Older adults age 50 and over in Oregon 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 Oregon.
Drug And Alcohol Treatment Services, Do Not Treat Opioid Addiction, Substance Abuse Treatment Services
Outpatient Drug Rehab, Intensive Outpatient Treatment, Regular Outpatient Treatment
Cognitive Behavior Therapy, Anger Management, Contingency Management Motivational Incentive, Motivational Interviewing, Relapse Prevention, Substance Abuse Counseling Approach, 12 Step Facilitation Approach
Cash Or Self Payment, Private Health Insurance
Other Languages, Hindi
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab, Outpatient Mental Health Facility
Individual Psychotherapy, Couple Family Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, 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, County Or Local Government Funds, Community Service Block Grants, Community Mental Health Block Grants, US Department Of Va Funds
Drug And Alcohol Treatment Services, Substance Abuse Treatment Services
Outpatient Drug Rehab, Outpatient Methadone Buprenorphine Or Vivitrol, 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, 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
Services For The Hearing Impaired
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab, Community Mental Health Center
Individual Psychotherapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Smoking Tobacco Cessation Counselling
Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, State Mental Health Agency Funds, State Corrections Or Juvenile Justice Funds, County Or Local Government Funds, Community Service Block Grants, Community Mental Health Block Grants
Spanish
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse, Medications For Psychiatric Disorders
Outpatient Drug Rehab, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Motivational Interviewing, Outreach To Persons In The Community, Relapse Prevention, 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, Access To Recovery Voucher, Sliding Fee Scale, Payment Assistance
Spanish
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, Outpatient Day Treatment Or Partial Hospitalization, Computerized 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, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling, 12 Step Facilitation Approach
Services For The Hearing Impaired
Drug And Alcohol Treatment Services, Detox, Buprenorphine Used In Treatment, Buprenorphine Maintenance For Predetermined Time, Buprenorphine Maintenance, Buprenorphine Detoxification, Mix Of Mental Health And Substance Abuse, Opioids Detoxification, Prescribes Administer Buprenorphine And Or Naltrexone
Outpatient 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, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Community Reinforcement Plus Vouchers, Motivational Interviewing, Matrix Model, 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, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, Access To Recovery Voucher, Sliding Fee Scale, Payment Assistance
Services For The Hearing Impaired, Spanish, Other Languages, Tagalog
Drug And Alcohol Treatment Services, Methadone Maintenance, Buprenorphine Used In Treatment, All Clients In Opioid Treatment Program, Samhsa Certified Opioid Treatment Program, Buprenorphine Maintenance, Disulfiram, Methadone, Substance Abuse Treatment Services
Outpatient Drug Rehab, Outpatient Methadone Buprenorphine Or Vivitrol, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, 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, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, Sliding Fee Scale
Drug And Alcohol Treatment Services, Buprenorphine Used In Treatment, Naltrexone, Vivitrol, Disulfiram, Mix Of Mental Health And Substance Abuse, Medications For Psychiatric Disorders
Outpatient Drug Rehab, Outpatient Methadone Buprenorphine Or Vivitrol, Intensive Outpatient Treatment, Regular Outpatient Treatment, Computerized Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Community Reinforcement Plus Vouchers, Motivational Interviewing, Matrix Model, 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, Access To Recovery Voucher, Payment Assistance
Services For The Hearing Impaired
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse, Medications For Psychiatric Disorders
Outpatient Drug Rehab, Intensive Outpatient Treatment, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Brief Intervention Approach, Motivational Interviewing, Matrix Model, 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, Sliding Fee Scale, Payment Assistance
Spanish
Mental Health Treatment, Psychotropic Medication
Hospital Inpatient, Outpatient Drug Rehab, Psychiatric Hospital Or Psychiatric Unit Of A General Hospital
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, County Or Local Government Funds
