Older adults age 50 and over in Maine with substance use disorders need treatment services that are sensitive to age-related or generational issues.
The Most Misused Substances among the Elderly: Alcohol and Heroin
Alcohol remains the most common drug of misuse among those seeking help at multiple centers. However, recently the proportion of people admitted to these centers primarily for heroin use has increased from 11% (17 out of 155) in 2014 to 23.1% (six out of 26) so far in 2015, according to OASAS data. The trend mirrors what is happening through the numerous states, such as the state of New York where the number of admissions for people age 50 and older to outpatient treatment programs statewide for opioids as a primary substance of misuse has increased by 22% from 2,769 in 2010 to 3,370 in 2014, according to OASAS.
Longtime substance use may also have consequences for the individual's family and housing status. For example, a 67-year-old man with an alcohol use disorder may turn to a local homeless shelter after divorcing and losing his job. Others may move from the home of one family member to another in lieu of permanent housing. Multiple organizations work with local service providers to secure more stable housing for those people in their care.
As people get older, their mental health, physical health and personal relationships may start to deteriorate. Although addiction may be more difficult to recognize in this demographic, it's important to pay attention to any unusual signs your elderly loved one displays.
Some signs of elderly drug abuse to look for include:
Once an addiction is identified, it is critical to seek out a treatment center that has specific experience working with seniors facing addiction.
You should look for programs that specialize in this type of addiction and also offer case management services, as individuals over 65 typically lack the social support required throughout recovery. These case management services will provide the elderly with access to medical, psychiatric and social resources to allow for a healthy lifestyle to continue after treatment.
As per The American Society of Addiction Medicine (ASAM) consensus panel, the following are recommended as effective treatment approaches for older adults in substance abuse treatment:
Understanding some of the underlying concerns of older people with substance use disorders is a key part of most centers' approach.
Professionals have noted many older people report feeling they have lost a feeling of meaning and purpose at this stage in their lives. Others may be nursing old wounds. Surveys of participants have found that many suffered childhood trauma. Support groups have been created specifically to deal with these concerns.
Older adults may truly feel alone in their situation and not reach out for help. There is hope and help for this vulnerable population. The first step is to identify the problem and begin the process of helping the elder reach out for support in Maine.
Mental Health Treatment
Outpatient Drug Rehab, Outpatient Mental Health Facility
Individual Psychotherapy, Couple Family Therapy, Cognitive Behavior Therapy, Trauma Therapy
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, State Corrections Or Juvenile Justice Funds
Services For The Hearing Impaired
Drug And Alcohol Treatment Services, Substance Abuse Treatment Services
Outpatient Drug Rehab, Regular Outpatient Treatment
Cognitive Behavior Therapy, Brief Intervention Approach, Motivational Interviewing, Outreach To Persons In The Community, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, 12 Step Facilitation Approach
Cash Or Self Payment, Sliding Fee Scale
Mental Health Treatment, Psychotropic Medication
Inpatient Drug Rehab, Outpatient Drug Rehab, Multi Setting Mental Health Facility
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Trauma Therapy, Telemedicine Therapy, Smoking Tobacco Cessation Counselling
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, State Corrections Or Juvenile Justice Funds, Other State Funds, County Or Local Government Funds, Community Service Block Grants
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse
Outpatient Drug Rehab, Regular Outpatient Treatment
Cognitive Behavior Therapy, Outreach To Persons In The Community, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, Sliding Fee Scale
Drug And Alcohol Treatment Services, Halfway House, Substance Abuse Treatment Services
Inpatient Drug Rehab, Outpatient Drug Rehab, Long Term Drug Rehab, Regular Outpatient Treatment
Cognitive Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Matrix Model, Outreach To Persons In The Community, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, Medicaid, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Sliding Fee Scale
Drug And Alcohol Treatment Services, Substance Abuse Treatment Services
Outpatient Drug Rehab, Intensive Outpatient Treatment, Regular Outpatient Treatment
