Demonstrate, Recognize, Define and Identify what we mean by aging Describe Substance Use Disorders (Marijuna, Alcohol & Opioids) Identify Mental Health Issues (Depression & Anxiety, Grief and Loss, Suicide )

1. Turning The Tide
On The Silver Tusamni
2020 WCSAD
Louise A. Stanger Ed.D. LCSW

2. Disclosure of Relevant Financial
Relationships
Content of Activity:
Date of Activity:
Commercial
Interests
Relevant
Financial
Relationship
s: What Was
Received
Relevant
Financial
Relationship
s: For What
Role
No Relevant
Financial
Relationship
s with Any
Commercial
Interests
No None
None
None
Name
NoneNone None

3. Meet Dr. Louise Stanger
Clinician-Educator-Blogger - Author
2019 Interventionist of the year-Harvard University
Affiliate McLean Hospital and DB Resources
Addiction In the Family: Helping Families Navigate
Challenges, Emotions, and Recovery, 2020
Rockridge Press, Emeryville, Ca.
The Definitive Guide to Addiction Interventions-
CIS -2018 Routledge, NY
Keep Falling Up- A Memoir of Renewal , 2016
WZY Press, Ca
Senior, Widow, Wife, Mother. Grandmother, Soul
Cycler, Adventurer
www.allaboutinterventions.com
619-507-1699

4. Substance Abuse- Mental Health-
Process Disorders and Medical Maladies

5. Mindfull
or
Mindfull

6. How Old Are You? ?
How old do you feel ?

7. What age do you Consider Old ?

9. Theodore Lidz -The Person
“Aging Is the Process of Growing Old. You are no
longer that well oiled machine rather you creak and
groan a bit”

10. The Silver Tsunami
Are You Ready For

12. Dedicated To
Dorothy Louise Schwartz
Widow x 2
Early Childhood Trauma
Family History MH. Suicide
Heavy Drinking Throughout
Life
Parkinsons

13. To Alexandra, Liam and Harrison

14. To all those Backpack Wearers

15. Objectives
Demonstrate , Recognize ,
Define and Identify what we
mean by aging
Describe Substance Use
Disorders ( Marijuna, Alcohol &
Opioids)
Identify Mental Health Issues
( Depression & Anxiety, Grief
and Loss, Suicide )

16. Objectives
Identify Other Issues: Problematic
Gambling, Financial Issues , Sex ,
Scams
Identify Grief and Loss (loss of a
loved one or function), Suicide
Other Physical Maladies Chronic
Pain -Knees, Hips, Shoulders,
Heart Diabetes, Hypertension,
Cataracts, Glaucoma, Dementia,
Alzheimers)

17. Describe & Identify Senior Scams
Objective

18. Gerontology
Senescence- Biological aging
Psychology- What does it
mean to get old?Generatively-
Basic Trust
Sociological - Networks to
Engage with
Spiritually or Consistent With
Ones Values

19. 1 in 5 U.S.
Residents will
be 65 or older

20. Geriatric Care Services 916.31 Billion in 2017 & by
2023 1,390.63 Billion
Zion Market Research 2018

21. I was Invited to a Pot Party at 72!
Louise A Stanger Ed.D, LCSW, CDWF, CIP
2020

22. Boomers Are The fastest Growing
Consumers -10 fold Increase
2016 National Survey of Drug Use
The Leaf -Palm Desert

23. Med Man - WEHO

27. About The Leaf
TOP CANNABIS POOL PARTY MUST-HAVES FOR YOUR NEXT PALM SPRINGS GETAWAY
5 WAYS TO SPARK UP YOUR INDEPENDENCE DAY CELEBRATION
8 CBD FOODIE APPROVED RECIPES TO CELEBRATE NATIONAL CBD DAY IN GREATER PALM
SPRINGS
ASK THE LEAF: WILL CANNABIS HELP WITH MY ANXIETY?

29. Harborside
Drive thru Desert Hot Springs

30. The Complete Guide to
Medical Marijuana for Seniors
This publication indicates that
Marijuana is good for just about
everything that ails
Makes the case that marijuana
has been used since 1910 and
goes beyond saying it is helpful
for cancer, glaucoma ,
alzheimers, anxiety ,
depression, gout etc

31. Marijuana is Big Business
People over the age of 50 spent
approximately $95.04 per month
GEN X spent $89.24
Millenials spent $72.94
Gen Z- $62.94
New York Times Jan. 24, 2019

33. Meet Harold
65 years old
Successful Entrepreneur
Son died two Years ago
suddenly
Wife is alcohol dependent

34. Hey Grandma can I do a Toke with you ?

39. Alcohol Abuse Among Seniors
11% of all hospital admissions alcohol related
21,00 people die every year over 65 pf alcohol related
causes
The rate of high risk drinking has shot up 65% in past
decade
10-15% of seniors do not drink heavily y till they are
older

