More than 7 million older adults live with a substance use disorder. The number is significant, but recovery is possible. For many, it begins with recognizing there’s a problem and deciding to seek support.

The Substance Abuse and Mental Health Services Administration (SAMHSA) defines recovery as “a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential." 

Recovery is not a single event. It’s an ongoing process that incorporates multiple guiding principles such as hope, respect, responsibility and peer support among others. 

There are a variety of treatment options available to older adults. Treatment plans vary based on individual needs, health history and support systems. Here are a few of the most common:

Medical detox

Medical detox is an inpatient treatment option where substance withdrawal is monitored by medical professionals. This is especially important for substances like alcohol, which can cause serious complications during withdrawal. Not everyone needs detox, but for some it’s a critical first step before continuing treatment.

Inpatient or residential treatment

These programs take place in a facility where individuals live during treatment. Care may include therapy, counseling, peer support, education and medication management. Programs typically last 14 to 90 days or longer, depending on the person’s needs.

Partial hospitalization programs (PHP)

PHPs offer intensive treatment while allowing individuals to remain at home. Participants attend sessions several times a week for multiple hours each day and can last three or more months. Treatment often includes therapy, medication management and education.

Intensive outpatient programs (IOP)

IOPs provide more flexibility than PHPs. They require fewer hours per week and are often a good fit for those with a strong support system or those stepping down from a higher level of care.

Outpatient treatment

Outpatient care includes individual or group therapy with a licensed professional, such as a counselor or social worker. These types of professionals can support their recovery through methods like:

Peer support

Peer support groups can play a key role in recovery. Options include Alcoholics Anonymous, Narcotics Anonymous, Celebrate Recovery, National Alliance on Mental Illness and SMART Recovery. Many also offer virtual meetings, which can make participation easier. 

Amanda Krisher is associate director of behavioral health at the National Council on Aging’s Center for Healthy Aging. For more information, visit NCOA.org.