Cognitive Behavior Therapy, Anger Management, Brief Intervention Approach, Motivational Interviewing, Outreach To Persons In The Community, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, Sliding Fee Scale
Spanish
Drug And Alcohol Treatment Services, Naltrexone, Vivitrol, Disulfiram, Mental Health Treatment Services, Medications For Psychiatric Disorders, Do Not Treat Opioid Addiction
Outpatient Drug Rehab, Outpatient Methadone Buprenorphine Or Vivitrol, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Motivational Interviewing, Outreach To Persons In The Community, Substance Abuse Counseling Approach, Trauma Related Counseling
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance
Services For The Hearing Impaired
Drug And Alcohol Treatment Services, Substance Abuse Treatment Services
Outpatient Drug Rehab, Regular Outpatient Treatment
Cognitive Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Relapse Prevention, Substance Abuse Counseling Approach
Cash Or Self Payment, Medicare, Sliding Fee Scale
Mental Health Treatment, Psychotropic Medication
Hospital Inpatient, Psychiatric Hospital Or Psychiatric Unit Of A General Hospital
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Activity Therapy, Smoking Tobacco Cessation Counselling
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, Payment Assistance
Services For The Hearing Impaired
Drug And Alcohol Treatment Services, Substance Abuse Treatment Services
Outpatient Drug Rehab, Regular Outpatient Treatment
Cognitive Behavior Therapy, Anger Management, Brief Intervention Approach, Motivational Interviewing, Relapse Prevention, Substance Abuse Counseling Approach, 12 Step Facilitation Approach
Cash Or Self Payment, Private Health Insurance
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse
Outpatient Drug Rehab, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Motivational Interviewing, Outreach To Persons In The Community, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, Sliding Fee Scale
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse
Outpatient Drug Rehab, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Motivational Interviewing, Matrix Model, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling
Cash Or Self Payment, Medicaid, Medicare, Private Health Insurance, Sliding Fee Scale
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse
Outpatient Drug Rehab, Outpatient Methadone Buprenorphine Or Vivitrol, Regular Outpatient Treatment
Cognitive Behavior Therapy, Anger Management, Brief Intervention Approach, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance
Mental Health Treatment, Psychotropic Medication
Hospital Inpatient, Outpatient Drug Rehab, Psychiatric Hospital Or Psychiatric Unit Of A General Hospital
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Dual Diagnosis Drug Rehab, Activity Therapy, Telemedicine Therapy
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, State Welfare Or Child And Family Services Funds, Sliding Fee Scale
Services For The Hearing Impaired
Drug And Alcohol Treatment Services, Mental Health Treatment Services
Outpatient Drug Rehab, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Motivational Interviewing, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling
Cash Or Self Payment, Medicaid, Medicare, Private Health Insurance
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse
Outpatient Drug Rehab, Regular Outpatient Treatment
Anger Management, Brief Intervention Approach, Motivational Interviewing, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance
Mental Health Treatment
Outpatient Drug Rehab, Outpatient Mental Health Facility
Individual Psychotherapy, Couple Family Therapy, Cognitive Behavior Therapy, Behavior Modification, Trauma Therapy, Activity Therapy
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, State Education Funds, Other State Funds
Mental Health Treatment, Psychotropic Medication
Inpatient Drug Rehab, Inpatient Treatment Center For Adults
Individual Psychotherapy, Group Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Smoking Tobacco Cessation Counselling, Vocational Rehabilitation Services
Cash Or Self Payment, Medicaid, State Mental Health Agency Funds, Community Mental Health Block Grants, Sliding Fee Scale
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse, Prescribes Administer Buprenorphine And Or Naltrexone
Outpatient Drug Rehab, Regular Outpatient Treatment
Cognitive Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Outreach To Persons In The Community, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, Medicaid, Private Health Insurance, Sliding Fee Scale
Drug And Alcohol Treatment Services
Outpatient Drug Rehab, Intensive Outpatient Treatment, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Matrix Model, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling, 12 Step Facilitation Approach
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