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A Public Health Guide to Ending the Opioid Epidemic最新文献

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Addressing Community Trauma and Building Community Resilience to Prevent Opioid Misuse and Addiction 解决社区创伤和建立社区复原力，以防止阿片类药物滥用和成瘾
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0017
Sheila B. Savannah, Dana Fields-Johnson, R. Cantu, S. Chehimi, Alexis Captanian, Karmen Kurtz
{"title":"Addressing Community Trauma and Building Community Resilience to Prevent Opioid Misuse and Addiction","authors":"Sheila B. Savannah, Dana Fields-Johnson, R. Cantu, S. Chehimi, Alexis Captanian, Karmen Kurtz","doi":"10.1093/oso/9780190056810.003.0017","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0017","url":null,"abstract":"Any strategy to end the opioid epidemic must include recognizing and addressing the role of widespread individual and community trauma and the need for solutions that build protective factors and agency within communities while supporting long-term treatment and recovery for those experiencing substance use disorders. In this chapter, the authors describe how a community trauma–informed approach can be applied to address and mitigate the exposures, behaviors, and high levels of hopelessness that are fueling the opioid crisis. Further, the chapter explores how primary prevention strategies can complement opioid treatment and long-term recovery interventions and address other conditions that co-occur in communities experiencing trauma.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114983759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stigma and the Language of Addiction 耻辱和成瘾的语言
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0005
M. Botticelli, Colleen L. Barry
{"title":"Stigma and the Language of Addiction","authors":"M. Botticelli, Colleen L. Barry","doi":"10.1093/oso/9780190056810.003.0005","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0005","url":null,"abstract":"Stigma influences attitudes toward individuals and groups, and these attitudes are expressed in how we as a nation have dealt with addiction in general and the opioid crisis in particular. Stigma is defined as a strong lack of respect for a person or a group of people or a bad opinion of them because they have done something or have traits of which society disapproves. Stigma creates misperceptions about how to end the opioid crisis and acts as a barrier for individuals with opioid use disorder to seek treatment and engage in recovery. Public attitudes toward addiction need to be changed to effectively end the epidemic, as does the language used to describe individuals who misuse drugs. Misperceptions and lack of understanding of addiction as a chronic disease have promoted the criminalization of individuals with substance use disorder rather than a public health approach. The case is made for policy changes that support new policy directions that stress parity in treatment for mental health and substance misuse with other “physical health” conditions as well as suggestions for better communications strategies to reduce stigma.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124863561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Collaborating to Address Substance Use Disorder in Correctional Settings 合作解决惩教机构中的物质使用障碍问题
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0012
Rosemarie A. Martin, N. Alexander-Scott, Joseph Wendelken, J. Clarke
{"title":"Collaborating to Address Substance Use Disorder in Correctional Settings","authors":"Rosemarie A. Martin, N. Alexander-Scott, Joseph Wendelken, J. Clarke","doi":"10.1093/oso/9780190056810.003.0012","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0012","url":null,"abstract":"For years, advocates in Rhode Island, including many individuals on staff at the Rhode Island Department of Corrections, envisioned a criminal justice system that did not perpetuate the crises of substance use disorder and overdose and instead helped address them thought treatment and recovery supports. In 2016, the state’s corrections department introduced the first statewide correctional system medication-assisted treatment program in the country to initiate a comprehensive program to screen for opioid use disorder. The program is demonstrating successful results. Continued public health and corrections collaboration lay the groundwork for additional innovations in program implementation, including the Rhode Island Department of Health’s focus on health equity and the social determinants of health. This chapter shares the Rhode Island experience as a potential model for other state programs.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114410509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Public Health and the Criminal Justice System 公共卫生和刑事司法系统
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0019
G. Tennis, Kenneth J. Martz, J. Charlier
