Treating Substance Use Disorder in Older Adults: 2020 Update

$120.00 for 12 credits

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Description

This text-based Treatment Improvement Protocol (TIP) 26 provides a wide range of guidance in the latest evidence-based screening and assessment approaches, interventions, and services for substance misuse, including substance use disorders (SUDs), in older adults. It is intended for behavioral health service providers, healthcare professionals, and older adults, as well as those people who are significant in their lives.

Older adults are a special group because they are particularly vulnerable to the negative effects of substances and therefore substance misuse. Further, providers, professionals, and family and caregivers tend to overlook substance misuse in older people, meaning they are less likely than younger adults to be correctly diagnosed and offered treatments, services, or referrals. This oversight makes SUDs particularly dangerous for this population in terms of possible effects on mortality and comorbid conditions (including physical, cognitive, and mental disorders). This TIP is designed to help providers and others better understand how to identify, manage, and prevent substance misuse in older adults.

This publication describes the unique ways in which SUD signs and symptoms manifest in older adults; drug and alcohol use disorder (AUD) screening tools, assessments, and treatments specifically tailored for older clients’ needs; the interaction between SUDs and dementia and other cognitive disorders; and strategies to help providers improve their older clients’ social functioning and overall wellness—both of which are critical to
successful recovery.

A consensus panel developed the TIP’s content based on a review of the most up-to-date literature and on their extensive experience in the field of geriatric alcohol and drug addiction treatment. Other professionals also generously contributed their time and commitment to this publication. This publication is an update of the original TIP. The content addresses many of the same key topics and messages, as well as new ones. Revisions reflect the most recent scientific knowledge, clinical advances, and guidance pertaining to preventing and treating substance misuse among older adults.

Course updated in 2020.

Target audience: Psychologists, mental health counselors, marriage and family therapists, social workers, addiction counselors, nurses.

This CE program is designated as beginner.

CE Content Category: Clinical

There is no known conflict of interest or commercial support.

This course is available in text format only.

Home study. Online. Non-interactive.

 

Syllabus

  • Print Version / Test Preview
  • TIP 26 Treating Substance Use Disorder in Older Adults: 2020 Update
  • Citation and References
  • CE Test
  • Evaluation

Author Bio

Consensus Panel
Each Treatment Improvement Protocol (TIP) consensus panel is a group of primarily nonfederal addiction-focused clinical, research, administrative, and recovery support experts with deep knowledge of the TIP’s topic. With the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Knowledge Application Program (KAP) team, they develop each TIP via a consensus-driven, collaborative process that blends evidence-based, best, and promising practices with the panel’s expertise and combined wealth of
experience.
Note: The information below indicates each participant’s position and affiliation when the panel was convened and may not be current.
Consensus Panel Chair
Frederic C. Blow, Ph.D. Director, Addiction Center and Substance Abuse
Section. Professor, Department of Psychiatry University of Michigan, Ann Arbor, MI. Senior Research Investigator, Center for Clinical Management Research Department of Veterans Affairs,  Ann Arbor, MI
Consensus Panelists
Kimberly Burton, Director, Older Adult Programs Chair, Maryland Coalition on Mental Health and Aging. Mental Health Association of Maryland, Lutherville, MD

Sarah L. Canham, Ph.D., M.A., Aging, Alcohol, and Addictions Interest Group
Convener. Gerontologists Giving Back Founder and Co-Coordinator Gerontological Society of America, Washington, DC. Senior Lecturer and University Research Associate, Gerontology Research Centre, Simon Fraser University, Vancouver, BC, Canada

Alexis Kuerbis, Ph.D., LCSW. Assistant Professor, Silberman School of Social Work
Member, Advisory Committee on LGBT Social Science & Public Policy Center Member, Health and Mental Health Field of Practice Committee Member, Clinical Practice with Individuals, Families, and Groups Committee, Hunter College City University of New York,
New York, NY

Sharon A. Matthew, LPC, ACRPS, CCS, CSAT, CMAT. Clinical Director, Addiction Rehab for Older Adults Program, Caron Treatment Centers, Wernersville, PA

David W. Oslin, M.D. Professor, Geriatric and Addiction Psychiatry Treatment Research Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Chief of Behavioral Health, Philadelphia VA Medical Center, Philadelphia, PA

Derek D. Satre, Ph.D. Associate Professor of Psychiatry, In Residence - Step 4
School of Medicine. Medical Staff Psychologist, Langley Porter Hospital and Clinics University of California, San Francisco, San Francisco, CA

Stakeholders Meeting Participants

Stakeholders represent a cross-section of key audiences with a deep interest in a TIP’s subject matter. Stakeholders review and comment on the draft outline and supporting materials for the TIP to ensure that its focus is clear, its stated purpose meets an urgent need in the field, and it will not duplicate existing resources produced by the federal government or other entities.

