We have witnessed enormous advances in western medicine and with it we’ve seen greater longevity among America’s elder population. The number of Americans age 65 or older are living longer, in more comfort and in better health than ever before. However, not all American elders are living in good health. As our aging baby boomers live longer, a substantial and growing percentage of older adults misuse alcohol, prescription drugs, or other substances (Bartel, Blow, Brockmann, 2005). In turn, substance abuse among the elder is generating major health concerns and a rapid need for prevention methods. Substance abuse among the elderly is a concealed epidemic in the United States. Alcohol and substance abuse often go unnoticed, unreported, and therefore, untreated in the elderly (Wagenaar, Mickus, & Wilson, 2001). It is estimated that substance abuse issues among America’s elder population will dramatically increase, because while the nation’s population will increase 18%, the proportion of the population 65 and older will increase 78% by the year 2030 (Johnson & Sung, 2009). In order to reduce this potential negative inevitability, closer attention must be dedicated to current elder substance abuse. The issue of substance abuse by this elderly population is a problem that will potentially affect many segments of society. Not only is there a critical need for clinicians to develop skills and strategies necessary to deal with the range of issues that can influence substance abuse
According to the Diagnostic Statistic Manual 5 (DSM-5) substance use disorder is when the individual has a dependency on alcohol or drug, followed by penetrating craving and antisocial behavior to acquire the substance. The terms substance abuse and substance dependence refer to substance use disorder, which has been separated into three classifications as follows
The purpose of this paper is to determine the level of substance abuse in the elderly community. There is concern that as the population ages in the United States, there will be a significant increase in the number of older adults being treated for substance abuse problems. This paper seeks to understand the issues and concerns that are consequently involved with substance abuse among the elderly.
Practice models used in treatment of substance abuse have up until recently only been recommended for the intervention of younger addicts. As a result, treatment approaches for older adults are lacking in evidence. However, screening for substance abuse is the first step towards determining if a more thorough assessment is needed. Cook et al. (1998) reported that it is necessary to take a holistic approach to treatment, and take a broader focus than just the chemical abuse because as people age their psychological and health problems become more complex (p. 146). Older adults face life changes and lack of poor support networks are more deeply felt. Bogunovic (2012) answered that, “A comprehensive evaluation should include a thorough physical examination and laboratory analysis and psychiatric, neurological, and social evaluation.” Such measures are effective when paired with screening
According to the SAMHSA (2010) report on the national survey on drug use and health almost 22.5 million people are reported to be associated with substance abuse disorder (SAMHSA, 2010). This illness was found to be very common in all age groups, both sex, and seniors. There are several effects on these individuals and their families. Many people who suffer from substance abuse disorders fail to acknowledge these serious consequences. First of all, no response of pain relief can be seen with smaller doses of pain medications, as their bodies are used to high levels of various substances at the same time. Nurses become frustrated when they try to treat and help these patients with pain. Sometimes it is difficult to think about ethical principles when nurses have to deal with such patients with pain and suffering.
Substance abuse is a very widely known public epidemic in today's society. Many people are unfortunately plagued by this issue. According to Emedicinehealth.com (2012), “People abuse substances such as alcohol, tobacco, and other drugs for varied and complicated reasons, but it is clear that our society pays a significant cost,” (para. 1). People that are affected by substance abuse includes a very different range of people. Many that abuse the substances end up having health-related problems which in turn increases the need for health care. Other people that are affected by substance abuse are the family members and friends of the abusers because they have to deal with the person abusing the substances. Things that can be abused are
Combined Motivational Interviewing and Cognitive-Behavioral Therapy with Older Adult Drug and Alcohol Abusers is an article written by Lyle Cooper concerning the abuse or misuse of illicit drugs, prescription medications, and alcohol in older populations. Due to lack of knowledge or resources, elderly individuals are falling victim to substance use problems and the numbers are projected to rise. Therefore, an assistance program called HeLP was created to provide evidence-based treatment to the specific cohort of 50 and up age range. Motivational interviewing is used to eliminate internal uncertainties clients may have concerning their treatment; hence, opening themselves up to behavioral changes. Clients who decide to move on to the next stage and if HeLP workers deem it necessary, cognitive-behavioral therapy is implemented to promote changes in thoughts, behaviors, and prevention of future relapse.
