Substance Use Disorders in Older Adults

Although substance misuse (primar-ily alcohol and prescribed benzodiaz-epines and opioids) among Americans aged & GE;60 years is becoming an esca-lating health concern, substance use disorder (SUD) is often underestimated and/or undiagnosed, preventing older adults from receiving needed treatment. Chronic medical conditions, mental health issues, and psychosocial stressors increase older adults' risks for develop-ing SUD. Racial/ethnic minority groups (e.g., American Indian, Alaska Native) experiencing health care inequities and limited resources are more vulnerable to developing SUD. It is recommended that SUD screening be included in an-nual check-ups using tools adapted to older adults. Clinicians should consider older adults' comorbidities to differen-tiate symptoms of substance use from neurocognitive disorders, depression, anxiety, and metabolic disorders. To ensure successful outcomes, interven-tions must be tailored to the specific needs of older adults. Building on the current federal government administra-tion's support, SUD practice guidelines should be updated with older adults in mind.