On the other hand, a private rehab facility is paid for by an individual, either through their insurance or personal payment. Both provide treatment—including individual and group therapy—to help individuals begin on their path toward recovery. However, private rehabs may include more amenities and offerings of comfort, although those would not be comparable to what may be offered at a luxury facility. Many non-hospital-based residential programs also facilitate access to medical services when needed. Inpatient care provides elderly patients with care from medical professionals who can help them with both their treatment and the management of their other healthcare needs, including managing prescription medications.
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With an older individual who may also have a medical or mental health condition and who may be taking multiple medications, it may be even more essential for all medical professionals to be on the same page and working together. Many of the medications older adults may take are mind-altering and potentially addictive substances that, when taken for a long period of time, create dependency that can morph into addiction very easily. Older adults may be more likely to take more medications for longer, to take more than one medication or supplement at a time, and to be prescribed long-term medications than younger individuals, the National Institute on Drug Abuse (NIDA) reports. These substances make chemical changes in the brain and, over time, may lead to compulsive drug-seeking behavior, cravings, and a lack of control over drug use patterns, indicating that abuse may have developed into an addiction.
Second, using national and state directories, all substance abuse treatment facilities in the sampled counties were enumerated. Ineligible centers were replaced by random selection of alternative treatment programs from the same geographic stratum. There were three statistically significant differences in outcomes—more centers offering specialty services also offered treatment for prescription drug addiction, primary medical care, and housing assistance than did non-specialty centers. Health professionals treating older adults in medical detox need to be aware of all the medications a person may be taking to manage other health concerns in order to avoid any negative interactions. Medical conditions and mental health concerns also need to be evaluated before dispensing medications during detox, and some of the medications used in other demographics may not be recommended for this age group.
We found that many private centers that offer special services for older adults adopted the recommended treatment approaches (8,12). Approaches recommended by experts that had most room for improvement included group-based treatment, medical/psychiatric treatment, marital/family therapy, and case management/community linked services. Self-help and 12-Step programs may have age-specific groups and meetings for older adults that can provide a safe haven and supportive peer network for individuals in recovery to help prevent episodes of relapse. SAMHSA also recommends that a case manager who can check in with an elderly person regularly after leaving rehab, or a community-centered program, may be helpful to watch for signs of relapse. Friends and family members, and members of an elderly individual’s community, can all be important parts of a healthy support system that will enhance addiction treatment and promote long-term recovery. Residential treatment likely provides the most comprehensive level of care as medications can be monitored for adverse effects, and individuals can receive medical and mental healthcare 24 hours a day.
An intervention is a carefully planned meeting of loved ones and family members affected by a person’s substance abuse. Often, the help of a trained professional is beneficial in the planning process as well as in the actual intervention. Older adults may not recognize the need for addiction treatment, which makes an addiction intervention vital. After a successful intervention, the person will be prepared to enter treatment, and there are a variety of facilities with programs made just for older adults. Those programs may offer medical detox, residential treatment, and/or outpatient treatment, as necessary.
It may not be as simple to recognize or diagnose a substance abuse or dependency concern in adults over the age of 65. Seniors are often retired and no longer in the workforce; they may live alone or far from family members; and personal social circles may dwindle as peers pass away or become less ambulatory. Even doctors may hesitate to diagnose a substance abuse problem as a kind of ageism, or prejudice, may exist with the notion that elderly individuals are entitled to their drugs or alcohol. People may not want to take substances away from elderly individuals and risk potentially negatively impacting their quality of life. Accessibility, such as accommodations for wheelchairs, hearing loss, and visual impairment is often a key concern and should be addressed by any rehab center working with older adults.
Inpatient alcohol and drug addiction programs provide 24/7 supervision and care while you reside at the center for the duration of the program. Hospital-based inpatient facilities offer around-the-clock medical care from healthcare professionals. Of the eight predictors investigated, only the proportion of patients with Medicare payment was significantly related to the availability of special services in private centers. The proportion of patients expected to use Medicare as their primary payment as a predictor is not surprising insofar that older adults are eligible for Medicare regardless of their financial situation.
If you are looking for rehabs with a little more privacy, many treatment facilities offer private rooms at their rehab facility. Private centers may also offer additional groups and activities, including art and music activities, mindfulness programming, cooking, and exercise as part of the therapy. Opioids are the second most commonly reported substance of abuse by seniors.1 The number of fatal opioid overdoses among seniors has risen dramatically over the last decade. There has been little research on the effects of vaping nicotine (e-cigarettes) among older adults; however, certain risks exist in all age groups. Some research suggests that e-cigarettes might be less harmful than cigarettes when people who regularly smoke switch to vaping as a complete replacement. However, research on this is mixed, and the FDA has not approved e-cigarettes as a smoking cessation aid.
Such programs may offer activities, such as outdoor recreation, yoga classes, or swimming, all pursuits that help clients physically, as well as mentally. Caron’s specialized Older Adult Programs address addiction along with co-occurring conditions commonly seen in older adults. We use proven behavioral health therapies that preserve dignity, build substance abuse in older adults self-esteem, and develop healthier coping mechanisms.The programs are located in Caron’s state-of-the-art medical centers on our Pennsylvania and Florida campuses. The centers provide medical services, detox, treatment, programming, residential quarters, dining, and amenities under one roof for the ease and convenience of patients and families.