A recent KSAT report highlights a growing but often overlooked epidemic of substance use disorders (SUDs) among older adults, emphasizing that current demographics and clinical patterns are changing. According to 2022 American Psychological Association data, approximately 1 in 11 adults over age 60 meets criteria for a substance abuse disorder, signaling a significant public health concern that has not received proportional attention.
Neuropsychiatrist Thomas Weiss describes this trend as “an unseen epidemic,” noting that alcohol, marijuana, opioids, and prescription medications are frequent contributors to misuse in this age group. Physiological and psychosocial shifts—such as altered drug metabolism, chronic pain, depression, social isolation, and bereavement—heighten older adults’ vulnerability to problematic use.
Clinical identification remains challenging; only a small fraction of hospitalized older adults with SUD are referred by physicians, with most cases flagged by family or emergency responders. Warning signs can mimic normal aging or co-morbid conditions, contributing to underdiagnosis and stigma around treatment seeking.
Experts advocate for greater clinician awareness, routine screening, and tailored interventions, noting that older adults often respond well to evidence-based treatment such as cognitive-behavioral therapies and medication management when appropriately engaged. Expanding age-specific resources and reducing stigma are critical for meeting this emerging need.