Methadone Maintenance Treatment for Older Adults: Cost and Logistical Considerations

Abstract

<p class="first" id="P1">Amidst a national opioid epidemic, the need for treatment of Opioid Use Disorder continues to grow. A demographic shift now suggests that older adults comprise a greater proportion of those receiving Methadone Maintenance Treatment (MMT); Recent findings from a study of MMT recipients living in New York City suggests that 13% of the population is over 60 years of age. Additionally, adults aged 50 – 59 years are among the largest age demographic, evidence that the total number of older adults receiving MMT will continue to increase. As medical comorbidities, cognitive impairment, and neurobehavioral changes often accumulate with age, older adults on MMT become increasingly vulnerable. Additionally, cost of MMT and logistical considerations pose challenges to continued care. This growing and understudied population warrants a reconsideration of emerging concerns and health policies. Especially relevant is the need for evidence-based guidelines and supportive policies that consider the unique treatment needs of older populations receiving MMT. Given the changing health care system and the growing opioid epidemic, re-consideration of this topic is especially timely. </p>