Tuesday, October 13, 2015

A Significant Number of Adults Can't Identify Signs of Substance Abuse in Seniors

According to a New National Survey by Harris Poll on behalf of Caron Treatment Centers Poll finds majority of adults age 35-50 (51%) report substance abuse is not a growing problem among seniors (age 60+); Yet nearly 1 in 3 (31%) say their aging parent has engaged in problematic behaviors 

WERNERSVILLE, Pa., Sept. 24, 2015 /PRNewswire-USNewswire/ -- Many American adults aren't involved with their parent's health issues or knowledgeable when it comes to symptoms of substance use disorders (SUDs), according to findings from a new national survey by Caron Treatment Centers, a leading not-for-profit provider of addiction treatment and behavioral healthcare.

The online survey, commissioned by Caron and conducted by Harris Poll among more than 1,000 U.S. adults age 35-50 with a living parent, step-parent, or parent-in-law aged 60+ who they regularly contact (at least once a month), reveals alarming misperceptions about their parents' behavior and the consequences of drinking alcohol and taking prescription medication.

The survey demonstrates a disconnect between how involved adults say they are in their parent's healthcare and the steps they take to support their parent's wellness. It also shows the majority of adults (51%) don't think substance abuse is a growing problem among seniors; however, according to the National Council on Alcoholism and Drug Dependence (NCADD), alcohol and prescription drug problems among adults age 60+ are one of the fastest growing health issues in America.

Furthermore, the NCADD states adults age 65+ take more prescribed and over-the-counter medications than any other age group in the U.S. Misuse is prevalent among seniors not only because doctors prescribe more medications with greater frequency, but also because an individual's body becomes more susceptible to the effects of alcohol/drugs with age. Additionally, many don't realize combining alcohol and prescription medication can cause health complications and even death.

"We're in the midst of an epidemic regarding seniors and substance use disorders," said Dr. Joseph Garbely, M.D., Medical Director at Caron.

"Tragically, the majority of seniors who struggle with SUDs and related issues don't get the help they need and their health declines rapidly. It's critical that adults with aging parents understand the signs and symptoms of SUDs and are empowered with tools to talk to their parents, and in some cases their parent's doctors, about these issues."

Adults Believe They Could Spot Signs of Substance Abuse In Their Parents But Poll Shows Many Could Not Identify Major Symptoms 

Experts say nearly 2.8 million Americans age 50+ meet the criteria for SUD which is expected to nearly double (5.7 million) by 2020, according to the National Institutes of Health (NIH).

Nearly one-third of adults (32%) surveyed by Harris Poll said it's uncommon for people to start abusing alcohol and/or drugs after turning 60. In reality, many seniors experience problems with alcohol abuse after age 60. A Mayo Clinic study found at least 41% of adults age 65+ said their issues started after turning 60.

In early 2015, Caron developed a senior program after observing the specialized needs of the population.

Experts at Caron with extensive experience working with seniors created the personalized treatment approach to encompass several factors including low motivation, lifestyle changes, and unique triggers like retirement, death of a spouse, limitations to mobility, isolation, and the development of a chronic illness. Additionally, there are often significant co-occurring issues that must be treated in order to help seniors achieve recovery.

Experts at Caron say it's critical to start a dialogue with aging parents about their overall mental wellbeing – including their growing vulnerability to substance abuse and behavioral health issues. Although four in five adults (84%) said they'd be able to recognize symptoms of substance abuse in their parent, a significant amount didn't identify the following as signs:
  • Anxiety (54%)
  • Sleeping problems (46%)
  • Failing to keep up with medical appointments/treatments (43%)
  • Depressed mood (38%)
  • Recurring accidents/injuries/falls (37%)
  • Confusion/disorientation (36%)
  • 12% were unsure of the signs
Adults Lack Awareness of Dangers of Drinking Alcohol While Taking Prescription Medication; Trust Doctors to Discuss Abuse

Caron's survey revealed confusion around the potentially deadly combination of alcohol and prescription medication:

