Download or read book The Social and Community Consequences of the Opioid Epidemic written by Rajeev Darolia and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.
Download or read book A Public Health Guide to Ending the Opioid Epidemic written by Jay C. Butler and published by Oxford University Press. This book was released on 2019-10-02 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: THE DEFINITIVE GUIDE FOR PUBLIC HEALTH PROFESSIONALS FIGHTING THE OPIOID EPIDEMIC The opioid crisis has devastated families and communities across the United States. Changes in policing and medical practices have been swift, but they've achieved only a modest impact on the fundamental causes of substance misuse and addiction. The necessity for upstream intervention is clear. But what does that look like? A Public Health Guide to Ending the Opioid Epidemic does what only a public health approach can: offer credible, scalable, and empirically supported approaches to uprooting one of society's most pernicious challenges. It systemizes the core tenets of the public health approach to substance misuse and addiction, which alongside clinical approaches (prescription guidelines and monitoring, increased access to overdose-reversal medication, and medication-assisted treatment availability) offers a roadmap for end-to-end response to this diverse problem. Core elements of the public health approach, all covered here in practical terms, include: · How to support community-based, primary prevention of substance misuse and addiction in different settings and populations · How to effectively address the cultural, social, and environmental aspects of health that are driving the current epidemic · How governmental public health agencies play a significant role in responding to the epidemic, both in the field's traditional model of disease surveillance and control and in more directed approaches to health promotion (building community resilience; addressing the impact of adverse childhood events; mitigating the root causes of addiction) These frameworks offer a foundation for understanding, analyzing, and meaningfully impacting the burden of opioid misuse and addiction in any population or setting. A Public Health Guide to Ending the Opioid Epidemic is a roadmap for meaningful change.
Download or read book The Opioid Epidemic and Infectious Diseases E Book written by Brianna L. Norton and published by Elsevier Health Sciences. This book was released on 2020-10-25 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offering timely guidance on the junction of the opioid crisis and infectious diseases, this practical handbook by Dr. Brianna L. Norton provides concise yet comprehensive coverage of a growing patient population. Infectious disease specialists are increasingly seeing patients who previously used opiods and now use intravenous drugs. Many challenges are unique to this patient population, including new and growing infections such as hepatitis C, endocarditis, HIV, and hepatitis B. The Opioid Epidemic and Infectious Diseases is an up-to-date, real-world guide that covers the scope of the problem, management guidelines, and much more. - Describes the new landscape of the opioid crisis in the U.S. and its intersection with infectious diseases, including epidemiology, Opioid Use Disorder (OUD) and rural America, and more. - Offers practical guidance on (OUD) and infectious co-morbidities like hepatitis C, STDs, endocarditis, HIV, and hepatitis B. - Covers prevention, treatment, and harm reduction. - Discusses OUD, infectious diseases, and the criminal justice system. - Consolidates today's available information and guidance into a single, convenient resource.
Download or read book The Opioid Epidemic written by Yngvild Olsen and published by What Everyone Needs to Know(r. This book was released on 2019 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt: An incisive, essential guide to understanding one of today's most urgent -- and complex -- problems. The Opioid Epidemic: What Everyone Needs to Know® is an accessible, nonpartisan overview of the causes, politics, and treatments tied to the most devastating health crisis of our time. Its comprehensive approach and Q&A format offer readers a practical path to understanding the epidemic from all sides. Written by two expert physicians and enriched with stories from their experiences on the front lines of this epidemic, this book is a critical resource for any general reader -- and for the individuals and families fighting this fight in their own lives.
