Many baby boomers face mental health and substance abuse issues
In recent months, much attention has been focused on the baby boomers and their impact on healthcare. A report released on July 10 by the Institute of Medicine (IOM; the health arm of the National Academy of Sciences) presented some disturbing findings regarding care for mental health and substance abuse issues for seniors.
The committee that formulated the report noted that millions of baby boomers are likely to face difficulties getting diagnoses and treatment for these problems unless there is a major effort to significantly boost the number of health professionals and other service providers able to supply this care as the population ages. The report noted that the magnitude of the problem is so great that no single approach or isolated changes in a few federal agencies or programs will address it.
The report notes the need for a redesign of Medicare and Medicaid payment rules to guarantee coverage of counseling, care management, and other types of services crucial for treating mental health conditions and substance use problems so that clinicians are willing to provide this care. It added that organizations that accredit health and social service professional schools and license providers should ensure that all who care for seniors, including primary care physicians, nurses, physicians’ assistants, and social workers, are able to recognize signs and symptoms of geriatric mental health conditions, neglect, and substance misuse and abuse and provide at least basic care.
The committee recommended that the top leaders of the US Department of Health and Human Services should promote national attention to building a work force of sufficient size that is trained in geriatric mental health and substance abuse care. They should ensure that all the department’s relevant agencies are devoting sufficient attention and resources to these conditions. The committee conservatively estimated that between 5.6 million and 8 million older Americans (14-20% of the nation’s overall senior population) have one or more mental health conditions or problems stemming from substance misuse or abuse. Depressive disorders and dementia-related behavioral and psychiatric symptoms are the most prevalent. Rates of accidental and intentional misuse of prescription medications are increasing. The rate of illicit drug use among older individuals is low; however, studies indicate that it will likely increase as the baby boomers age.