{"title":"Public Health and the Criminal Justice System","authors":"G. Tennis, Kenneth J. Martz, J. Charlier","doi":"10.1093/oso/9780190056810.003.0019","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0019","url":null,"abstract":"Approximately two-thirds of America’s incarcerated population suffers with untreated or undertreated substance use disorders, and many of those individuals commit several crimes related to drug use and addiction on a daily basis prior to being incarcerated. To end the opioid epidemic in the United States we not only need to bolster our health care and public health response to substance use disorders, we need to engage the criminal justice system as a specific touchpoint for public health intervention in communities and states across the country. The principal argument in the chapter is that while individuals with opioid and/or other substance use disorders should get treatment before ever being involved in crime—if they are justice-involved, it is imperative that the criminal justice system serve as a belated but necessary public health and health care intervention supportive of treatment, recovery, and prevention of addiction.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124099653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-Opioid Alternatives to Managing Chronic Pain 非阿片类药物替代治疗慢性疼痛
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0007
Vanila M. Singh, R. Katonak
{"title":"Non-Opioid Alternatives to Managing Chronic Pain","authors":"Vanila M. Singh, R. Katonak","doi":"10.1093/oso/9780190056810.003.0007","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0007","url":null,"abstract":"While public health practitioners generally focus on the primary prevention of illness and disease by developing programs and policies that promote health and well-being, an understanding of chronic pain and its treatment is important for public health professionals working to address the opioid crisis. There are unintended consequences of well-intentioned policies that may restrict prescribing behavior or otherwise interrupt or change access to opioids. For example, one consequence of expanding state prescription drug monitoring programs has been concern by providers that “legitimate” pain patients may be subjected to increased suspicion and stigma and not able to obtain needed medications. State and federal efforts to shut down “pill mills” are vital to addressing diversion and criminal behavior, but pain patients who are also seen in these clinics may have an interruption in their treatment or access to medication. Understanding chronic pain treatment and non-opioid alternatives to pain management is an important part of developing sound public health policies to prevent opioid use disorder and its sequelae. This chapter presents these alternatives and the evidence base for each.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129204294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early Childhood Trauma and Substance Misuse and Addiction 儿童早期创伤与药物滥用和成瘾
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0018
Melissa T. Merrick, Derek C. Ford, D. Houry
{"title":"Early Childhood Trauma and Substance Misuse and Addiction","authors":"Melissa T. Merrick, Derek C. Ford, D. Houry","doi":"10.1093/oso/9780190056810.003.0018","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0018","url":null,"abstract":"This chapter examines the complex relationship between childhood trauma and substance use. Not all children who experience childhood trauma will go on to use substances, and persons with no childhood trauma may develop substance use disorders. However, trauma has been found to greatly increase the risk of later substance use. Further, research suggests that individuals with histories of childhood trauma are more likely to report chronic pain symptoms that interfere with daily activities and are also more likely to be prescribed multiple prescription medications. Adverse childhood experiences (ACEs) have been directly associated with substance misuse and substance use disorders in adulthood, including illicit drug use, with a dose–response relationship such that the more ACEs children experience, the more likely they are to have such substance use problems as adults. Implications for prevention of opioid use disorder in particular, and substance misuse and addiction more generally, are discussed.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"218 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116517192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Engaging Payers to Transform Treatment of Substance Use Disorders 让支付者参与改变药物使用障碍的治疗
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0011
S. Arsenault
{"title":"Engaging Payers to Transform Treatment of Substance Use Disorders","authors":"S. Arsenault","doi":"10.1093/oso/9780190056810.003.0011","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0011","url":null,"abstract":"Changing how addiction treatment is paid for is critical to improving the quality of these services and increasing patient access to more effective care. Currently, several aspects of the payment system for substance use disorder treatment services perpetuate outdated care models through perverse incentives that hinder adoption of best practices—for example, fee-for-service payments that incentivize high-intensity acute treatment episodes rather than chronic disease management. These payment practices are undergoing scrutiny and many changes have already begun to transform treatment policies. Recognizing a turning point for the engagement of third-party payers and an impetus for progressive payment reform, Shatterproof, a national nonprofit organization, partnered with health insurers to advance the substance use disorder treatment system in the United States and developed eight principles of care. This chapter describes this work and changes to payment models to better support patient needs, community and public health, and the interests of private insurers and health care providers.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"198 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133795166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Expanding Access to Treatment and Recovery Services Using a Hub-and-Spoke Model of Care 采用轮辐式护理模式扩大治疗和康复服务的可及性