Note: The information below indicates each
participant’s position and affiliation when the
meeting was convened and may not be current.

Chair
Frederic C. Blow, Ph.D., Director, Addiction Center and Substance Abuse. Section
Professor, Department of Psychiatry, University of Michigan, Ann Arbor, MI. Senior Research Investigator, Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor, MI.

Stakeholders Meeting
Candi Byrne, Alternate Contracting Officer’s Representative, Center for Substance Abuse Treatment (CSAT). SAMHSA, Rockville, MD

Melinda Campopiano von Klimo, M.D., Senior Medical Adviser, CSAT, SAMHSA,
Rockville, MD

Anita Everett, M.D, Chief Medical Officer, Office of Planning, Policy and Innovation (OPPI). SAMHSA, Rockville, MD

Deborah Goodman, Publications Manager, Office of Communications. SAMHSA, Rockville, MD

Kimberly Johnson, Ph.D., Director, CSAT.  SAMHSA, Rockville, MD

Melinda Lantz, M.D., Member, Board of Directors, American Association of Geriatric Psychiatry, McLean, VA

Eunice Park-Lee, Ph.D., Survey Statistician, Center for Behavioral Health Statistics and Quality. SAMHSA, Rockville, MD

Ron Pritchard, B.S., Veterans Affairs Subcommittee Chairperson. NAADAC, the Association for AddictionProfessionals, Alexandria, VA

Patricia Santora, Ph.D., Public Health Advisor, Division of Service Improvement, CSAT. SAMHSA, Rockville, MD

Jennie Simpson, Ph.D., Special Assistant to the Administrator, OPPI. SAMHSA, Rockville, MD

Jennifer Solomon, M.A., TIP Product Champion. Public Health Analyst, Center for Substance Abuse Prevention, SAMHSA, Rockville, MD

Ivette Torres, M.Ed., M.S., Associate Director for Consumer Affairs, Office of the Director
CSAT. SAMHSA, Rockville, MD

Sherrill Wayland, M.S.W., National Projects Manager, National Resource Center on LGBT Aging Services & Advocacy for GLBT Elders (SAGE), New York, NY

Eric Weakly, Chief, State Grants Western Branch, Division of State and Community Systems Development Center for Mental Health Services. SAMHSA,
Rockville, MD

Marissa Whitehouse, M.Ed., Senior Program Specialist, Center for Healthy Aging, National Council on Aging, Arlington, VA

Field Reviewers
Field reviewers represent each TIP’s intended target audiences. They work in addiction, mental health, primary care, and adjacent fields. Their direct frontline experience related to the TIP’s topic allows them to provide valuable input on a TIP’s relevance, utility, accuracy, and accessibility.

Note: The information below indicates each
participant’s position and affiliation when the
review was requested and may not be current.

Constance Coogle, Ph.D., M.S., Associate Director for Research and Administrator for Alzheimer’s and Related Diseases Research Award Fund, Virginia Center on Aging. Director of Evaluation, Virginia Geriatric Education Center Associate Professor, Department of Gerontology Associate Research Professor, Department of Psychology Virginia Commonwealth University, Richmond, VA

Brandi Cotton, Ph.D., M.S.N., APRN, Assistant Professor, College of Nursing , University of Rhode Island,  Kingston, RI

Larry Dupree, Ph.D., M.S., M.A., Chair Emeritus, Department of Aging and Mental Health, Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa, FL

John Dyben, D.H.S., M.S., M.A., Chief Clinical Officer, Origins Behavioral Healthcare, West Palm Beach, FL

Stephen Ferrante, Ph.D., M.S.W., Adjunct Professor, Barry University School of Social Work, Miami Shores, FL

Michael Fingerhood, M.D., FACP, Associate Professor, Department of Medicine, Johns Hopkins University School of Medicine, Associate Professor, Department of Mental Health, Johns Hopkins University Bloomberg School of Public Health. Attending Physician and Director, Division of Chemical Dependence Johns Hopkins Bayview Medical Center, Baltimore, MD

Benjamin Han, M.D., M.P.H., Assistant Professor, Department of Medicine, Division of Geriatric Medicine Assistant Professor, Department of Population Health New York University School of Medicine. Primary Care Physician, Geriatric Medicine, Bellevue Hospital Center, New York, NY

