March Behavioral Health & Aging Newsletter

Welcome to OCEBHA’s monthly newsletter! Each month, we send out a newsletter highlighting some of the last month’s important news and applicable research in behavioral health and aging, and events and opportunities for the upcoming month. 

This month, we’re sharing some exciting news about OCEBHA’s work, actionable research for practitioners on substance use and building bridges, along with select March events from our partners across Oregon.

 

OCEBHA News

  • We’re excited to announce two of our keynote speakers for the 3rd annual Behavioral Health & Aging Conference happening in September 16-17 in Wilsonville, OR
    • Dr. Sarah Kopelovich, PhD, ABPP is a board-certified clinical psychologist and national leader in advancing evidence-based care for individuals with serious mental illness across public behavioral health systems. She is a Professor in the Department of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine, where she holds the first Professorship in Cognitive Behavioral Therapy for Psychosis.
    • Margot Kushel, MD is a Professor of Medicine and Division Chief at the Division of Health and Society at Zuckerberg San Francisco General Hospital and Trauma Center and Director of the UCSF Action Research Center for Health and UCSF Benioff Homelessness and Housing Initiative. Margot's research focuses on reducing the burden of homelessness on health through examining efforts to prevent and end homelessness and mitigating the effects of housing instability on health care outcomes.
    • More information about our annual in-person conference to come, bookmark our conference information page to stay up to date with the latest speaker announcements and registration information!
  • A new monthly webinar series, the first presentation will take place: 
    • 12:00-1:30pm pdt on March 25, “Practical Psychopharmacology: Clinician's Guide to Managing Complex Behavioral Health RX in Older Adults,” presented by Maureen Nash, MD.
    • Register today at this link.
 

Recent Research Highlights 

The Opioid Crisis Is Aging. Yet Addiction Care Often Overlooks Older Adults

More older people are being diagnosed with opioid use disorder (OUD) even as the treatment system often fails to help them. There are many reasons for this surge. Society is aging, and so is the population with OUD. Many older adults suffer with painful medical problems and other conditions that can contribute to addiction. Here are 10 policy recommendations the authors say would improve substance use care for older adults:

  • Include screening in routine older adult care
  • Improve addiction care in hospitals and nursing homes
  • Ensure insurance covers all types of OUD treatment
  • Reform methadone access
  • Fund and reimburse evidence-based treatments
  • Expand flexible and virtual care options
  • Pay for case management and social support services
  • Support medication treatment in nursing homes
  • Protect against discrimination
  • Promote age-friendly harm reduction 

A Better Way to Care for Older Adults with Opioid Addiction

Nearly 20,000 people over the age of 55 died of an opioid overdose in 2023, and the number of seniors living with opioid addiction has climbed in recent years to roughly 1 million. Many have other health problems such as arthritis, diabetes and heart failure, and experience social issues like housing, hunger and loneliness also pose increasing challenges for many people as they age.

Doctors, nurses, researchers and policy experts say many of these older patients are falling through the cracks of a health care system that is not built to meet their needs. 

REACH Health Services in Baltimore (Recovery Enhanced by Access to Comprehensive Healthcare) provides one model for filling in these cracks by:

  • starting patients on opioid addiction medicine, like methadone
  • providing peer support groups for older patients and mental health therapists
  • employing lived-experience staff as peer specialists
  • Coordinating care, transportation, and linking patients to social services

Study Finds Cannabis Usage in Middle Aged and Older Adults Associated With Larger Brain Volume, Better Cognitive Function

Research studying the effects of cannabis on the brain has often focused on adolescents, but a new study from CU Anschutz researchers looks at population-level impacts of cannabis usage on the brain in older adults. 

The research team found that cannabis usage in older adults was generally associated with larger volumes in several brain regions and better cognitive function in adults ages 40 to 77. Guha said she was surprised by the extent of the positive findings. But she emphasized that cannabis use studies are difficult with often unknown variables, noting the constituents and potency of the cannabis products study subjects used were unknown.

Key findings include:

  • Research found larger brain volumes and better cognitive function among middle age and older adults who used cannabis, especially in moderate use cases. 
  • The areas of the brain studied include learning and memory, processing speed, attention and executive function, traditionally thought of at odds with cannabis consumption. 
  • However, another brain region saw lower volumes – suggesting the impact cannabis has on the brain is complex and nuanced, requiring further investigation. 
 