Services For The Hearing Impaired
Drug And Alcohol Treatment Services, Detox, Methadone Maintenance, Methadone Detoxification, All Clients In Opioid Treatment Program, Samhsa Certified Opioid Treatment Program, Benzodiazepines Detoxification, Cocaine Detoxification, Disulfiram, Methamphetamines Detoxification, Methadone, Opioids Detoxification, Substance Abuse Treatment Services
Outpatient Drug Rehab, Outpatient Detoxification, Outpatient Methadone Buprenorphine Or Vivitrol, Intensive Outpatient Treatment, 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, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, Medicaid, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance
Spanish
Drug And Alcohol Treatment Services, Detox, Mix Of Mental Health And Substance Abuse
Outpatient Drug Rehab, Outpatient Detoxification, Outpatient Methadone Buprenorphine Or Vivitrol, Outpatient Day Treatment Or Partial Hospitalization, Intensive Outpatient Treatment, Regular Outpatient Treatment
Cognitive Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Outreach To Persons In The Community, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling
Cash Or Self Payment, Medicaid, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab, Community Mental Health Center
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Telemedicine Therapy, Therapeutic Foster Care
Cash Or Self Payment, Medicaid, Medicare, State Mental Health Agency Funds, Community Mental Health Block Grants, Sliding Fee Scale, Payment Assistance
Services For The Hearing Impaired, Spanish
Drug And Alcohol Treatment Services, Naltrexone, Vivitrol, Halfway House, Mix Of Mental Health And Substance Abuse, Medications For Psychiatric Disorders, Prescribes Administer Buprenorphine And Or Naltrexone
Outpatient Drug Rehab, Outpatient Day Treatment Or Partial Hospitalization, Intensive Outpatient Treatment, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Community Reinforcement Plus Vouchers, 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, Payment Assistance
Services For The Hearing Impaired, Spanish
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, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, Private Health Insurance
Drug And Alcohol Treatment Services, Detox, Methadone Maintenance, Methadone Detoxification, Buprenorphine Used In Treatment, All Clients In Opioid Treatment Program, Samhsa Certified Opioid Treatment Program, Alcohol Detoxification, Benzodiazepines Detoxification, Buprenorphine Maintenance For Predetermined Time, Buprenorphine Maintenance, Cocaine Detoxification, Buprenorphine Detoxification, Disulfiram, Methamphetamines Detoxification, Methadone, Methadone Maintenance For Predetermined Time, Opioids Detoxification, Substance Abuse Treatment Services
Outpatient Drug Rehab, Outpatient Detoxification, Outpatient Methadone Buprenorphine Or Vivitrol, Intensive Outpatient Treatment
Cognitive Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Matrix Model, Outreach To Persons In The Community, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, Medicaid, State Financed Health Insurance Plan Other Than Medicaid
Drug And Alcohol Treatment Services, Detox, Methadone Maintenance, Methadone Detoxification, Buprenorphine Used In Treatment, Samhsa Certified Opioid Treatment Program, Buprenorphine Maintenance For Predetermined Time, Buprenorphine Maintenance, Buprenorphine Detoxification, Methadone, Methadone Maintenance For Predetermined Time, Opioids Detoxification, Substance Abuse Treatment Services
Outpatient Drug Rehab, Outpatient Detoxification, Outpatient Methadone Buprenorphine Or Vivitrol, Intensive Outpatient Treatment, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Motivational Interviewing, Matrix Model, 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, Private Health Insurance, Sliding Fee Scale, Payment Assistance
Services For The Hearing Impaired, Spanish
Drug And Alcohol Treatment Services, Vivitrol, Mix Of Mental Health And Substance Abuse, Prescribes Administer Buprenorphine And Or Naltrexone
Outpatient Drug Rehab, Outpatient Methadone Buprenorphine Or Vivitrol, Intensive Outpatient Treatment, Regular Outpatient 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
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Sliding Fee Scale, Payment Assistance
Spanish
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab, Outpatient Mental Health Facility
Individual Psychotherapy, Group 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, State Education Funds, Other State Funds, County Or Local Government Funds, Community Service Block Grants, Community Mental Health Block Grants, US Department Of Va Funds
Services For The Hearing Impaired, Spanish, Other Languages, German
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