Download or read book The Opioid Epidemic and the Therapeutic Community Model written by Jonathan D. Avery and published by Springer Nature. This book was released on 2019-10-18 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book aims to explore the evidence supporting the therapeutic community (TC) modality as a uniquely effective approach to care of individuals living with opioid use disorder and other addictions, and also to identify salient mediators of improved outcome, including long-term treatment and removal from the opioid-associated environment. The book includes multiple international perspectives and is designed for worldwide appeal—for countries that have established some TCs with success, those looking to improve care, and those looking to build them for the first time. Written by experts in addiction psychiatry and medicine, this book describes the unique role of therapeutic communities in treating substance use disorders, how the model has changed over time and adapted to diverse sociocultural contexts and systems of care, and how the TC model may serve an important population in the context of the current opioid epidemic. The chapters are written so as to be accessible for clinicians across specialties and professions. The Opioid Epidemic and the Therapeutic Community Model is an excellent resource for all professionals interested in diverse and effective models of care to treat opioid use disorder and other addictions, including addiction medicine specialists, psychiatrists, psychologists, rehabilitation administrators, hospitalists, social workers, public health workers, students, and the interested public
Download or read book Substance Use Disorders written by Gerard Moeller and published by Oxford University Press. This book was released on 2020-09-17 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Substance Use Disorders provides an overview of substance misuse and addresses the neurobiology, pharmacotherapy, and behavioural therapy management of substance use disorders from a clinical perspective. Examining the opioid epidemic to frame its discussion of the epidemiology of substance misuse, this book explores common barriers that prevent the implementation of effective treatment. Chapters discuss various aspects of substance use disorders, particularly opioids, alcohol, cannabis, and cocaine, to inform better conceptualization and management of these conditions. Part of the Primer On Psychiatry series, this book will provide a solid foundation for residents and fellows in psychiatry and addiction medicine and can also be used in clinical practice.
Download or read book Measuring Success in Substance Use Grant Programs written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2021-01-15 with total page 81 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid epidemic, now several decades in the making, continues to cause pain and suffering for millions of Americans. Each year, thousands of individuals die from overdose, and thousands more grieve from these losses. Opioid use disorder (OUD) can lead to a complete interruption of day-to-day activities, including caring for one's family, maintaining a job or career, or keeping track of basic necessities, such as health care and finances. This report, the first in a series of three, examines four of the Substance Abuse and Mental Health Services Administration (SAMHSA)'s grant programs that help alleviate suffering due to opioids and improve treatment quality and access. It offers recommendations about the existing reporting tools used by these programs and and proposes additional metrics and outcomes that should be considered.
Download or read book Facing Addiction in America written by Office of the Surgeon General and published by Createspace Independent Publishing Platform. This book was released on 2017-08-15 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt: All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. Substance misuse and substance use disorders have devastating effects, disrupt the future plans of too many young people, and all too often, end lives prematurely and tragically. Substance misuse is a major public health challenge and a priority for our nation to address. The effects of substance use are cumulative and costly for our society, placing burdens on workplaces, the health care system, families, states, and communities. The Report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment so that they can address a person's overall health, rather than a substance misuse or a physical health condition alone or in isolation. It also provides suggestions and recommendations for action that everyone-individuals, families, community leaders, law enforcement, health care professionals, policymakers, and researchers-can take to prevent substance misuse and reduce its consequences.
Download or read book Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic written by Engineering National Academies of Sciences (and Medicine) and published by . This book was released on 2019 with total page 83 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States is facing an opioid use disorder epidemic with opioid overdoses killing 47,000 people in the U.S. in 2017. The past three decades have witnessed a significant increase in the prescribing of opioids for pain, based on the belief that patients were being undertreated for their pain, coupled with a widespread misunderstanding of the addictive properties of opioids. This increase in prescribing of opioids also saw a parallel increase in addiction and overdose. In an effort to address this ongoing epidemic of opioid misuse, policy and regulatory changes have been enacted that have served to limit the availability of prescription opioids for pain management. Overlooked amid the intense focus on efforts to end the opioid use disorder epidemic is the perspective of clinicians who are experiencing a significant amount of daily tension as opioid regulations and restrictions have limited their ability to treat the pain of their patients facing serious illness. Increased public and clinician scrutiny of opioid use has resulted in patients with serious illness facing stigma and other challenges when filling prescriptions for their pain medications or obtaining the prescription in the first place. Thus clinicians, patients, and their families are caught between the responses to the opioid use disorder epidemic and the need to manage pain related to serious illness. The National Academies of Sciences, Engineering, and Medicine sponsored a workshop on November 29, 2018, to examine these unintended consequences of the responses to the opioid use disorder epidemic for patients, families, communities, and clinicians, and to consider potential policy opportunities to address them. This publication summarizes the presentations and discussions from the workshop.