Robert Hazlett, Ph.D., M.S., Consultant/Trainer, National Screening, Brief Intervention, and Referral to Treatment Addiction Technology Transfer Center, Pittsburgh, PA

Chris Herman, M.S.W., LICSW, Senior Practice Associate for Aging, National Association of Social Workers, Washington, DC

Brenda Iliff, M.A., LADC, CAC, CMAT, Executive Director, Hazelden Betty Ford Foundation, Naples, FL

Susan Lehmann, M.D., Associate Professor, Department of Psychiatry and
Behavioral Sciences, Director, Psychiatry Clerkship and Geriatric  Psychiatry Outpatient Clinic. Clinical Director, Division of Geriatric Psychiatry and Neuropsychiatry, Johns Hopkins University School of Medicine. Director, Geriatric Psychiatry Day Hospital Johns Hopkins Hospital, Baltimore, MD

Nicole MacFarland, Ph.D., M.S.W., LCSW-R, CASAC, Executive Director, Senior Hope Counseling, Inc., Albany, NY

Alison Moore, M.D., M.P.H., FACP, AGSF, Chief of Geriatric Medicine and Gerontology, Professor of Medicine, and Adjunct Professor of Psychiatry, University of California–San Diego, La Jolla, CA. Co-Director, Center for Health Improvement for Minority Elders Mentorship Core, Resource Centers for Minority Aging Research, University of California–Los Angeles Charles R. Drew University of Medicine and Science, Los Angeles, CA

Cynthia Munshell, Ph.D., M.A., Partner and Managing Member, Director of Psychotherapy Services, PsychoGeriatric Services, Silver Spring, MD. Collegiate Professor of Psychology,
University of Maryland University College, Adelphi, MD

Joseph Pickard, Ph.D., LCSW, Associate Professor and Gerontology, Concentration Coordinator University of Missouri–St. Louis School of Social Work, St. Louis, MO

Lawrence Schonfeld, Ph.D., M.A., Professor Emeritus, Department of Mental Health Law and Policy, College of Behavioral and Community Sciences, Louis de la Parte, Florida Mental Health Institute, University of South Florida, Tampa, FL

Harvey Sterns, Ph.D., M.A., Director, Institute for Life-Span Development and Gerontology. Professor of Psychology, University of Akron, Akron, OH. Research Professor of Gerontology, Family and Community Medicine, Northeast Ohio Medical University, Rootstown, OH

Ming Wang, M.D., FASAM, Addiction Medicine Specialist and Medical Director, Caron Older Adult Treatment Program, Caron Treatment Centers, Wernersville, PA. Clinical Assistant Professor of Psychiatry, Penn State College of Medicine, Hershey, PA

Kimberly Williams, M.S.W., President and CEO, Vibrant Emotional Health. Executive Committee Chair, National Coalition on Mental Health and Aging. Adjunct Lecturer, Columbia University School of Social Work, New York, NY

Faika Zanjani, M.S.W., LICSW, Associate Professor, Department of Gerontology, College of Health Professionals. Associate Director of Academic Programs and Research Training, Institute for Inclusion, Inquiry, and Innovation Virginia Commonwealth University, Richmond, VA

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It is At Health's understanding that these programs meet the criteria of an approved continuing education program for social workers, professional counselors, marriage and family therapists, master's level psychologists, licensed clinical psychotherapists, and alcohol and other drug abuse counselors in Kansas.  State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.

It is At Health's understanding that these programs meet the criteria of an approved continuing education program for mental health practice and for social work in Nebraska.  State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.

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It is At Health's understanding that  these programs meet the criteria of an approved continuing education program for social workers, professional counselors, marital and family therapists, and clinical pastoral therapists in Tennessee.  State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.

Other jurisdictions may accept trainings offered by At Health, LLC for your continuing education requirements. Restrictions may apply. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.”

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Page last modified or reviewed by athealth.com on Jun 7, 2021.

Learning Objectives

Based on the content of this course, I can:

  • Discuss why substance abuse is often overlooked and undertreated
  • Provide empirical evidence that supports the use of Substance Use Disorder Treatment in older adults
  • Explain why screening and assessment techniques for Substance Use Disorder can and should be adapted to older adults
  • Describe the link between substance misuse and the risk of developing cognitive disorders in the future
  • List signs and symptoms of non-medical prescription drug use

1 review for Treating Substance Use Disorder in Older Adults: 2020 Update

  1. Jill (verified owner)

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