Disruption of Opioid Treatment Program Services Due to an Extreme Weather Event: An Example of Climate Change Effects on the Health of Persons Who Use Drugs.

IF 4.2 3区医学 Q1 SUBSTANCE ABUSE

Journal of Addiction Medicine Pub Date : 2024-11-26 DOI:10.1097/ADM.0000000000001403

Julia A Dunn, Paul Grekin, James B Darnton, Sean Soth, Elizabeth J Austin, Stephen Woolworth, Elenore P Bhatraju, Alex Gojic, Emily C Williams, Kevin A Hallgren, Judith I Tsui

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引用次数: 0

Abstract

Abstract: Climate change and the opioid epidemic in combination may pose significant challenges for individuals with opioid use disorder due to potential disruptions in access to essential addiction treatment services caused by extreme weather events. Despite concerns over the escalating health impacts of climate change, limited research has documented and explored the vulnerability of patients enrolled in opioid treatment programs to disruptions caused by climate change and particularly extreme cold events. In this commentary, we describe the impact of a catastrophic flooding event during record-setting cold temperatures at an opioid treatment program in Seattle, WA. By examining this event, we highlight the potential vulnerabilities the methadone treatment infrastructure faces regarding climate change and future extreme weather events. In doing so, we hope to draw attention to a critical need for research that describes, plans for, and addresses disruptions to opioid use disorder treatment resulting from climate change-related weather events.

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极端天气事件导致阿片类药物治疗项目服务中断：气候变化对吸毒者健康影响的一个例子。

摘要：气候变化和阿片类药物的流行结合在一起，可能会给阿片类药物使用障碍患者带来重大挑战，因为极端天气事件可能会导致患者无法获得基本的成瘾治疗服务。尽管人们担心气候变化对健康的影响会不断升级，但对参加阿片类药物治疗项目的患者易受气候变化尤其是极端寒冷事件影响的程度进行记录和探讨的研究却很有限。在这篇评论中，我们描述了在华盛顿州西雅图市的一个阿片类药物治疗项目中，在创纪录的低温下发生的灾难性洪水事件所造成的影响。通过研究这一事件，我们强调了美沙酮治疗基础设施在气候变化和未来极端天气事件中可能面临的脆弱性。在此过程中，我们希望能引起人们对描述、规划和解决因气候变化相关天气事件而导致的阿片类药物使用障碍治疗中断的关键研究需求的关注。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Addiction Medicine 医学-药物滥用

CiteScore

6.10

自引率

9.10%

发文量

260

审稿时长

>12 weeks

期刊介绍： The mission of Journal of Addiction Medicine, the official peer-reviewed journal of the American Society of Addiction Medicine, is to promote excellence in the practice of addiction medicine and in clinical research as well as to support Addiction Medicine as a mainstream medical sub-specialty. Under the guidance of an esteemed Editorial Board, peer-reviewed articles published in the Journal focus on developments in addiction medicine as well as on treatment innovations and ethical, economic, forensic, and social topics including: •addiction and substance use in pregnancy •adolescent addiction and at-risk use •the drug-exposed neonate •pharmacology •all psychoactive substances relevant to addiction, including alcohol, nicotine, caffeine, marijuana, opioids, stimulants and other prescription and illicit substances •diagnosis •neuroimaging techniques •treatment of special populations •treatment, early intervention and prevention of alcohol and drug use disorders •methodological issues in addiction research •pain and addiction, prescription drug use disorder •co-occurring addiction, medical and psychiatric disorders •pathological gambling disorder, sexual and other behavioral addictions •pathophysiology of addiction •behavioral and pharmacological treatments •issues in graduate medical education •recovery •health services delivery •ethical, legal and liability issues in addiction medicine practice •drug testing •self- and mutual-help.