Download or read book Relieving Pain in America written by Institute of Medicine and published by National Academies Press. This book was released on 2011-10-26 with total page 383 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.
Download or read book Through the Lens of Blackness and Positionality Within a Dane County Opioid Crisis written by Troy Malcolm Williams and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Public health researchers and practitioners who study the opioid crisis contend that social connections combat addiction. Additionally, scholars who study Black communities have provided anecdotal evidence that the over-policing of Black public spaces contributes to social isolation. Since 1999, more than 750,000 Americans have fatally overdosed on opioids. Most news coverage about the crisis and responses from politicians, federal agencies, and community organizations has centered on white suburban and rural communities' experiences. The impact of the opioid crisis on Black communities is less frequently considered. This dissertation is an inquiry into the ways Black residents in Dane County experience the opioid crisis. More specifically, this project explores how increased access to social infrastructure and Third Spaces in Black communities can be used to combat social barriers that have led to opioid misuse. I define social infrastructure as the physical spaces, networks, organizations, and accommodations within communities. Quality social infrastructure provides residents with spaces where they can gather informally, establish systems where they can share information, join and create voluntary groups, and ensure that these communities have access to resources that contribute to a healthy lifestyle such as benches, bike paths, sidewalks, and parks. This study utilizes data initially collected by evaluators at Wisconsin's Department of Health Services to explore this phenomenon further. I used this data to conduct a secondary data analysis to investigate the opioid use and misuse among Black residents of Dane County. In the first empirical chapter, I analyze secondary data to understand the role of social infrastructure, specifically Third Spaces, as a contributing factor to drug abuse. Interviewees reveal that opioid use in Black communities throughout Dane County is exceptionally complex and involves multiple systems and structures that reach far beyond individuals' choices and behaviors, which are often alluded to as the root of drug abuse. The first-hand accounts depict the impact of being denied access to spaces and how the absence of social infrastructure has impacted their lives. The results of this study help support arguments for easily accessible social, economic, and political resources in Black communities as a means to reduce opioid abuse. In the second empirical chapter, I utilize frame analysis as a supporting framework for a process that I created called Playlist Informed Analysis to offer a socio-historical frame for qualitative data and address the complexity of interviewees' experiences. Playlist Informed Analysis is a process by which community members, researchers, and organizations explicate and analyze song lyrics and cite artists within academic research to support existing data, hypotheses, and theories. This process allowed me to utilize a collection of songs from different musical genres, periods, and regions as supporting evidence to add context to the qualitative data that had already been collected. The dissertation's broader argument is that easily accessible social, economic, and political resources in Black communities throughout Dane County can address social isolation by providing social infrastructure and Third Spaces in Black communities.
Download or read book Clinical Guidance for Treating Pregnant and Parenting Women with Opioid Use Disorder and Their Infants written by Substance Abuse and Mental Health Services Administration (US) and published by Createspace Independent Publishing Platform. This book was released on 2018-04-20 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Guide provides comprehensive, national guidance for the optimal management of pregnant and parenting women with OUD and their infants based on the recommendations of experts reviewing the limited evidence available for this population as of 2017. In the past, only one option was available for OUD treatment in pregnant women. Today, more options are available, so healthcare professionals need to provide more education to their patients and obtain their detailed informed consent to ensure decision-making is shared between the pregnant woman or new mother and the healthcare professional. This Guide will help healthcare professionals and patients determine the most clinically appropriate action for a particular circumstance, with the expectation that the healthcare professionals will make individualized treatment decisions. A cornerstone of the Guide is that a healthy pregnancy results in a healthy infant and mother. The Guide recognizes the mother and infant as a dyad, and the recommendations are provided in light of what actions will optimize the outcomes for the mother-infant dyad as a whole, with guidance provided from preconception to several months postpartum and for the first few years of infant development.