Long term, it is much easier and cheaper to perform preventive health care than to try to manage acute and/ or chronic diseases. All at risk individuals should be given education on the dangers of developing a substance abuse problem, emphasizing that it can happen to anyone- young or old, rich or poor, etc. Health care providers need to address the supposed invincibility commonly associated with those who excessive drink alcohol or use drugs. These individuals are not quite as invincible nor do most have everything as under control as they may think. Although many may know the dangers, it is important to explain that the negative health impacts may not be noticeable right away, but the damage is still being done. Additionally, these at risk patients should work with social workers or case management to set up referrals to substance abuse cessation programs within the
Addiction to drugs and alcohol has taken epidemic scale in the recent decades, the number of people affected by this disease has been increasing steadily and the age of drug and alcohol use initiation has sadly been decreasing, children as young as 12 years old are reported as addicts. The Substance Abuse and Mental Health Services Administration (SAMHSA) estimated that 22.5 million Americans aged 12 and older self-reported needing treatment for alcohol or illicit drug use in 2014. Drug abuse and mental health disorders are commonly seen as coexisting conditions. They are among the top conditions that cause disability and carry a high burden in society.
The United States healthcare system has undergone a wide variety of changes over the past few years. As the overall health of its citizens continues to deteriorate and people live longer, certain aspects of healthcare are costing an increasingly large portion of the healthcare budget. Problems such as obesity, diabetes, cancer, and substance abuse have become the most pressing issues facing healthcare providers today.
There has been an expectation of society that substance abuse treatment should eliminate alcohol and illicit drug use while improving individual health and social functioning as to reduce the public safety threat. The Affordable Care Act of 2010 also known as Obama Care was created with intentions of expanding the availability of health insurance. In 2011 the President’s National Drug Control Strategy requested investments in screening, intervention and referral to treatment, and expanded the Access to Recovery voucher program. These initiatives are a start towards total care for alcohol and substance abuse patients, however from our study we have found that treatment may be best when considered as a long term possibly life resource for these individuals to become successfully sober and healthy.
Addiction is an epidemic in the United States of America. Yet out of all the addictive substances that are available to Americans, Alcohol has become the leading stimulant to flourish this outbreak. According to the 2014 Substance Abuse and Mental Health Services Administration statistics, 60.9 million Americans considered themselves binge drinkers while 1 in 10 underage alcohol users, age 12 to 20, already themselves considered heavy alcohol users (SAMHSA, http://www.samhsa.gov/data/sites/default/files/NSDUH-FRR1-2014/NSDUH-FRR1-2014.pdf ). Since alcohol addiction can affect any socioeconomic status and any street corner in America, many Americans know a friend or a family member that has been struck by this epidemic. I myself am one of those Americans. Although my grandmother lost her battle to addiction more
Substance abuse in the elderly exists just as in any other population. Many seniors develop substance abuse problems due to circumstances or situations due to the aging process. A report by the Center for Substance Abuse Treatment/Substance Abuse and Mental Health Services Administration indicates that 17% of adults age 60 and older are affected by alcohol abuse and abuse of legal drugs.
One population that is often overlooked when examining addiction is the elderly. In reality, alcoholism
In and around most large cities in America, the rising substance abuse epidemic has brought about a renewed interested in determining the root cause of substance abuse, the effects of substance abuse on individuals and societies, and the substance abuse treatment modalities that achieve the best outcomes. In reviewing the current research on substance abuse there seems to be no one clear cause of substance abuse disorders, although there is strong evidence that a number of life circumstances may predispose an individual to a substance abuse disorder, as well as a number of protective factors that may reduce an individual’s risk of developing a substance abuse disorder. One important risk factor that is commonly associated with substance
Alcoholism is one of the leading causes of mortality despite being preventable and avoidable. Alcohol may increase the aging process in addition to chronic diseases. Unfortunately, this is poorly understood among scholars and addicts. On the other hand, some studies note that light and moderate consumption of alcohol is effective in enhancing cognitive functions and lowering the incidence of dementia among aging individuals. However, there is a lack of data regarding the effects of alcohol consumption on aging subjects, given that a significant part of the evidence is associated with studies that focused primarily on elderly population samples. Furthermore, the effects of excessive