Addiction Treatment Services for Seniors in Colorado & New Mexico

Substance abuse is a significant issue across all age groups, but one demographic that is often overlooked is the older adult population. While much of the focus for treatment and prevention tends to be on younger generations, older adults face unique challenges and risks when it comes to addiction. At Porch Light Health, we understand the importance of addressing substance abuse in older adults, a growing concern that, too often, remains unnoticed and untreated.

Substance use in older adults is among the fastest-growing public health concerns in the United States, with the percentage of older individuals (55+) admitted to addiction treatment facilities continuing to increase year over year. For example, recent data demonstrates that older adult substance use admissions saw a 190% increase in recent years, climbing from around 9% in 2008 to just over 15% in 2018. 

Additionally, according to the National Institute on Drug Abuse (NIDA), the number of older adults who misuse drugs and alcohol in general is increasing, with nearly 1 million older adults struggling with a substance use disorder (SUD). This trend is expected to continue as the baby boomer generation ages. Here are some vital statistics highlighting the severity and prevalence of this issue:

• Alcohol abuse: Approximately 65% of adults aged 65 and older reported engaging in high-risk drinking, with about 10% engaging in binge drinking.
• Prescription drug abuse: Due to the development of chronic conditions that arise with age, older adults are more likely to be exposed to potentially addictive prescription medications. One study found that at least 80% of older adult participants used one prescription medication daily. 
• Illicit drug use: A study found that among a group of older adults aged 50–59 who were using illegal drugs in 2007, almost 90% had started using them before age 30, highlighting the lifelong nature of illicit drug use.

Various factors contribute to substance abuse in older adults, making them particularly vulnerable to developing substance use disorders. Key risk factors include:

• Chronic pain: Many older adults experience chronic pain conditions, leading them to use prescription medications that have the potential for abuse.
• Mental health issues: Depression, anxiety, and other mental health issues are prevalent among seniors, sometimes leading to self-medication with drugs or alcohol.
• Social isolation: Loneliness and social isolation can drive older adults to substance use as a coping mechanism.
• Grief and loss: The loss of a spouse, friends, or loved ones can lead to increased substance use as a way to cope with grief.
• Physical health decline: Aging can bring about various physical health issues, which may lead to increased substance use to manage symptoms.
• Physical disability: Physical disabilities can limit mobility and independence, leading to increased substance use as a form of self-medication or coping.
• Medical comorbidities: The presence of multiple medical conditions can complicate treatment and lead to the misuse of medications.
• History of substance abuse: A previous history of substance abuse can increase the risk of relapse or continued use in older age.

Seniors face unique vulnerabilities when it comes to addiction, stemming from a combination of physiological, psychological, and social factors.

1. Slower metabolism and increased sensitivity to substances

Older adults often experience physiological changes that impact how substances are processed and metabolized. The metabolic rate slows down with age, leading to longer processing times for substances in the body. This can increase the duration and intensity of the effects of drugs and alcohol, heightening the risk of overdose and adverse reactions.

Senior adults may also experience heightened sensitivity to substances due to changes in the brain and body, making them more susceptible to the effects of smaller doses.

2. Dangers of managing multiple prescription medications

Older adults are likely to be prescribed numerous medications to manage various chronic conditions, which can increase their vulnerability, making them more likely to forget to take their medications, take them too often, or take the wrong amount. This can lead to unintentional abuse or misuse. 

Additionally, combining prescription medications with alcohol or other substances can result in harmful drug interactions, exacerbating side effects and potentially leading to life-threatening circumstances.

3. Increased stigma, embarrassment, and shame

The stigma associated with substance abuse may be experienced differently or more intensely by individuals in older generations, further complicating their vulnerability. If older adults experienced a culture where addiction was heavily stigmatized, they may be less likely to seek help or admit to their struggles. 

Older adults may also experience shame or embarrassment surrounding their substance abuse, feel resigned to their habits, or believe it is too late for change, reducing motivation and willingness to seek treatment.

Identifying substance abuse in older adults can be challenging. Symptoms of substance abuse may mimic or be mistaken for other age-related health issues. It’s essential to be aware of the signs to look out for to differentiate between age-related issues and a potentially life-threatening addiction. Here are some signs an older individual may be grappling with substance use:

• Changes in behavior: Noticeable, unexplained, and sudden changes in mood, energy levels, or social interactions can be red flags. This includes increased irritability, withdrawal from social activities, or unexplained anger.
• Neglecting responsibilities: Failing to meet obligations, such as forgetting to take medications, missing appointments, or neglecting personal hygiene, can indicate substance abuse.
• Physical symptoms: Look for signs such as unexplained bruises, frequent falls, changes in sleep patterns, or weight loss.
• Increased tolerance: Needing more of a substance (even a prescribed medication) to achieve the same effect is a classic sign of substance abuse.
• Financial issues: Unexplained financial difficulties or sudden financial problems may indicate using funds to purchase substances.
• Doctor shopping: Visiting multiple doctors to obtain prescriptions or using numerous pharmacies can indicate prescription drug abuse.

Research suggests that age-specific programs are linked to better treatment outcomes for older adults. At Porch Light Health, we understand the need for personalized treatment for most individuals with SUD. Our programs are designed to address each person's unique needs, ensuring that they receive the most effective and supportive care possible. When it comes to addiction treatment for older adults, here are a few of the most effective strategies:

1. Non-Confrontational Treatment Approach

Older adults may be sensitive to aggressive or confrontational treatment techniques and language. When providing treatment for older individuals, it’s crucial to emphasize empathy, understanding, and support. This helps create a safe and welcoming therapeutic environment for seniors to begin their recovery journey.