40. Causes of Alcohol Abuse
Empty Nest
76 Million seniors downsizing
Feeling bored-lack of self worth
Declining health physical or
mental

41. Risks that Alcohol Poses to
Seniors
Less ability to absorb alcohol and
damaging toxins remain in body
longer
Dehydration
Falls- Bones can become brittle
Memory Loss ,Impairment
Interaction with other
medications
Mood Disorders

42. Signs of Alcohol Abuse
Drinking alone or in secret
Look at the checkout stand
Loss of interest in hobbies etc
Changes in personal
appearance
Untidiness around home
Changes in mood and demeanor

43. Meet Sally

44. 2 year old Falls Out of
Grandmother’s Golf Cart

45. Substance Use Facts Older
Adults
Number of Older Americans with
SUD expected to go from 2.8 million
in 2006 to 5.7 million in 2022
14,230 admissions age 65 or older to
SA Programs 9 29 admissions per day
for alcohol , 6 admissions for heroin
and other opiates
Drug Warning Network on an
average day 2011 2,056 drug related
ER visits of those 290 were for
illegal drug use, non-medical use of
pharmaceuticals or alcohol
combined with other drugs

46. Hey Grandpa Can I drink with you

47. Signs of Alcohol Abuse
Solitary or Secretive Drinking
Ritual of Drinking before, with ,
after dinner
Loss of interest in hobbies
Immediate & Frequent use of
Tranquilizers
Slurred Speech, empty liquor bottles,
smell of alcohol on breath
Chronic unsupported health
complaints Memory loss , Confusion
Hostility or Depression

48. Barriers to Addressing Substance
Abuse in Older Adults
Drinking is the only thing that makes
Dad happy
Mom is old, what difference will it make
She/He will never change
Treatment Wont Work
Grandpa has nothing better to do, so
what if he enjoys a few drinks
Only young People Experience Addiction
Shame & Stigma
Misdiagnosis

49. Prescription Drugs
Folks age 65 represent about
13 % of the population and
30% of all medications
prescribed in the US

50. Dramatic Statistics
Binge drinking among older women
increasing faster then in men
Older adults are hospitalized as
often for alcohol related problems
as for heart attacks
17 million prescriptions for
tranquilizers are prescribed for
older adults
Benzodiazepines most commonly
misuse and abused prescription
drug

51. Meet Joel & Norman
Alcohol- PTSD- Trauma

52. Ageism

54. Senior Health Concerns
Diabetes
Influenza & Pneumonia
Falls
Substance Abuse
Obesity
Oral Health
Poverty
Shingles

57. Chronic Pain
There are 133 million people in the US with
Chronic Pain
That is 1 in 5 adults globally
Physical pain increases when there is an
emotional factor -Anger-Anxiety-Depression
65% of all Americans see care for persistent
pain at some point in their lives
Opioids are frequently prescribed and over
prescribed
75% of all Heroin Users Started With
Prescriptions Drugs (JAMA Psychiatry 2014
Theodore Cicero University of Washington)

59. Meet Nick
72 Years old High Powered
Executive
Car accident-Hurt Neck
Popping Pills
Speech Slurred , Memory Poor
Stopped taking Grandchildren out
Stayed in bed -Grumpy
Anxiety , Depression.

60. Mental Health and Aging
20% of all people age 55 or
older experience some type of
mental health
Anxiety
Cognitive Impairment
Mood Disorders -Depression -
Bipolar

61. Suicide and Aging
Older adults have highest suicide rate
in Country. Plan more carefully and use
more deadly methods
Those over 85 highest attempt-75-84
second highest
Those who have just been released
from nursing homes
1 Suicide for every 4 attempts
compared to 1 Suicide for every 20
attempts other age groups
Depressed Mood, Health problems,
Isolation

62. Meet Sam- Widower

63. Gambling Addiction &
Seniors
Gaming Centers as the new Senior Center
Casinos supply scooters, wheelchairs
oxygen and wheel chairs.
Bathrooms have boxes to throw away
diabetic needles
Remember Birthdays- Celebrate the
Senior
Provide Entertainment, Connection and
Food
Distraction from what ails one
Allows for Excitement and a sense of
belonging

64. Risks & Signs
Seniors have money to spend and
some burn through savings
Seniors cannot make up losses
Impaired cognition may make poor
decisions and reduced aversion to risk
Medications dopamine antagonist s
for Parkinson or other movement
disorders may put one at higher risk
Early signs of Dementia or Alzheimers
Depression- Shame _ Anxiety

