Why it looks different later in life
The National Institute on Alcohol Abuse and Alcoholism (NIAAA) says older people are more sensitive to alcohol’s effects on sleep, balance, coordination, attention and driving. Because of changes in the body, an older adult may reach a higher blood alcohol level than a younger person after the same amount. So the two glasses of wine your dad always had may affect him much more now.
NIAAA also notes that big life changes, like retirement, the death of a loved one or health problems, can lead someone to start or increase drinking to cope with loneliness, boredom, anxiety or depression. Some older adults drink to help them sleep, which NIAAA says can actually make sleep problems worse.
Signs are easy to mistake for normal aging. NIAAA lists memory loss, depression, anxiety, poor appetite, unexplained bruises, falls, sleeping problems and not keeping up with cleanliness or appearance as possible clues. You can read more on NIAAA’s Aging and Alcohol page.
Alcohol and medications
Many older adults take several medicines. NIAAA warns that mixing alcohol with drugs that cause sleepiness, such as sleep medicines, anxiety medicines, opioid pain medicines and some cold and allergy medicines, can be deadly. Alcohol with aspirin raises the risk of stomach bleeding, and acetaminophen can cause liver damage in people who drink regularly.
Misuse of prescription pain or anxiety medicines can happen too, sometimes without the person meaning to. Never stop or change a parent’s medications on your own. Bring every pill bottle to their doctor and ask for a full medication review.
This page is general information, not medical advice. Please talk with a doctor before making any change to medications or substance use.
What to ask a program
About health and safety
- Do you have medical staff who can manage withdrawal in an older adult?
- Will you review all of my parent’s medications with their doctors?
- Can you manage conditions like heart disease, diabetes or memory problems during care?
- Is the building safe for someone with mobility or fall risks?
About fit and comfort
- Do you have groups for older adults, or will they be with much younger clients?
- Can you adjust for hearing or vision loss?
- Do you accept Medicare, and for which levels of care?
- Can family help with rides and appointments?
Which level of care often fits
- Medically supervised detox. Withdrawal from alcohol or sedatives can be risky, and more so with other health conditions. Our detox page explains what medical detox involves.
- Outpatient or IOP. Many older adults do well living at home with regular sessions, close contact with their primary doctor and help from family. An intensive outpatient program (IOP) offers more support than weekly counseling.
- Residential. When use is severe, they live alone without support or outpatient care hasn’t worked.
Medicare covers some substance use treatment, but the rules depend on the part of Medicare and the setting. Our page does Medicare cover rehab? explains Parts A, B and D and what to ask.
Talking with a parent
Adult children often feel awkward raising this. Start with health, not blame: “I’ve noticed you’ve fallen twice this year, and I’m worried.” Ask if you can come to their next doctor’s visit. Our guide on how to talk to a loved one has more ideas.
If your parent served in the military, our guide for Veterans covers VA care. Our pages on rehab for women and men may help too, and all our specialized care guides are in one place.
Treatment centers near Jacksonville
Free listings, checked against Florida DCF. Sponsored listings are always labeled. Ask each center directly whether it offers groups or services for older adults.
ACE Medical
6428 Beach Blvd, Jacksonville
Chemical Dependency Counseling (Green Cove Springs)
21 North Orange Avenue, Green Cove Springs
Chemical Dependency Counseling (Southpoint)
4237 Salisbury Road North Suite 308, Jacksonville
Chemical Dependency Counseling (Westside)
6983 103rd Street Suite 2A, Jacksonville
Clay Behavioral Health Center (Loch Rane)
2141 Loch Rane Boulevard Ste 120-121, Orange Park
Community Rehabilitation Center (Beechwood)
623 Beechwood Street Suite 623, Jacksonville
CRC Crossroads Health and Wellness Center
5206-A Pearl Street, Jacksonville
Design Recovery
3000 3rd St S, Jacksonville Beach
Dupont Counseling Group
8540 Baycenter Road, Jacksonville
Duval Family Health Center (Downtown Clinic)
611 E. Adams St, Jacksonville
EPIC Behavioral Healthcare (Central Campus)
1400 Old Dixie Highway Suite C, St. Augustine
EPIC Behavioral Healthcare (North Campus)
3910 Lewis Speedway, St. Augustine
EPIC Behavioral Healthcare (Palencia)
352 Paseo Reyes Dr, St. Augustine
EPIC Recovery Center
3574 US 1 South Suite 107 and 111, St. Augustine
FreshMinistries Outpatient Counseling (Weaver Center)
616 A. Philip Randolph Blvd, Jacksonville
Gateway Community Services
555 Stockton St, Jacksonville
Gateway Community Services (Broadway)
2133 Broadway Avenue, Jacksonville
Groups Recover Together (Orange Park)
2020 Kingsley Ave Suite 3, Orange Park
Inspire to Rise (Westside)
5927 Old Timuquana Road, Jacksonville
Jacksonville Outpatient Detox
8613 Old Kings Rd S, Suite 100, Jacksonville
Lakeview Health
3227 Southside Blvd, Jacksonville
Lakeview Health Outpatient
4496 Southside Blvd, Jacksonville
MedMark Treatment Centers Jacksonville
5600 Spring Park Road Suite 101, Jacksonville
Mental Health Resource Center (North)
3333 W. 20th Street, Jacksonville
Mental Health Resource Center (South)
11820 Beach Blvd, Jacksonville
Meridian Healthcare (Putnam County Clinic)
3314 Crill Avenue, Palatka
New Life Counseling and Educational Services
4124 Boulevard Center Drive, Jacksonville
New Season Treatment Center (Duval)
590 Ellis Road South, Jacksonville
New Season Treatment Center (Jacksonville)
4427 Emerson Street Bldg 4, Jacksonville
New Season Treatment Center (Orange Park)
1241 Blanding Boulevard Suite 5, Orange Park
Questions about treatment for seniors
Is it too late for an older adult to get treatment?
No. People can recover at any age. Treatment for older adults often includes their regular doctor, a medication review and support for loneliness or grief.
Does Medicare pay for rehab?
Medicare covers some substance use treatment, depending on the setting and the part of Medicare. Call the plan and the program to confirm. Our Medicare guide lists what to ask.
How do I know if Mom’s drinking is a problem or just normal?
Watch for falls, bruises, memory problems, poor appetite, sleep trouble or changes in how she cares for herself. NIAAA lists these as possible clues. Her doctor can do a simple screening.
Should my dad stop drinking right away?
Not without talking to a doctor first. Someone who has been drinking heavily every day can have dangerous withdrawal if they stop suddenly. A doctor can plan a safe way to cut back or arrange medical detox.
What if my parent takes pain pills and drinks?
That combination can be very dangerous. Talk to their doctor soon and keep naloxone (Narcan) in the home if opioids are involved. In an emergency, call 911.