Download or read book Challenging Cases and Complication Management in Pain Medicine written by Magdalena Anitescu and published by Springer. This book was released on 2017-11-17 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive book provides reviews of pain management complications that arise in clinical practice. Organized into sections focused on types of pain therapy and procedures, each chapter is based on actual complications; starting with a case description that delineates the context with a short past medical and surgical history, pain management technique and outcome it is followed by a comprehensive review of the topic described in the first section. Authors emphasize the elements of differential diagnosis that pointed towards establishing of the complication and describe the best way to treat the identified complication. Physicians treating pain patients will be presented the necessary tools in identifying and treating unanticipated complications following pain interventions, thus providing safer care for their patients.
Download or read book Opioid Reckoning written by Amy C. Sullivan and published by U of Minnesota Press. This book was released on 2021-10-19 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examines the complexity and the humanity of the opioid epidemic America’s opioid epidemic continues to ravage families and communities, despite intense media coverage, federal legislation, criminal prosecutions, and harm reduction efforts to prevent overdose deaths. More than 450,000 Americans have died from opioid overdoses since the late 1990s. In Opioid Reckoning, Amy C. Sullivan explores the complexity of the crisis through firsthand accounts of people grappling with the reverberating effects of stigma, treatment, and recovery. Nearly everyone in the United States has been touched in some way by the opioid epidemic, including the author and her family. Sullivan uses her own story as a launching point to learn how the opioid epidemic challenged longstanding recovery protocols in Minnesota, a state internationally recognized for pioneering addiction treatment. By centering the voices of many people who have experienced opioid use, treatment, recovery, and loss, Sullivan exposes the devastating effects of a one-size-fits-all approach toward treatment of opioid dependency. Taking a clear-eyed, nonjudgmental perspective of every aspect of these issues—drug use, parenting, harm reduction, medication, abstinence, and stigma—Opioid Reckoning questions current treatment models, healthcare inequities, and the criminal justice system. Sullivan also imagines a future where anyone suffering an opioid-use disorder has access to the individualized care, without judgment, available to those with other health problems. Opioid Reckoning presents a captivating look at how the state that invented “rehab” addresses the challenges of the opioid epidemic and its overdose deaths while also taking readers into the intimate lives of families, medical and social work professionals, grassroots activists, and many others impacted by the crisis who contribute their insights and potential solutions. In sharing these stories and chronicling their lessons, Sullivan offers a path forward that cultivates empathy, love, and hope for anyone affected by chaotic drug use and its harms.
Download or read book The Thirteenth Step written by Markus Heilig and published by Columbia University Press. This book was released on 2015-05-12 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: The past thirty years have witnessed a revolution in the science of addiction, yet we still rely on outdated methods of treatment. Expensive new programs for managing addiction are also flourishing, but since they are not based in science, they offer little benefit to people who cannot afford to lose money or faith in their recovery. Clarifying the cutting-edge science of addiction for both practitioners and general readers, The Thirteenth Step pairs stories of real patients with explanations of key concepts relating to their illness. A police chief who disappears on the job illustrates the process through which a drug can trigger the brain circuits mediating relapse. One person's effort to find a burrito shack in a foreign city illuminates the reward prediction error signaled by the brain chemical dopamine. With these examples and more, this volume paints a vivid, readable portrait of drug seeking, escalation, and other aspects of addiction and suggests science-based treatments that promise to improve troubling relapse rates. Merging science and human experience, The Thirteenth Step offers compassionate, valuable answers to anyone who hopes for a better handle on a confounding disease.
