Substance Use and Seniors: A Clinical Approach to an Emerging Crisis

Session Description: Substance use disorder (SUD) among older adults is a growing yet frequently overlooked crisis. As the population ages, an increasing number of seniors are struggling with alcohol misuse, prescription drug dependency, particularly opioids and benzodiazepines, and polysubstance use. Despite the seriousness of these issues, ageism, stigma, and the overlap between substance-related symptoms and common geriatric conditions such as dementia, falls, and depression often lead to delayed or missed diagnoses. This training is designed to assist social workers and behavioral health professionals in better identifying, assessing, and supporting older adults dealing with substance use disorders (SUD). Participants will explore the unique risk factors associated with aging, including chronic illness, bereavement, social isolation, and polypharmacy. Emphasis will be placed on the importance of using age-appropriate screening tools and learning how to differentiate between symptoms of substance use and those related to cognitive decline or mental illness. Takeaways Clinicians will gain insights into building rapport and motivating clients reluctant to discuss substance use due to shame or fear. Additionally, participants will learn strategies for collaboration with interdisciplinary teams, including medical providers, mental health professionals, and eldercare services, while addressing ethical issues around autonomy, consent, and capacity. Ultimately, this presentation equips professionals with the tools and framework needed to provide competent, compassionate, and equitable care for older adults affected by substance use disorders.