  • One in ten adults (10%) admitted uncertainty about what substances their parent uses
  • 11% said their parent consumed alcohol while taking prescription medication at age 60+
  • About 2 in 5 (37%) said it's okay for seniors to have one glass of wine/beer while taking prescription medication
The survey also showed nearly nine in 10 adults (87%) trust their parent's doctor would discuss the proper use, side-effects, storage, and disposal of prescription medications before prescribing. Additionally, the majority of adults (83%) said they trust the people who manage their parent's health to identify substance abuse signs; however, only 18% of providers discuss storage/disposal of drugs and over 40% of primary care doctors report difficulty discussing potential drug abuse with patients, according to the American College of Physician Medicine (ACPM). Safe storage and disposal is also important to understand because of a rising trend in individuals taking medication from others' medicine cabinets.

"Most doctors are well intentioned, but unfortunately we cannot rely on them alone to manage their patient's care," said David Rotenberg, Chief Clinical Officer at Caron.

"A typical patient in our senior program has been prescribed medication from multiple doctors. The doctors may not know this and may not think to ask the patient. Additionally, doctors sometimes fail to discuss proper use or potential side effects of prescribed medications or to emphasize the dangers of alcohol. We are expanding our work with the medical community to better educate doctors about substance use disorders. However, it's also critical that communities and families are educated and can raise awareness."
Nearly One Third of Adults Have Observed Instances of Risky Behavior among Parents Including Drinking and Driving

While many adults may not be able to recognize signs of substance abuse, almost one third (31%) reported their parent has engaged in behavior while age 60+ that may be cause for concern. Specifically:

  • 13% of adults said their parent has drunk 3+ drinks at one time
  • 11% said their parent has driven after drinking
  • 10% said their parent has taken multiple prescriptions or OTC medications at once
Adults are likelier to say their father has engaged in risky behavior, drinking while taking prescription medications (14% vs. 7%) or drinking and driving (15% vs. 8%), compared to their mother.

Adults Report Limited Involvement in Parents' Healthcare, Many Do Not Play Active Role in Care

Over 2 in 5 adults (44%) said they don't talk to their parent about their health and fewer take an active role in their parents' healthcare:
  • 18% check to ensure their parent is taking their medications
  • 17% accompany their parent to doctor visits
  • 14% pick up/refill medications for their parent
  • 3% received/are receiving formal training to provide care for their parent
Awareness Needed to Address Seniors and Substance Abuse

It's important adults are aware of the substance abuse dangers among seniors and can help make informed decisions to keep themselves and their parents safe. While many doctors play a role in trying to manage these issues, the earlier adults identify their parent may have a problem, the better chance for a successful recovery.

Experts caution not to wait for a parent to experience an extreme consequence before taking action. To this effect, Caron has been educating physicians and retirement home staff, training them to better understand the signs/symptoms of substance abuse and prevention strategies.

In 2016, Caron will break ground on its $15 million Carole and Ray Neag Medical Center which will support treatment for seniors.
For more information and to learn more about seniors and substance abuse visit www.caron.org or follow us on Twitter: @CaronTreatment.

About Caron Treatment Centers

With nearly 60 years in the field, Caron Treatment Centers provides lifesaving addiction and behavioral healthcare treatment in Wernersville, Pennsylvania and at Caron Ocean Drive and Caron Renaissance in Palm Beach County, Florida. Caron's regional offices in Atlanta, Boston, New York City, Philadelphia and Washington, DC offer community and recovery support. Caron has the most extensive continuum of care including adolescents, young adults, adults and seniors. Caron's treatment is customized to meet the needs of individuals and families – with highly trained teams prepared to address co-occurring disorders. Caron offers an innovative approach to ongoing recovery care for its alumni and their families.

This survey was conducted online within the U.S. by Harris Poll on behalf of Caron Treatment Centers betweenJune 18-26, 2015 among 1,007 U.S. adults ages 35-50 who have a living parent, step-parent, or parent-in-law aged 60+ who they regularly contact (once a month or more often). Figures for age, sex, race/ethnicity, education, region and household income were weighted, where necessary, to bring them into line with their actual proportions in the population. Propensity score weighting was used to adjust for respondents' propensity to be online.

