Seniors Overcoming Addiction

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Addiction does not discriminate by age. Roughly 4% of people over the age of 65 are estimated to have a substance use disorder, a statistic that is trending up each year. 

At Coastal Detox of Southern California, we recognize that the path to recovery for seniors requires a specialized, compassionate approach that respects the unique physical and emotional challenges of this life stage.

Senior Addiction by the Numbers

The prevalence of substance use among those aged 65 and older is rising significantly. Understanding the scope of this issue is the first step toward removing the stigma that often prevents seniors from seeking help.

  • Nearly 1 million adults aged 65+ live with a substance use disorder.
  • Alcohol remains the most used substance among seniors, often exacerbated by social isolation.
  • Seniors consume approximately 30% of all prescribed medications in the U.S.
  • Drug-related hospitalizations among seniors have more than doubled in the last decade.

Source: National Institute on Drug Abuse

Why Senior Addiction Treatment is Different

Treating addiction in older adults requires going beyond standard protocols for detox and rehab. Many seniors also have co-morbid health conditions, such as high blood pressure, kidney disease, obesity, or diabetes, that have been exacerbated by heavy alcohol or drug use over many years

It’s important to find an addiction treatment center that is medically equipped to manage complex geriatric health conditions as part of an integrated approach to detox and rehab. 

  • Medical Complexity: Older adults often have co-occurring medical conditions like heart disease, diabetes, or chronic pain that must be managed alongside addiction.
  • Altered Metabolism: As we age, the body processes drugs and alcohol more slowly, meaning substances stay in the system longer and can have lasting effects even at lower doses.
  • Dual Diagnosis: Many seniors struggle with late-onset addiction triggered by life transitions such as retirement, the loss of a spouse, or social isolation, which often coincides with depression or anxiety.
  • Medication Management: The high rate of prescription medication use among seniors requires expert clinical oversight to prevent dangerous interactions during the detox process.

Tailored Treatment at Coastal Detox

Coastal Detox of Southern California provides residential detox and rehab programs designed to ensure seniors receive comprehensive medical care while staying in our comfortable luxury villas. Our expert clinical team is trained to support seniors through every phase of their journey. 

Clinical and Technological Support

We utilize advanced technology like ObservSMART, which provides our clinicians with real-time, objective data on patient progress and medication adherence. This ensures the highest level of safety for our senior patients, whose physical health is our top priority.

Holistic and Evidence-Based Therapies

Recovery is about more than just physical abstinence; it is about reclaiming quality of life. Our programs integrate science-backed therapies with holistic wellness:

  • Medical Detox: A safe, clinically supervised start to the recovery process.
  • Individual & Family Therapy: Repairing damaged bonds and addressing the underlying trauma or grief that may fuel substance use.
  • Nature Immersion: Taking advantage of our San Diego environment with beach walks and gentle hiking to promote physical and mental well-being.

Comprehensive Aftercare Planning

The journey doesn’t end at discharge. Our clinical case managers work with each patient to develop a personalized aftercare plan, which may include referrals to Partial Hospitalization (PHP) or Intensive Outpatient (IOP) programs. We ensure a warm hand-off to trusted partners in San Diego to maintain long-term stability.

It’s Never Too Late

One of the most dangerous myths about addiction is that there is a point where it is too late to change. This couldn’t be further from the truth. Every day is a new opportunity to choose health, clarity, and connection. At Coastal Detox, our team members—many of whom are in recovery themselves—offer a safe, judgment-free environment where you can rediscover your self-worth.

Whether you are 25 or 75, your future is worth the effort. You have spent a lifetime building wisdom and experiences; let us help you enjoy your golden years with the peace and sobriety you deserve.


Are you or a loved one ready to take the first step?
Our admissions team is available 24/7 to help you navigate the path forward.