Behavioral Health & Aging Training News

Oregon’s Behavioral Health Talent Council releases final report

Many parts of Oregon lack mental health care providers, especially in rural counties.

This report builds on a statewide behavioral health workforce assessment from last year. That assessment found a critical shortage of mental health providers, especially in rural counties.

The council’s report outlines strategies for building a better workforce. That includes increasing pay and creating more opportunities for career advancement.

Visit the Resource

Telehealth policy updates

The Federal government took a range of steps to expedite the adoption and awareness of telehealth. Some of the telehealth flexibilities have been made permanent while others are temporary. Telehealth policies allow:

Medicare patients can receive telehealth services for non-behavioral/mental health care in their home through December 31, 2027.

There are no geographic restrictions for originating site for Medicare non-behavioral/mental telehealth services through December 31, 2027.

Telehealth services can be provided by all eligible Medicare providers through December 31, 2027.

Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) can serve as Medicare distant site providers for non-behavioral/mental telehealth services through December 31, 2027.

An in-person visit within six months of an initial Medicare behavioral/mental telehealth service, and annually thereafter, is not required through December 31, 2027.

Non-behavioral/mental telehealth services in Medicare can be delivered using audio-only communication platforms through December 31, 2027.

 Read the full release below.

Visit the Resource

Partnership Gives Senior Center Staff Access to Online Learning

National Council on Aging (COA) and the Center for Aging and Disability Education and Research (CADER) at Boston University School of Social Work have partnered to bring discounted online learning to senior center staff.

The Behavioral Health in Aging certificate program focuses on expanding capacity to help older adults improve their mental health.

Visit the Resource
 

Community and Partner Events

  • Month long Geropsychology Learning Series with Nicole Reynolds, PsyD, ABPP
  • Tuesdays 4:30pm - 5:30pm, 1 OR NASW CEU pending per session, No cost to attend!
    • March 10, Implications of Ageism with Older Adults
    • March 17, Anxiety in Later Life
    • March 24, Identifying and Treating Depression in Older Adults
    • March 31, Navigating Ethical Issues in the Care of Older Adults
  • March 11, 11:45am - 1:15pm, “Considerations in Treatment For Older Adults with Serious and Persistent Mental Illness: Assisting with unmet needs, encouraging engagement, and collaborating with providers” presented by Lori Linton Nelson, RN, MN, PMHNP 
    • 1 Oregon NASW CEU 
    • All topics apply to the Oregon Geriatric Behavioral Health Core Competencies
  • March 12, 12 - 3PM, Safe Medication Use in Older Adults presented by Oregon Care Partners
    • 3 CEU Credits, webinar
 

Monthly Observances

March 16-22 is Brain Awareness Week 

Brain Awareness Week is a time to foster public enthusiasm and support for brain science. Brain health affects many aspects of life, including how we think, feel, act, and relate to others. Many factors can affect brain health, including age-related changes in the brain, injuries such as stroke, mood disorders, substance use disorder, and diseases such as Alzheimer’s.

Dementia is a term used to describe different brain disorders that affect memory, thinking, behavior and emotion. Early symptoms of dementia can include memory loss, difficulty performing familiar tasks, problems with language and changes in personality.

There is currently no cure for dementia, but a range of support is available for people with dementia and their care givers. 

Fast Facts: 

  • There are currently estimated to be over 55 million people worldwide living with dementia. The number of people affected is set to rise to 139 million by 2050, with the greatest increases in low and middle income countries
  • Already 60% of people with dementia live in low and middle income countries, but by 2050 this will rise to 71%
  • Up to three quarters of those with dementia worldwide have not received a diagnosis
  • Almost 62% of healthcare practitioners worldwide incorrectly think that dementia is part of normal aging
  • 35% of carers across the world said that they have hidden the diagnosis of dementia of a family member
  • Over 50% of carers globally say their health has suffered as a result of their caring responsibilities even whilst expressing positive sentiments about their role
  • Source: Alzheimer's Disease International
  • To learn more about how to support someone with Alzheimer's and Dementia, visit the Alzheimer's Association support page. 
 
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