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When veterans return home, they face many challenges, including adjusting to civilian life and overcoming the lasting effects of the stress experienced during deployment. Some veterans may be vulnerable to opioid abuse and addiction, but support and treatment are available.
We are in the midst of what some have called an opioid epidemic in veterans. Research has shown just how common opioid misuse has become in this population. An annual survey from the Substance Abuse and Mental Health Services Administration (SAMHSA) revealed the following veteran opioid abuse stats:
Other research has shown that opioid misuse presents a great risk to veterans, who are twice as likely as members of the general population to die from an accidental opioid overdose.
Anyone can fall victim to opioid addiction and overdose, but based on their unique risk factors, veterans can be particularly vulnerable to the negative effects of opioid addiction. Their time in the service, coupled with the challenges that veterans face upon their return to civilian life, can increase their risk of opioid misuse.
Opioid addiction and overdose in veterans can result from co-occurring mental health conditions, such as PTSD and depression. Opioid misuse may become a way of coping with painful emotions related to mental illness, which are common in veteran populations, especially among those with addictions.
For example, nearly ⅓ of veterans who seek treatment for a substance use disorder (SUD) also have PTSD. Furthermore, opioids can temporarily relieve depression, and for some veterans who experience suicidal ideation alongside depression, opioid overdoses may be intentional.
Injuries related to time in the service can lead to chronic pain. In this case, opioid misuse can arise when a veteran becomes dependent on prescribed pain medications. Research shows that combat-wounded veterans are more likely to misuse opioids when compared to the civilian population, suggesting that injured veterans who suffer from pain are at higher risk of opioid addiction.
Military sexual trauma (MST), which is common in both men and women, can increase the risk of opioid addiction because veterans may use substances to numb the pain and distress arising from MST. Studies show that opioid addiction is 50% more likely in veterans with a history of MST.
Due to factors like mental health challenges, chronic pain and lack of mobility, veterans are at risk of social isolation. Consequently, veterans may lack social support and develop chronic loneliness, which increases the risk of opioid misuse. When veterans are isolated, they also lack help in the case of an emergency overdose, which increases the risk of death.
Veterans are at increased risk of homelessness compared to civilians, and being homeless makes opioid addiction more likely. Homeless veterans lack social support, which increases their risk of substance misuse and makes them vulnerable to a fatal overdose, as they are less likely to have help available during an emergency.
Finally, veterans’ poor access to healthcare places them at risk for opioid addiction and overdose. Veterans underuse healthcare services, which means they lack consistent medical oversight. Without regular contact with healthcare providers, veterans may not receive proper education and information about the side effects, potential risks and appropriate uses of opioid medications.
If you or someone you love is struggling with opioid misuse, the following signs may be indicative of an addiction:
Many treatment options are available for veterans seeking to recover from opioid use disorder (OUD). Opioid addiction treatment for veterans typically involves some combination of the following modalities:
Given that OUD commonly co-occurs with mental health conditions like PTSD and depression, it is common for veterans in recovery to participate in therapy and take medications to address mental health conditions, as needed. Cognitive behavioral therapy (CBT) can be especially effective for veterans with co-occurring PTSD and OUD.
Two specific forms of CBT have been proven effective for treating veterans and include:
Veterans who are at risk of opioid overdose can access naloxone for free. This medication reverses an opioid overdose and is life-saving in the event of an overdose. Veterans can ask their VA provider for a naloxone prescription.
Peers are known to play an important role in the addiction treatment process for veterans. For this reason, support groups are often a part of OUD treatment. These groups provide a safe setting for discussing the challenges linked with addiction recovery and connecting to peers experiencing the same difficulties.
Friends and family can also make a positive difference for veterans in addiction treatment. Veterans who include friends and family in their treatment plan will have access to social support, which helps them avoid some of the risks that come with social isolation. Family members can also take part in family counseling to help them learn how to best support and communicate with their loved ones.
Veterans with an OUD often benefit from a drug rehab program. Such programs can occur at the inpatient level, meaning that veterans must live on-site at a treatment center while in rehab. Other programs are offered at the outpatient level, allowing patients to continue to live at home while going to appointments at a clinic. Given the fact that opioid withdrawal can be severe, OUD treatment often begins with medical detox.
Drug rehab programs typically include:
For veterans seeking Colorado addiction treatment, The Recovery Village at Palmer Lake offers a full continuum of services, with a state-of-the-art inpatient facility featuring scenic mountain views. We are a member of the VA Community Care Network, with staff trained specifically in helping veterans. Visit our webpage today to verify your insurance.
Substance Abuse and Mental Health Services Administration. “2020 National Survey on Drug Use and Health: Veteran Adults“>2020 Nat[…]eteran Adults.” July 2022. Accessed June 22, 2023.
Bennett, Alex; Watford, J. Alexander; Elliott, Luther; Wolfson-Stofko, Brett; & Guarino, Honoria. “Military Veterans’ Overdose Risk Behavior: Demographic and Biopsychosocial Influences“>Military[…]al Influences.”Addictive Behaviors, December 2019. Accessed June 22, 2023.
U.S. Department of Veterans Affairs. “PTSD and Substance Abuse in Veterans“>PTSD and[…]e in Veterans.” Accessed June 22, 2023.
Riblet, Natalie; Kenneally, Lauren; Shiner, Brian; Watts, Bradley. “Healthcare processes contributing to suicide risk in veterans during and after residential substance abuse treatment“>Healthca[…]use treatment.” Journal of Dual Diagnosis, 2019. Accessed June 22, 2023.
Dembek, Zygmunt; Chekol, Tesema. “The Opioid Epidemic: Challenge to Military Medicine and National Security“>The Opio[…]onal Security.” Military Medicine, 2020. Accessed June 22, 2023.
National Center for PTSD. “Effective Treatments for PTSD:“>Effectiv[…]nts for PTSD:
Consider Cognitive Behavioral Therapy (CBT) as First Line Treatment“>Consider[…]ine Treatment.” January 2015. Accessed June 22, 2023.
U.S. Department of Veterans Affairs. “Academic Detailing Services – Opioid Overdose Education & Naloxone Distribution (OEND)“>Academic[…]bution (OEND).” Accessed June 22, 2023.
The Recovery Village at Palmer Lake aims to improve the quality of life for people struggling with substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare providers.
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