abuse remain hidden and untreated. 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. Chronic alcohol use, for example, can lead to liver disease, cardiovascular problems, and neurological damage. Similarly, drug abuse can exacerbate conditions such as hypertension, diabetes, and respiratory issues, increasing the risk of medical complications and reducing overall well-being.

Leave a Reply

Your email address will not be published. Required fields are marked *