65. Are Loved ones asking for loans
Are there more Dr. Visits or ER Visits
Hobbies or other recreational hobbies
Change in Hygiene
Less Food in their refrigerator
Past due Utilities
Poor Decision Making Skills

66. Meet Dr. R

67. Have you been scammed ?

68. Top 10

69. Do you know a Senior?

73. The Sweetheart Scam
Lonely
Divorced
Recently Retired
Gambled
Checked out Dating Site
Possible Early Onset Dementia
Had Money

75. The Grandparent Scam
Humiliation-Shame-Embarrassment

78. Creating Treatment Centers
That focus on Geriatric and Aging Issues

79. Sex and Aging

80. Take The Lead- Get Active-Get Inspired-Get Involved!

81. Creating Centers of Aging In the Home

83. Evidenced Based Strategies
ACT
MI
SFT
CBT
Games and Puzzles
Exercise
Mindfulness
Nutrition

84. Build on Strengths
Psychological Characteristics
Autonomy, Control,
Independence, Adaptability, Self-
Esteem, Positive Outlook, Goals,
Sense of Self
Social, Community, Leisure
Activities, Integration &
Participation
Social Networks, Support,
Participation, Activity
Appropriate Medical Care
Intergenerational staff

85. Acknowledge
Accomplishments
Enjoyment of Diet
Financial Security
Neighborhood
Physical Appearance
Productivity

86. Treatment Strategies
Ecological Macro Approach
Living Arrangements-
Transportation
Physical and Mental Assessments
Multimodal Approaches From Talk
to Walk
OT’s on Staff
Family Work
Service Work

87. Allow for
There’s Time for Laughter
Theres Time for Tears
Theres Time for Joy
For Creativity
For Love
For Forgiveness
For Moving On
For Starting Over
For Making Amends
For Coloring Outside The Lines
For Making A Difference
For Communicating With The Cosmos
For Spirituality
For Curiosity
For Imagination
For Bravery
For Falling Up !

89. Questions

90. You All Make A Difference

91. Resources
Stanger, L (2020)Addiction in The Family: Helping Families Navigate
Change, Emotions and Recovery. Rockridge, Press, Emeryville, Ca
Ramirez , V ., Nov.9, 2017 .The Age Wave is Transforming Longevity
and It’s Just the beginning. Singularity Hub
Age Wave From Baby Boom to Age Wave.https://agewave.com
Lidz, T. (1968) The Person. Basic https://www.amazon.com/Person-
Development-throughout-Cycle-1968/dp/B009QL6544

92. Resources
Stanger, L. 2019. I was invited to a Pot Party at 72. Thrive Global.
2019
Ramirez , V ., Nov.9, 2017 .The Age Wave is Transforming Longevity
and It’s Just the beginning. Singularity Hub
Age Wave From Baby Boom to Age Wave.https://agewave.com
Lidz, T. (1968) The Person. Basic https://www.amazon.com/Person-
Development-throughout-Cycle-1968/dp/B009QL6544
https://www.desertsun.com/story/money/2018/01/18/palm-desert-
marijuana-license/1036227001/

93. Resources
The CBHSQ Report :A Day in the Life Of Older Adults Substance
Use Facts . SAMHSA (May 11,2017)
Parker, P. (2009How Old Is Old Age. New York Times
The CBHSQ Report :A Day in the Life Of Older Adults Substance
Use Facts . SAMHSA (May 11,2017)
Parker, P. (2009How Old Is Old Age. New York Times
More Older Women are Drinking Hard. https://www.cbsnews.com/
news/more-older-women-baby-boomers-binge-drinking/ March 29,
2017

94. Resources
10 Facts About Mental Health and Aging http://
www.lifeseniorservices.org/seniorline/
10_Facts_About_Mental_Health_and_Aging.asp
15 Most Common Health Concerns For Seniors .
Everyday Health
Suicide Prevention Resource Center
https://www.sprc.org/populations/older-adults

95. Resources
Substance Use and SUD in LGBT https://
www.drugabuse.gov/related-topics/substance-use-suds-
in-lgbt-populations
STD’s Hit All Time High Says CDC.Oct, 3, 2017
STDS Never GET OLD https://www.youtube.com/
watch?v=wMFRM1bkEDg

96. Resources
Substance Use and SUD in LGBT https://
www.drugabuse.gov/related-topics/substance-use-suds-in-
lgbt-populations
STD’s Hit All Time High Says CDC.Oct, 3, 2017
STDS Never GET OLD https://www.youtube.com/
watch?v=wMFRM1bkEDg
Stanger, L . The Definitive Guide to Addiction
Intervention, 2019 Ruthledge