2. Focus on Rebuilding Self-Esteem

Many older adults struggling with substance use disorders suffer from low self-esteem. A treatment plan specialized toward a senior individual should include activities and therapies designed to help rebuild self-worth and confidence. This can involve setting small, achievable goals and celebrating progress, no matter how incremental.

3. Tailored Content and Pace

Older adults may require a different pace and tailored content in their treatment programs. When choosing different therapeutic activities and interventions for these individuals, it is essential to consider their cognitive and physical capabilities, ensuring they can engage fully and benefit from the treatment.

4. Connections to Community-Based Services

Community connections are valuable for all individuals seeking recovery from addiction. Incidentally, coordination with other medical and community-based services highly benefits older adults. Connecting these individuals with essential medical care, social services, and community support networks is especially important to address their holistic needs.

Research suggests that several treatment modalities are effective for older adults with substance use disorders. These include:

1. Cognitive Behavioral Therapy (CBT)

CBT is highly effective in helping individuals identify and change negative thought patterns and behaviors associated with substance use. It has the added benefit of its ability to be tailored to address the specific challenges and experiences of older adults.

2. Group Therapy

Group therapy provides a supportive environment where older adults can share their experiences and gain insights from others facing similar challenges. We know from experience that a sense of community and shared understanding can be incredibly therapeutic for those seeking recovery from addiction.

3. Individual Therapy

One-on-one therapy sessions allow for personalized attention and the development of a tailored treatment plan. Individual therapy can address specific issues related to substance use and also allows the opportunity to look closer at any co-occurring mental health conditions.

4. Psychiatric Treatment & Medication Management

Like other generations, older adults struggling with substance abuse frequently have co-occurring mental health disorders that require psychiatric treatment. Effective treatment for these individuals should ensure that these conditions are managed alongside substance use disorders, providing comprehensive care.

5. Family Involvement/Therapy

Family involvement is crucial in the recovery process, especially for seniors. Family therapy helps address any family dynamics that may contribute to substance use and ensures that family members are supportive of the recovery process. It also educates families on providing the best support for their loved ones.

Substance abuse can have severe and far-reaching effects on older adults, impacting their physical health, mental well-being, and overall quality of life. Some of the significant effects include:

• Physical health decline: Substance abuse can exacerbate existing health conditions such as heart disease, liver damage, and respiratory issues. It can also increase the risk of falls and injuries.
• Mental health issues: Substance abuse in older adults has been closely linked to higher rates of suicidal ideation, especially opioids and benzodiazepines. Substance abuse is also commonly tied to other mental health disorders, such as depression, anxiety, and cognitive impairment.
• Social isolation: Substance abuse can lead to increased social isolation, as older adults may withdraw from social activities and relationships due to shame or the effects of their substance use.
• Financial strain: The cost of maintaining a substance use habit can lead to financial difficulties, impacting the ability to afford necessities such as housing, food, and medical care.
• Cognitive decline: Chronic substance abuse can accelerate cognitive decline, contributing to memory loss, confusion, and difficulties with decision-making.

At Porch Light Health, we understand the unique challenges that come with addressing substance use disorders in older adults. We offer a range of tailored treatments designed to provide seniors with the compassionate care and support they need to overcome addiction and regain their independence. Here are some of the key treatment options available:

Medication-Assisted Treatment (MAT)

Medication-Assisted Treatment (MAT) is a highly effective approach for managing substance use disorders among older adults. This treatment combines medications with counseling and behavioral therapies to treat substance use disorders. It helps manage withdrawal symptoms and reduce cravings, which are particularly challenging for seniors due to their physiological changes. MAT is often used to treat opioid and alcohol dependencies, which are common among older adults.

Psychiatric Services

Our psychiatric services are integral to treating substance use disorders, especially when these conditions coexist with mental health disorders like depression or anxiety, which are prevalent among seniors. Our psychiatric team specializes in geriatric care, providing evaluations, diagnosis, and ongoing management of psychiatric conditions. This comprehensive approach ensures that all underlying issues are addressed, enhancing the efficacy of addiction treatment and promoting overall mental health.

Behavioral Health Services

Counseling and other behavioral health services are crucial components of our treatment programs. We offer both individual and group therapy sessions tailored to the needs of older adults. These sessions help seniors develop healthier coping mechanisms, repair and build supportive relationships, and work through the emotional and psychological challenges associated with addiction. Our counselors are trained in geriatric psychology, providing insights and techniques that resonate with the experiences of older adults.

By integrating these specialized treatment options, Porch Light Health ensures a holistic approach to addiction recovery for seniors. Each program is designed to address the physical, emotional, and social aspects of addiction, providing the tools and support necessary for long-term recovery and a return to a fulfilling life.

At Porch Light Health, we are dedicated to providing specialized care to individuals struggling with substance abuse, including older adults. Our comprehensive outpatient addiction and behavioral health treatment programs are designed to meet the unique needs of the individuals we serve. With over 60 care points across the state of Colorado and New Mexico, along with walk-in clinics and telehealth services, treatment at Porch Light Health is accessible and practical at any age.

If you or a loved one is struggling with substance abuse, contact Porch Light Health today to learn more about our services and start the journey toward recovery. 

Call us now at 866-394-6123 or fill out our new patient registration form.