Treatment challenges for elders

There are unique challenges when it comes to treating elders with an SUD. These challenges can arise during diagnosis and continue throughout the treatment process.

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Diagnosis
  • There is a lack of screening methods targeted towards older adults
  • Providers may confuse symptoms of an SUD with other chronic health conditions or changes from aging
  • Older adults may have difficulty recognizing behaviors related to their substance use
Support
  • Physicians may hesitate to confront older patients about substance abuse, because they don’t want to appear disrespectful
  • Children and family members may have misconceptions or think lightly of the SUD. Misconceptions could include:
    • Assuming drinking isn’t harmful because the elder can no longer drive
    • Believing that substance use is fine because they are “the last pleasures” an elder has
Treatment
  • Specialized treatments tailored to older adults are limited
    • One survey found that only 18% of treatment programs were designed for older adults
  • Older adults may be isolated and have difficulty finding transportation to appointments
  • They may not have the ability to pay for their treatment
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