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0010
Anne Van Donsel, A. Folland, M. Levine
{"title":"Expanding Access to Treatment and Recovery Services Using a Hub-and-Spoke Model of Care","authors":"Anne Van Donsel, A. Folland, M. Levine","doi":"10.1093/oso/9780190056810.003.0010","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0010","url":null,"abstract":"This chapter describes Vermont’s hub-and-spoke system of care for treatment of opioid use disorders. The system not only addresses the clinical care needs of patients but also assists those in treatment in building the skills needed to address other aspects of well-being, such as self-care, parenting, and employment. The program is a collaborative effort of the state’s Medicaid program, the Department of Health, substance abuse treatment providers, and primary care practices. The goals of the system are to increase total access to care, decrease the risk of overdose and transmission of infectious disease, normalize care for substance use disorder, and link patients to other needed services. Both hubs and spokes use evidence-based medication-assisted treatment (MAT) to treat opioid use disorder. Individuals for whom MAT is not desired or indicated may receive non-MAT residential, intensive outpatient, or outpatient treatment, and a wide array of recovery support services.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124922581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Prescription Drug Monitoring Programs (PDMPs) in Addressing the Opioid Overdose Epidemic 处方药监测计划(PDMPs)在解决阿片类药物过量流行中的作用
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0022
G. Baldwin, Jan L Losby, Wesley Sargent, Jamie Mells, S. Bacon
{"title":"The Role of Prescription Drug Monitoring Programs (PDMPs) in Addressing the Opioid Overdose Epidemic","authors":"G. Baldwin, Jan L Losby, Wesley Sargent, Jamie Mells, S. Bacon","doi":"10.1093/oso/9780190056810.003.0022","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0022","url":null,"abstract":"Prescription drug monitoring programs (PDMPs) are secure, online, state-based databases that contain information about controlled substance prescriptions written by clinicians and dispensed by pharmacists within a jurisdiction. In this chapter, current and future trends impacting PDMPs are reviewed and the implication of these trends for the future development of even more effective PDMPs is discussed. Uses of PDMPs by public health partners are also reviewed. For example, law enforcement officials may use data collected by PDMPs when investigating unusual prescribing patterns. Law enforcement officials may also use PMDP data in drug courts and other criminal diversion programs. Medical licensing boards use PMDP data to assess aberrant prescribing practices. Health systems, insurers, and public health officials use aggregated PDMP data as part of their efforts to evaluate a quality improvement initiative, an opioid stewardship program to improve opioid prescribing system-wide, or broad changes to prescribing patterns across a city, county, or state.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"156 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126615338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Five Key Strategies for an “Upstream” Approach to Preventing Opioid Misuse and Addiction 预防阿片类药物滥用和成瘾的“上游”方法的五个关键战略
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0016
J. Auerbach, B. Miller
{"title":"Five Key Strategies for an “Upstream” Approach to Preventing Opioid Misuse and Addiction","authors":"J. Auerbach, B. Miller","doi":"10.1093/oso/9780190056810.003.0016","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0016","url":null,"abstract":"In this chapter, executive leadership of Trust for America’s Health (TFAH) and Well Being Trust describe the need to move “upstream” in prevention efforts to address opioid and other drug-related deaths. This means addressing the broad social and economic factors that drive substance misuse and addiction, including racism and other forms of discrimination and poverty. TFAH and Well Being Trust’s National Resilience Strategy highlights the causes of “deaths of despair” and promotes prevention efforts that are aligned along a spectrum from early childhood throughout all stages of adulthood. This chapter highlight five major strategies for public health practitioners; focusing on children and their families, assisting adults who may be at elevated risk, incorporating routine screening in multiple settings, supporting community health and social service resource availability and promoting equity in broad terms.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"2012 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127406282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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