Table 7. SAMSHA Recovery Dimensions, HHS Healthy Ageing and Older Adult Considerations SAMSHA Recovery Dimension SAMSHA Dimension Definition HHS Healthy Aging Topics
Older Adult Considerations
Health
Living a lifestyle of healthy choices that minimize symp- toms and positively contrib- ute to physical and emo- tional welfare.
• Staying Active. • Nutrition for the Older adult. • Locating Benefits & finding care. • Managing medication & treatment. • Brain health.
• Living arrangement. • ADLs. • Transportation (driving safety). • Access to care (Medicare). • Access to resources like healthy food and medications. • Nutrition assistance (Meals on Wheels). • Food safety. • Access to healthcare. • Older adult specific treatment. • Physical exercise and activity. • Strengthening cognition and memory. • Ethical and legal implications • Living arrangement. • Assisted living, long-term care, nursing home. • Fall prevention. • Family, friends, caregivers involved. • Access to support. • Lower risk of violence. • Marital status. • Support network. • Group therapy. • Religious or spiritual considerations. • Sexual activity. • Developmental task completion. • Job(s). • Volunteer position(s). • Purposeful involvement. • Hobbies. • Cultural considerations. • Religious and spiritual inclusion.
Home
Physical residence that in- cludes safety.
• Staying connected to your community.
Community
The connection to others that provide comfort and support (friendship, love, intimacy, and hope). Existential stability, sense of purpose and being, ability to find meaning and satis - faction in self and others.
• Staying connected to your community.
Purpose
• Learning about diseases, conditions, and injuries. • Understanding mental health.
Note: Information combined from SAMHSA (2022c) and HHS (2022)
Table 8. SAMHSA Recovery Principles and Definitions with Older Adult Applicability SAMSHA Recovery Principle Recover Principle Definition
Older Adult Applicability
H
o
p
e
• Internalized drive. • Future focused. • Optimism. • Self-direction. • Taking responsibility. • Personalization. • A nonlinear process.
• Hope can be instilled by self or others. • Hopelessness is a safety concern (assess for suicide). • Focus on autonomy and incorporation for decision-making in life. • Based on personal strength, talent, capabilities, and coping skills • All recovery dimensions of health, home, purpose, and community. • Peers can be family, friends, professionals. • Some psychosocial treatments include peer support. • Family, friends, caregivers, neighbors, faith groups, community groups and members. • Citizenship.
(The crux for recovery)
Person-Driven
Many Pathways
Holistic
• Whole life. • Mind, body, spirit, community.
Peer Support
• Sense of belonging. • Support.
Relational
• Connectedness. • Social networks.
.
Culture
• Diversity inclusion. • Uniqueness.
• Cultural awareness. • Cultural sensitivity. • Culture humility.
Page 62
Book Code: RPUS3024
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