Older adults age 50 and over in North Dakota 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 North Dakota.
Mental Health Treatment, Psychotropic Medication
Hospital Inpatient, Partial Hospitalization Or Day Treatment, Psychiatric Hospital Or Psychiatric Unit Of A General Hospital
Individual Psychotherapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Trauma 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, Other State Funds, County Or Local Government Funds
Services For The Hearing Impaired
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab, Outpatient Mental Health Facility
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Smoking Tobacco Cessation Counselling
Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Payment Assistance
Drug And Alcohol Treatment Services, Do Not Treat Opioid Addiction
Short Term Drug Rehab, Outpatient Detoxification
Cognitive Behavior Therapy, Anger Management, Outreach To Persons In The Community, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse, Do Not Treat Opioid Addiction
Outpatient Drug Rehab, Regular Outpatient Treatment
Cognitive Behavior Therapy, 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, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, Sliding Fee Scale, Payment Assistance
Drug And Alcohol Treatment Services, Substance Abuse Treatment Services
Outpatient Drug Rehab, Short Term Drug Rehab, Outpatient Detoxification, Outpatient Methadone Buprenorphine Or Vivitrol, Outpatient Day Treatment Or Partial Hospitalization, Intensive Outpatient Treatment, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Brief Intervention Approach, Motivational Interviewing, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling, 12 Step Facilitation Approach
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab, Community Mental Health Center, Partial Hospitalization Or Day Treatment
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Vocational Rehabilitation Services
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, Other State Funds, Community Service Block Grants, Community Mental Health Block Grants, Sliding Fee Scale, Payment Assistance
Services For The Hearing Impaired
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse
Outpatient Drug Rehab, Short Term Drug Rehab, Outpatient Detoxification, Outpatient Methadone Buprenorphine Or Vivitrol, Intensive Outpatient Treatment, Computerized Treatment
Cognitive Behavior Therapy, Dialectical 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, Smoking Tobacco Cessation Counselling, Trauma Related Counseling, 12 Step Facilitation Approach
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse
Outpatient Drug Rehab, Short Term Drug Rehab, Outpatient Detoxification, Intensive Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Contingency Management Motivational Incentive, Motivational Interviewing, Relapse Prevention, Substance Abuse Counseling Approach, 12 Step Facilitation Approach
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse, Medications For Psychiatric Disorders
Inpatient Drug Rehab, Outpatient Drug Rehab, Short Term Drug Rehab, Long Term Drug Rehab, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical 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
Mental Health Treatment, Psychotropic Medication
Hospital Inpatient, Inpatient Drug Rehab, Psychiatric Hospital Or Psychiatric Unit Of A General Hospital
Individual Psychotherapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Telemedicine Therapy, Smoking Tobacco Cessation Counselling, Vocational Rehabilitation Services
Cash Or Self Payment, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, State Corrections Or Juvenile Justice Funds, Payment Assistance
Services For The Hearing Impaired, Spanish, Other Languages, Farsi, German
Drug And Alcohol Treatment Services, Detox, Naltrexone, Vivitrol, Acamprosate, Alcohol Detoxification, Benzodiazepines Detoxification, Cocaine Detoxification, Disulfiram, Methamphetamines Detoxification, Mix Of Mental Health And Substance Abuse, Medications For Psychiatric Disorders, Opioids Detoxification
Hospital Inpatient, Inpatient Drug Rehab, Outpatient Drug Rehab, Short Term Drug Rehab, Long Term Drug Rehab, Outpatient Methadone Buprenorphine Or Vivitrol, Outpatient Day Treatment Or Partial Hospitalization, Intensive Outpatient Treatment, Regular Outpatient Treatment, Hospital Inpatient Detoxification, Hospital Inpatient Treatment, Psychiatric Hospital
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Brief Intervention Approach, Motivational Interviewing, 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, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance
Services For The Hearing Impaired
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