Making Healthier Choices - Older Adults and Medication

Written by Lisa Catledge, MSW, Catholic Charities of Washenaw County

In Michigan, polypharmacy, or the regular use of five or more medications, is a significant concern for older adults. A 2023 study found that just over 40% of Medicare recipients use five medications a day, similar to the national average. Also, older adults report significant use of substances. A recent survey found that over 45% of those 65 or older used alcohol, and around 11% reported binge drinking. Additionally, nearly 7% reported marijuana use and 8% reported other drug use.

According to the Health Belief Model, lifestyle choices have a significant impact on a person’s health. Older adults are more likely to experience multiple health issues and take more medications. This increases the chance of experiencing more side effects. As the body ages, it processes alcohol and medications less efficiently, which can unintentionally increase the risk of using these in unhealthy ways (misuse). Additionally, stress and depression related to aging can further raise the likelihood of using substances as a coping mechanism.

Studies show that older adults who are involved in prevention education and social support are more likely to use medications wisely and reduce substance misuse. However, in Michigan, there are very few prevention services and resources to address these issues and the social isolation that can come with them.

Catholic Charities Washtenaw County has been providing prevention services for older adults for over a decade and is excited to introduce Seniors for Healthy Choices.

This free, evidence-based program promotes healthy aging through education, offering older adults valuable information on topics aligned with the Health Belief Model. Subjects include medication management, understanding age-related changes, and preventing substance misuse. The program also provides simple tools and practical resources to help participants feel more confident and empowered in managing their healthcare.

Seniors for Healthy Choices is open to all Washtenaw County residents aged 60 or older. The program consists of six weekly lessons, each building on the previous one. Refreshments are provided at every session. Participants also receive a Medication Toolkit, which contains practical items to help them take medications as prescribed. The toolkit includes a medication diary, a list of common medications with their potential side effects, and a medication bottle opener.

For more information about upcoming presentations or to schedule programming at your facility, please contact Lisa Catledge at lcatledge@ccwcwashtenaw.org or 734-971-9781 x453.