Qualitative study explores implementation challenges in a care management program for older adults with substance use disorders, suggesting improvements for enrollment and trust-building.
Nearly 7.1 million Americans aged 60+ have a substance use disorder (SUD), yet older adults are screened and treated far less often than younger people. Those who receive care face barriers such as limited resources, stigma, and ageism. In response, a Midwestern community- based organization created a care management program for older adults with SUDs. This study used thematic analysis of 11 in-depth interviews with 13 program staff to examine implementation challenges. Staff described enrollment difficulties, resistance from older adult members, and workforce constraints. They recommended improving enrollment processes, building trust by honoring older adults' unique needs, and strengthening workforce support.
No takes yet. Share an insight, caveat, or question.
Brekke et al. (2026) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: