Posted on May 27, 2017 by Kacy
Older adults battling addiction often suffer from mental health related co-occurring disorders that also require treatment. Origins Behavioral HealthCare has both the staff and the expertise needed to address the multiple problems many seniors face particularly as they recover from addiction.
Some individuals with untreated mental health problems start using alcohol or drugs as a way to self-medicate. These problems may stem from emotional, relational, or traumatic circumstances. Unbearable situations, underlying psychopathology, and unresolved trauma may also be a way in which the person tries to cope.
Depression, anxiety, and dementia are three of the most common mental health diagnoses for older adults according to a 2009 study by Flood & Buckwalter published in the “Journal of Gerontological Nursing.” Treatment strategies that address these psychological issues in parallel with issues related to substance use disorder (SUD) are recommended to be incorporated in a supportive and non-confrontational setting according to the 2011 findings of Li-Tzy & Blazer published in the “Journal of Aging and Health.”
Research indicates that substance use disorders in older adults complicate and exacerbate chronic physical conditions and mental illness that are commonly associated with the aging process. This is according to a recent study published in the “Journal of the American Geriatrics Society.” In that paper, Lin et al. (2011) found that there was a strong correlation between patients who had mental illness and substance use disorders, and having increased risk of dementia and hip fractures in patients over the age of 65; combinations of benzodiazepines, alcohol, and other medications were particularly relevant to this correlation.
Origins is a co-occurring enhanced treatment facility with an integrated team of addiction professionals dedicated to the holistic treatment of every patient. Diagnosis is likely to change as the patient moves through treatment, and it is very difficult to sort out mental health issues from addictions issues at the front end of treatment. For this reason it is particularly important to pay close attention to both intra-psychic and contextual issues when assessing each unique patient.
An example of this holistic approach to treating co-occurring disorders was noted in “The Canadian Journal of Psychiatry” Cairney et al. (2009) that found practiced physical activity was significantly positively associated with decreased distress in older adults. Important to this finding was the conclusion that the physical health benefits of exercise were only part of the equation, as 39% of the decrease in distress was associated with mastering a task resulting in improved sense of self-worth. For those patients with comorbid depression, cognitive behavioral therapy (CBT), problem-solving therapy (PST), and interpersonal therapy (IPT) are evidence-based practices with a history of effective symptom resolution in the older adult population as noted in “Psychiatric Times” (Arean, 2012).
The Substance Abuse and Mental Health Services Administration (SAMHSA) also supports an integrated treatment approach for co-occurring disorders (CODs). With integrated treatment, SAMHSA indicates that addiction professionals can address mental and substance use conditions at the same time, often lowering costs and creating better outcomes.
SAMHSA states that approximately 8.9 million adults have co-occurring disorders; that is, they have both a mental and substance use disorder. Unfortunately, only 7.4% of individuals receive treatment for both conditions with 55.8% receiving no treatment at all.
According to the Co-occurring Center for Excellence (COCE) persons with COD unrecognized and untreated, COD results in excess morbidity and mortality; unnecessary health and personal expenditures; and frustration for families, intimate relations, and service providers. However, the disabilities and social consequences associated with COD bring those affected in contact with a number of public health, public safety, and social welfare providers. These contacts, if handled with sensitivity to COD issues, afford unique opportunities for identification, initial engagement, and linkage to appropriate care systems.
As previously mentioned, many older adults who arrive for treatment at Origins for substance use disorders present with comorbid psychological/psychiatric issues that often include self-medicating practices or drug induced mental health challenges.
“Dual diagnosis” is another term that refers to the presence of a mental disorder with addiction. Recovery is not likely to be successful if the mental disorder is not treated at the same time as the addiction. Interactions between alcohol and drugs and mental illness can make either condition worse.
People with addiction are twice as likely as the general population to suffer from mood and anxiety disorders, and the reverse is also true. Sometimes it is not known whether the substance use disorder or the mental disorder is the primary issue. There are cases where an individual begins to develop the symptoms and signs of a mental illness only after using drugs suggesting that drug misuse caused or exacerbated the mental disorder. For this reason, thorough assessment is critical to the formulation of an individualized treatment plan.
There is no substitute for time. As one moves through the care continuum their diagnosis may change frequently. Patients should always be treated as they present today; patients with co-occurring disorders often need extended lengths of stay. A holistic and age-specific approach to treatment addressing all aspects of the person using the 12-Step model can change perceptions and bring new purpose into the lives of both the patient receiving treatment for alcoholism and their family members. By connecting with a deeper sense of meaning individuals are able to positively impact the lives of others as they work toward permanent recovery. The 12-Step philosophy utilized by all Origins’ programs is a vital part of the journey toward real recovery.
If you or a loved one is exhibiting signs of substance use disorder with elements of a mental health co-occurring disorder, please contact us at any time to receive more information at Origins: 844-211-9704.