Substance abuse has clear and profound effects on the health and well-being of older adults in all aspects of life.  Many different health problems are impacted by substance abuse.  The social and economic impact is also tremendous.  Substance abuse has negative effects on self-esteem, coping skills and relationships, which can add to other losses that are common in the later stages of life.  Additionally, substance abuse may interfere with prescribed and over the counter medications used by older adults.

The warning signs or red flags of substance abuse are less obvious in older adults than in younger individuals because they are also symptoms of other illnesses or diseases that are common in later life.  Many older adults are retired and drink at home by themselves, so they are not likely to come to the attention of law enforcement or to miss work because of drinking.  Therefore, family members and friends may not think of substance abuse as a problem.  It is vital to recognize the warning signs and seek help.

Possible Red Flags of Substance Abuse in Older Adults:

·     Social Isolation

• Financial Problems
• Falls and/or Unsteady Walking
• Increased Tolerance to Alcohol
• Poor Hygiene
• Poor Nutrition or Loss of Appetite
• Anxiety and/or Depression
• Mood Swings and/or Confusion
• Slurred Speech
• Memory Loss
• Sleep Disturbances

 The sigma associated with having a substance abuse problem, especially for older adults, may prevent family members or friends asking if such a problem exists.  However, asking questions, showing concern, seeking support, education and treatment are critical in helping individuals who are abusing alcohol and/or drugs. Older adults can successfully recover from substance abuse through involvement in counseling, education and AA.  Recognizing that substance abuse in a problem in the first step in recovery.