Older Adults and Substance Abuse: Could Your Parent Be at Risk?

Dad has always enjoyed a glass or two of wine with dinner, but lately, you’ve noticed he has shifted to stronger drinks, earlier and more often throughout the day. He says it helps him sleep, or deal with the aches and pains of his arthritis. Should you be concerned?

Substance abuse in older adults is actually more common than you may think, and can be quite dangerous if left unchecked. It often goes unnoticed, partly because the signs can be mistaken for other age-related health issues. Medications, alcohol, and even over-the-counter drugs can all be sources of misuse. Understanding the potential risks and recognizing the signs of substance abuse are the first steps in addressing the problem.

Older Adults and Substance Abuse: What Are the Signs?

Notice whether your parent is showing any of these substance abuse warning signs:

• Changes in sleep patterns
• Increased isolation
• Unexplained injuries or falls
• Mood swings or irritability
• Neglect of personal hygiene
• Memory problems or confusion

Next Steps if You Suspect Substance Abuse in an Older Loved One

First and foremost, educate yourself about the risks and effects of substance abuse in older adults. Once you feel well informed about the dangers of substance abuse, it’s time for an open and honest conversation. Empathy is key. The person may feel ashamed or defensive about their behavior. Approach the topic with a genuine concern for their well-being, rather than with judgment or criticism.

Tips for an Empathetic Approach:

• Choose a calm and private setting for the conversation.
• Use “I” statements to express your concerns, such as “I’ve noticed you seem more tired lately, and I’m worried about you.”
• Listen actively, showing that you value their feelings and perspective.
• Avoid making accusations or assumptions.

Key Points to Discuss:

• The interaction between alcohol or drugs and prescription medications.
• The increased sensitivity to substances as the body ages.
• The long-term health risks associated with substance use.

Encourage Open Dialogue

Encouraging your parent to talk openly about their substance abuse can be difficult, but it’s essential for finding a solution. Let them know that it’s okay to discuss their struggles and that you’re there to support them.

Strategies for Encouraging Open Dialogue:

• Ask open-ended questions, such as “How have you been feeling lately?” or “Can you tell me more about your daily routine?”
• Be patient and give them time to respond.
• Reassure them that seeking help is a sign of strength, not weakness.

Offer Support and Solutions

Once the issue is acknowledged, offer your support and discuss potential solutions. This could include professional help, such as counseling or support groups, or changes in their daily routine.

Ways to Offer Support:

• Help them find a healthcare professional who specializes in substance abuse among older adults.
• Suggest joining a support group, where they can connect with others facing similar challenges.
• Offer to accompany them to appointments or meetings.

Follow Up

The conversation about substance abuse is not a one-time event. Follow up with your parent regularly to check on their progress and offer continued support. Celebrate their successes and provide encouragement during setbacks.

Tips for Effective Follow-Up:

• Schedule regular check-ins, either in person or over the phone.
• Monitor any changes in their behavior or health.
• Continue to provide emotional support and assistance as needed.

Let Advanced Home Health Care Help

We’re here to support you and an older loved one struggling with substance abuse every step of the way. Contact us at 800.791.7785 to find out more about our in-home senior care services in Burlington, Fort Madison, Keokuk, and throughout Southeast Iowa.