Substance Use Disorders in Postacute and Long-Term Care Settings

Area of Science:

• Geriatrics
• Addiction Medicine
• Public Health

Background:

• Substance use disorders (SUDs) are understudied in postacute and long-term care (PALTC) settings.
• SUDs represent a growing concern within the community-dwelling older adult population.
• Untreated SUDs contribute to adverse outcomes, including overdose deaths, emergency visits, and hospitalizations, often worsening existing health conditions.

Purpose of the Study:

• To highlight the significance of SUDs in the PALTC population.
• To emphasize the crucial role of primary care providers (PCPs) in managing SUDs within PALTC.
• To present practical strategies for PCPs to address SUDs in PALTC residents.

Main Methods:

• This clinical review synthesizes current knowledge on SUDs in PALTC.
• It focuses on actionable strategies for primary care practice.
• Evidence-based approaches for prevention and treatment are considered.

Main Results:

• SUDs pose a significant and growing challenge in PALTC.
• PCPs are well-positioned to impact SUD prevention and treatment.
• Specific, practical interventions can be integrated into routine care.

Conclusions:

• Addressing SUDs in PALTC is critical for improving patient outcomes.
• PCPs require tools and strategies to effectively manage SUDs in older adults.
• Proactive management of SUDs can reduce adverse health events and enhance quality of life for PALTC residents.