Call Coastal Detox of Southern California today: 858-333-7396

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Meet Our Team

Coastal Detox of Southern California is composed of an entire team of highly trained substance abuse professionals in recovery.
Phil Castagnola SUDCC program director at Coastal Detox of Southern California

Phil Castagnola, SUDRC

Program Director

Kay Saffe LPCC clinical director at Coastal Detox of Southern California

Kay Saffe, LPCC

Clinical Director

Jeff Swem SUDRC director of operations at Coastal Detox of Southern California

Jeff Swem, SUDRC

Director of Operations

Coastal Detox of Southern California is only a call away.

Contact Us Today for a Free Confidential Assessment and Insurance Verification.

Phil Castagnola

Case Manager

Philip Castagnola, SUDCC, is the Program Director for Coastal Detox of Southern California. He holds an Associate’s in Science and Certification in Alcohol and Other Drug Studies from San Diego City College.

Phil has over 15 years of continuous sobriety and is an active Sponsor in the San Diego Alcoholics Anonymous (AA) community. He struggled with substance abuse issues throughout his youth. He started using drugs at the age of 15, having been raised in an environment that normalized heavy drug and alcohol use. He spent a lot of time in and out of various rehab programs before being incarcerated in federal prison, which is where he finally completed an 18-month treatment program and used that time to work the 12 Steps.

After completing his sentence and serving his debt to society, he vowed to continue to give back to others who are going through similar hardships. Phil is passionated about sharing his experience with openness and honesty so that others may find hope for their future and find the strength to break free from the bondage of addiction.

In addition to a successful career as a certified counselor, Phil is also reconnecting with his passion for surfing. Phil surfed professionally in competitions for a few years in his early 20s and even owned his own surf shop (Select Surf Shop) before losing everything to his addiction. Now in his sobriety he is able to once again surf recreationally and in contests, showing that it’s never too late to reclaim your own narrative, overcome substance use disorder, and pursue the life you were always meant to have.

Kay Saffe, LPCC

Clinical Director

Kay Saffe, LPCC,  is a Licensed Professional Clinical Counselor and Clinical Director at Coastal Detox of Southern California. She holds a Master’s Degree in Clinical Mental Health Counseling from the University of San Diego and a Bachelor’s Degree in Psychology from New College of Florida. 

Kay grew up in Miami, Florida and is a first generation American with Argentinian roots. Throughout her youth, she struggled with drinking and substance abuse. Today, she has been in recovery for over 4 years and strives to prioritize her spiritual, mental, and physical health.

A lifelong athlete and ocean lover, she moved to San Diego to pursue her Master’s degree and progress her surfing. She has spent years working as a surf instructor and therapist, working with local non-profits that treat at risk individuals and families in both English and Spanish. She incorporates a mindful and holistic approach to therapy. She is passionate about positive psychology and helping others through their recovery journey.

Jeff Swem, SUDCC

Director of Operations

Jeff Swem, SUDCC, is a Substance Use Disorder Certified Counselor and the Director of Operations at Coastal Detox of Southern California. He holds an Associate’s in Science and Certification in Alcohol and Other Drug Studies from San Diego City College.

Jeff has 6 years of continuous sobriety and is active in the San Diego Alcoholics Anonymous (AA) community. Jeff struggled with substance abuse from a young age and endured some harrowing, near-death experiences before “settling down” into a career as a professional beer brewer. It was during the COVID outbreak that he surrendered to his higher power and made the choice to get sober for good.

After completing an inpatient rehab program and IOP aftercare, Jeff quit the brewing industry and pivoted to become a Substance Use Disorder Certified Counselor so he could surround himself with a caring and supportive sober community and help others who struggle with addiction by leading through example and sharing his personal experience.

Born and raised in San Diego, Jeff is married to his wife of 25 years. They have a son and daughter together, and thanks to the 12 Steps and a successful career at Coastal Detox, Jeff is able to be fully present for them every day, be a positive role model, and show them how it is possible to thrive in recovery.