Thursday, October 8, 2015

Many Use Prescription Painkillers, Most See Abuse as Major Health Concern

Despite wide use, broad support seen for policies to stem epidemic of opioid misuse and abuse in U.S.

Newswise, October 8, 2015 — More than one in four Americans has taken prescription painkillers in the past year, even as a majority say that abuse of these medications is a very serious public health concern, according to new Johns Hopkins Bloomberg School of Public Health research.

Roughly seven in 10 Americans have been prescribed the medications in their lifetime and 17 percent say they have taken painkillers prescribed for someone else, the researchers found in what they believe is the first national public opinion study on this topic.

The findings, published online Oct. 7 in the journal Addiction, suggest that the public may be poised to support a number of policy measures designed to control what has become an epidemic of abuse, including instituting better medical training in controlling pain and treating addiction, requiring doctors to ensure patients don’t receive multiple painkiller prescriptions from different providers and requiring pharmacists to check identification before distributing pain prescriptions.

Over the past decade, there has been a sharp increase in the rates of prescription painkiller abuse, misuse and overdose. 

Drug overdose – the majority of which involve opioid pain relievers – was the leading cause of injury death in 2012, and among people between the ages of 25 and 64, drug overdose surpassed car crashes as the leading cause of injury death.

“This study shows that many Americans have had direct experience using prescription pain relievers and a sizable share have misused or abused these medications themselves or have close friends or family members who have done so,” says study leader Colleen L. Barry, PhD, MPP, an associate professor in the Department of Health Policy and Management at the Bloomberg School.

 “The seriousness of the issue has become salient with the American public.”
Fifty-eight percent of survey respondents ranked prescription pain medication abuse as either a very serious or extremely serious health issue, on par with other public health problems such as gun violence and tobacco use, Barry says.

The study, based on a web-based public opinion survey of 1,111 adults in the United States in February 2014, was designed to understand attitudes about prescription painkiller use and abuse. 

Among the findings: Most people blame those who abuse painkillers and the doctors who prescribe them for the current public health crisis. A majority of respondents to the survey said doctors keep patients on these medications for too long, that it is too easy for people to get multiple pain medication prescriptions and that there is a lack of understanding among patients about how easily they can become addicted.

Prescription painkillers are involved in roughly 475,000 emergency department visits a year and the economic costs of misusing these medications were estimated in 2006 at $50 billion in lost productivity, crime and medical costs.

The researchers say they found broad support for most policy recommendations put forth by leading groups such as the U.S. Centers for Disease Control and Prevention, the White House Office of National Drug Control Policy, the American Medical Association and the Trust for America’s Health. 

Except for policies to expand distribution of medications such as naloxone that can reverse opioid overdose which was supported by only 47 percent of respondents and to increase government spending on addiction treatment which was supported by only 39 percent of those surveyed, there was majority backing for all policies in the survey.

Policy proposals with the highest levels of public support were requiring pharmacies to verify patient identification before giving out prescription pain medication (84 percent), requiring medical school and physician residency programs to provide training for physicians in how to detect and treat addiction to prescription pain medication (83 percent) and requiring medical school and physician residency programs to train physicians to treat chronic pain (82 percent).

“We think this is the perfect time to work on passing policies that can truly impact the crisis of prescription pain reliever abuse,” says study co-author Emma E. “Beth” McGinty, PhD, MS, an assistant professor in the Department of Health Policy and Management at the Bloomberg School. “The issue has not yet been highly politicized like some public health issues such as the Affordable Care Act, gun violence or needle exchanges, so we may have an opportunity to stem this epidemic.”

“Understanding Americans’ Views on Opioid Pain Reliever Abuse” was written by Colleen L. Barry, Alene Kennedy-Hendricks, Sarah E. Gollust, Jeff Niederdeppe, Marcus A. Bachhuber, Daniel W. Webster and Emma E. McGinty. The collaborating researchers are from the University of Pennsylvania, the University of Minnesota School of Public Health, Cornell University and the Philadelphia Veterans Affairs Medical Center.
Funding for this study was obtained through an unrestricted research grant from AIG, Inc.