Counselor Toolbox Podcast with DocSnipes

1084 - How Are Nursing Homes Failing Addiction Patients in 2025?

Dec 5, 2025
Explore the alarming state of addiction care in nursing homes. Discover statistics revealing high rates of substance use disorders among patients. Learn about the challenges of medication management, highlighting risks of self-administration and diversion. Delve into the vulnerabilities present in care settings that can lead to relapse. Understand the importance of screening for co-occurring issues and how emotional intelligence plays a role in recovery. Plus, find out about environmental triggers that threaten sobriety and strategies for prevention.
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INSIGHT

Definitions And Care Levels

  • Post-acute care is short-term rehab after hospital discharge and aims to return patients home within ~100 days.
  • Long-term care spans independent living, assisted living, memory care, and nursing homes with varying support levels.
INSIGHT

High Addiction Prevalence Among Referrals

  • A large share of patients referred to post-acute care have substance use disorders, often with polysubstance use.
  • Addiction is common even when admission diagnoses appear medical, so screening matters.
ADVICE

Screen All Patients Non-Punitively

  • Screen every admission for substance use history non-punitively during intake.
  • Use screening to guide monitoring and avoid missing covert or past addictions.
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