Treating Substance Use Disorder in Older Adults: 2020 Update

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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.

 

CE Approvals

At Health is an APA-Approved Sponsor At Health, LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. At Health, LLC maintains responsibility for this program and its content.

At Health is an NBCC-Approved SponsorAt Health, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6949. Programs that do not qualify for NBCC credit are clearly identified. At Health, LLC is solely responsible for all aspects of the programs.

NAADAC_logoAthealth.com is approved as a continuing education provider by the National Association of Alcoholism and Drug Abuse Counselors (NAADAC) Provider #148460.

At Health is an Approved Sponsor of the California Board of NursingAt Health, LLC is a provider approved by the California Board of Registered Nursing (CA BRN), Provider # CEP 17059. California Licensed Vocational Nurses and California Psychiatric Technicians can take online courses by California Board of Registered Nursing (CA BRN) approved providers, such as At Health, LLC, to fulfill their CE requirements.

At Health is an Approved Sponsor of the Texas State Board of ExaminersAt Health, LLC is an approved provider of the Texas State Board of Social Work Examiners, provider #7566.

At Health, LLC, Provider #1707, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credits. At Health, LLC, maintains responsibility for this course. ACE provider approval period: 6/3/2020-6/3/2023.

It is At Health's understanding that these programs meet the criteria of an approved continuing education program for social work in Arkansas.  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 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.

It is At Health's understanding that these programs meet the criteria of an approved continuing education program for psychologists, pastoral psychotherapists, clinical social workers, clinical mental health counselors, marriage and family therapists, and alcohol and drug abuse counselors in New Hampshire.  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 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 Jul 6, 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

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