Substance Abuse in Older Populations

There is no doubt that there is a prevalence of substance abuse throughout several age groups. To a certain extent, a society is faced with the reality of controlling substance abuse. Or allow it run rampant throughout the community. Often times, we hear and read about the level of substance abuse among teen, young adults and mid-aged

The definitions have progressed from tolerance or withdrawal symptoms from a specific drug to chronic intoxication, continued use with increased dosage, dependence, and damaging effects to user (Reinarman 2005). Both of these definitions proved to be too restrictive because all drugs do not have the same effects on every user. The current definition used by physicians and the criminal justice system is based on seven criteria (Reinarman 2005). The constant evolution of how the professional world views drug dependence mirrors society’s change in the understanding of addiction. Historically, “the drink” was viewed as the devil and drugs were often thought to be the cause of many criminal acts (Schneider 2003). After the medicalization of addiction and dawn of decriminalization of drug abuse, public opinion of deviant alcohol and drug use has changed. For the family unit, it is much simpler to accept and approach treatment for addiction if it is classified as a medical disease. In society, drug users can be framed as patients instead of criminals based on current standards. By looking at addiction as a treatable set of signs and symptoms instead of holding the individual accountable for actions they committed while intoxicated, the disease concept releases a lot of the stigma that goes along with

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

Drug addiction and alcoholism have a devastating effect on not only the addicts who suffers from these illnesses, but also on friends, family and workmates who interact with these addicts on a regular basis. When the addict finally succumbs to their addiction, the only way out is usually through the help of a professional and reputable inpatient addiction treatment center.

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.

Drug and chemical abuse affect many families and that particular family that lives through a loved one who is an addict and the priority is to get help for the individual. In any intervention that involves drug addicts, a family's disposition is very important. Full recovery of any drug addict involves the restoration of the person's life as well as ensuring that those who are around the addict have the best ability when it comes to helping with abstinence which is a long-term goal. Abusers are often in denial or even believe that they are totally in control of their use of drugs

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

Drugs and alcohol is a major social issue (J. David Hawkins, Richard F. Catalano, and Janet Y. Miller, 1992). It is not something that can be solved by the law (Lee P. Brown, 2008). Throughout history, many attempts have been made to try and legalize and control alcohol and drug addiction but has failed.

Substance abuse is a tragedy that touches many lives. Abuse begins with a single use event that, with continued use and overindulgence, transforms into a battle. The abuser most always loses that battle. Personal relationships, social ties, and employment suffers. Irresponsible and erratic behavior becomes the norm, and though the abuser is aware on some level of the reckless and thoughtless acts that they commit, they continue to use and abuse their drug of choice. What starts as experimentation often ends in addiction. The best hope for a person in the grips of substance abuse is immediate,

How can family and friends help and support the persons with substances issues? If you're concerned about an elderly friend or

Substance abuse disorders is easily defined when an “individual continues to use the substance despite experiencing negative consequences from their use. These negative consequences can include health problems; difficulties in their family, work, and social life; and financial and legal problems. They are said to be dependent on the substance when,” in addition to theses negative consequences, they build tolerance and experience withdrawal if they stop using the drug” (Martin, 2007, p. 265). Substance abuse dates back to the early Americans colonies with beer that was brought over by the pilgrims and more popularly the ratification of the Constitution to prohibit the use of alcohol

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

Substance abuse is one of the most detrimental social problems found in all societies. It has been the leading cause for generational breakdowns of families and communities, and is probably the most controversial social problem when developing corrective solutions. Substance abuse can be defined as the chemical dependence, or pattern of usage of both legal and illegal substances, that has adverse physical, psychological, and psychomotor effects on the human body. The use of substances does not always have to be a drug, but can also be anything taken into the body that can cause a mood-altering effect, such as inhalants or solvents. Additionally, substance abuse has many different faces and is the one social problem that crosses all