Best Practices for Medication-Assisted Treatment in Geriatric Opioid Addiction

Opioid addiction is a growing problem among older adults, and medication-assisted treatment (MAT) is a common approach to help individuals manage their addiction. MAT involves the use of medications such as methadone, buprenorphine, and naltrexone, combined with counseling and behavioral therapy. While MAT has been shown to be effective in treating opioid addiction in older adults, there are some best practices that should be followed to ensure the best outcomes

Comprehensive Assessment

Before beginning MAT, a comprehensive assessment should be conducted to determine the patient’s medical history, current medications, and any co-occurring conditions that may affect treatment. This assessment should also include a thorough evaluation of the patient’s cognitive function, mental health status, and social support network.

Individualized Treatment Plan

Based on the results of the assessment, an individualized treatment plan should be developed that takes into account the patient’s unique needs and circumstances. This plan should include the specific medication(s) that will be used, the dosage and frequency of administration, and any necessary adjustments that may need to be made over time.

Regular Monitoring

Once treatment has begun, it is important to regularly monitor the patient’s progress and adjust the treatment plan as needed. This includes monitoring the patient’s adherence to medication, any side effects or complications, and any changes in the patient’s physical or mental health status.

Multidisciplinary Approach

MAT should be delivered as part of a multidisciplinary approach that involves a team of healthcare professionals, including physicians, nurses, pharmacists, and behavioral health specialists. This team should work together to provide coordinated care that addresses all aspects of the patient’s addiction, including physical, psychological, and social factors.

Education and Support

Patients and their families should receive education and support throughout the treatment process. This includes information about the medication(s) being used, potential side effects, and strategies for managing cravings and other withdrawal symptoms. Patients should also receive support in addressing any co-occurring mental health conditions and in developing healthy coping strategies to maintain long-term recovery.


Medication-assisted treatment is an effective approach for treating opioid addiction in older adults, but it requires careful planning and implementation to ensure the best outcomes. By following these best practices, healthcare professionals can help older adults achieve lasting recovery and improve their overall quality of life.

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