“Getting That Trust Built with Them Helps Make Them Successful”: Supporting Older Adults with Substance Use Disorders

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.