Let them know they should always turn to their loved ones and a doctor if they feel like they’ve become dependent on a particular medicine or other substance. The questions can be adapted to a specific substance, such as a prescription medication, and they can be asked either in the context of an interview or self-administered. Psychometric properties of the CAGE-AID have not been reported, yet the CAGE has been extensively studied. Because of the brief nature of the CAGE-AID, it can be a useful screening tool; but it should not be a substitute for a more thorough assessment, such as consumption levels, consequences of use, and functional deficits.

When patients abuse their drugs – either intentionally or accidentally, it increases their risk of developing addictions. It’s essential for family members and physicians alike to educate seniors on proper medication https://ecosoberhouse.com/ usage and side effects so they can avoid any potential misuse down the line. On the other hand, having strong social connections can improve mental health and reduce the risk of substance use disorders.

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Table 2 shows the basic characteristics of the subjects with and the subjects without osteoporosis. The logistic regression results showed that the variables of of gender, physical activity, history of a bone fracture in the past five years, and history of using glucocorticoids were predicting risk factors of osteoporosis in the older adults who were studied. Being female, having a history of a bone fracture in the past five years, and using prednisolone increased the risk of osteoporosis by 7.22%, 2.19%, and 4.16% respectively. On the other hand, physical activity was found to be a protective factor against osteoporosis (Table 3).

substance abuse in older adults

During the average follow-up of 11.5 (± 2.8) years, the incidence rate for any psychiatric disorder was 11.48 per 1000 person-years in women and 12.45 in men. Individuals diagnosed with any psychiatric disorder were more likely to be men, have chronic health conditions and exhibit suboptimal lifestyle behaviors, and have a lower SES compared with other groups in the cohort. This study suggests that GBN has significant benefits for lowering the risk of psychiatric disorders in middle-aged and older adults. Future studies are warranted to validate these findings and to understand the potential mechanistic pathways underpinning these novel findings. The older population is certainly not immune to the horrible repercussions of the opioid epidemic or the possible unfavorable reactions between alcohol and other prescription drugs, among other SUD issues. Because of the unique issues facing older adults, both individual and group treatments are recommended.


NSDUH is an annual survey that collects data by administering questionnaires to a representative sample of the population through face-to-face interviews at their place of residence. The combined 2007 and 2014 past year use data for this report are based on information obtained from 23,300 adults aged 65 or older. Also, there is a need to improve the integration of mental health and general health services. This would lead to more person-centered care and decrease the need for multiple appointments, which can be particularly challenging for older adults. Collaborative models of care can achieve this goal either in-person or with the use of digital technologies (Ramuji et al., 2019). There has been little research on the effects of vaping nicotine (e-cigarettes) among older adults; however, certain risks exist in all age groups.

  • The extracted data were compared into two groups based on whether they had or did not have osteoporosis.
  • They include information on admissions to substance abuse treatment primarily from facilities that receive some public funding.
  • The need for more research is great, says Lehmann, because data on changing patterns of substance abuse over time are lacking.
  • For example, studies of older adults conducted by Hayder et al. [17] and Hou et al. [33] found that smoking impacted osteoporosis.
  • We thank our Loma Linda University Health colleagues, who provided insight and expertise that greatly assisted the manuscript.

This cross–sectional study is derived from the Fasa Adult Cohort Study (FACS), which included 10,133 individuals. Our study aimed to explore the correlation between smoking, alcohol consumption, and drug abuse among older adults and the incidence of osteoporosis. We collected demographic information, nutritional indexes, medical history, glucocorticoid usage, and self-reported data on smoking, alcohol consumption, drug abuse, and osteoporosis through questionnaires. To investigate the relationship between smoking, alcohol, and drug use with osteoporosis while accounting for confounding factors, we employed logistic regression analysis. As people age, their bodies undergo changes that can affect their physical and mental health.

Co-Occurring Psychiatric Disorders

The most common substances abused are alcohol, prescription drugs such as opiates and benzodiazepines (BZD), and over-the-counter (OTC) medications. This increase is believed to be partially endorsed by the baby boomer generation, born between 1946 to 1964, who had significant exposure to alcohol and drugs at a younger age. Substance abuse is difficult to recognize in the older adults, but once identified, presents its own challenges as only 18% of substance abuse treatment programs are designed for this growing population. Substance abuse overall may increase the risk of fractures secondary to recurrent falls, memory loss, sleep disturbances, anxiety, and depression.

substance abuse in older adults

Unfortunately, social isolation is common among older adults as family members and friends move away or pass away. TEDS data are collected through state administrative systems substance abuse in older adults and then are submitted to SAMHSA. They include information on admissions to substance abuse treatment primarily from facilities that receive some public funding.

Prescription Drug Abuse​

A study by Van Citters and Brockmann, published in the Journal of Dual Diagnoses, showed that early-onset abusers (where the abuse started before they turned 65) tend to have many more mental and physical problems that require treatment than their late-onset counterparts. Alcohol and opioid deaths remained far less common among older people than among those middled-aged and younger, and rates had been rising in all groups for years. But the pronounced uptick — another data point in the long list of pandemic miseries — surprised government researchers. In the pandemic’s first year, death rates linked to alcohol and drugs climbed among seniors as lockdowns and isolation spread. Older adults generally experience the effects of alcohol more quickly than when they were younger. This puts older adults at higher risks for falls, car crashes, and other unintentional injuries that may result from drinking.

According to a study by Moore and Endo, the results of which were published in the Journal of the American Geriatric Society, the higher rate of comorbid physical and psychiatric conditions and the prescription medications used to treat them render older adults extremely vulnerable to the impact of alcohol. SAMHSA’s mission is to lead public health and service delivery efforts that promote mental health, prevent substance misuse, and provide treatments and supports to foster recovery while ensuring equitable access and better outcomes. Lehmann hopes further research on older adults with substance use disorders will lead to better-targeted screening methods and new models of care.

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