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

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The Role of Public Health Agencies in Convening Partnerships and Collaborations to Respond to the Opioid Crisis 公共卫生机构在召集伙伴关系和合作以应对阿片类药物危机中的作用
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0013
P. Tucker, M. Fraser
{"title":"The Role of Public Health Agencies in Convening Partnerships and Collaborations to Respond to the Opioid Crisis","authors":"P. Tucker, M. Fraser","doi":"10.1093/oso/9780190056810.003.0013","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0013","url":null,"abstract":"This chapter presents the role that public health agencies play as leaders and/or conveners of partnerships and collaborations in responding to the opioid epidemic at the state and local levels. “Partnership” is defined as a continuum of relationships between two or more entities ranging from informal engagement around topics of interest to formal, structured memoranda of understanding or contracts that govern resource exchange, the various roles and responsibilities of the partners, and performance metrics or other accountability metrics. The work of partnerships around opioid use and addiction requires intentional engagement of a variety of groups, many of whom have not traditionally worked with public health agencies before. Examples of various partners and their roles in ending the crisis are presented. The chapter includes a discussion of what makes for successful partnerships and key considerations when engaging collaborators in developing shared goals and objectives.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"1 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":"129186093","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
Public Health Approaches to Overdose Prevention and Harm Reduction 预防用药过量和减少危害的公共卫生方法
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0004
Mark Lysyshyn, M. Tyndall
{"title":"Public Health Approaches to Overdose Prevention and Harm Reduction","authors":"Mark Lysyshyn, M. Tyndall","doi":"10.1093/oso/9780190056810.003.0004","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0004","url":null,"abstract":"Harm reduction aims to reduce the negative consequences of drug use in people unable or unwilling to stop. This chapter focus on harm reduction policies, programs, and practices that have been employed in Vancouver, British Columbia, including the controversial introduction of supervised injection sites. Using data from the Vancouver experience, the authors describe successful harm reduction efforts that have resulted in no overdose deaths in Vancouver’s supervised injection facilities. The authors stress that harm reduction approaches are meant to be complementary to prevention and treatment approaches, acknowledging that it is not currently possible to prevent or treat all cases of problematic substance use and also that addiction is a relapsing chronic condition. Other harm reduction strategies include drug checking and alerting, take-home naloxone, injectable therapies, hydromorphone distribution, and peer engagement.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"112 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":"117243559","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
Systems Thinking and the Opioid Epidemic in Georgia 格鲁吉亚的系统思维和阿片类药物流行病
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0014
B. Manteuffel, L. Alderman, J. Branscomb, K. Minyard
{"title":"Systems Thinking and the Opioid Epidemic in Georgia","authors":"B. Manteuffel, L. Alderman, J. Branscomb, K. Minyard","doi":"10.1093/oso/9780190056810.003.0014","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0014","url":null,"abstract":"Systems thinking in public health is an analytic approach that takes a broad perspective to a health issue or challenge and considers the interrelated pieces and dependencies at play within the larger context of that issue. Systems thinking describes the interconnected factors that combine to contribute to many of the complex public health challenges practitioners face in their day-to-day work. Key to systems thinking is the idea that to truly solve a public health problem, one must understand and change the way the system works to create and sustain that problem. Changing just one part of a system can have incomplete (or even adverse) effects on overall outcomes. A systems thinking approach to the opioid epidemic involves understanding that a combination of factors that address various components and structures of the system is warranted to curb opioid misuse and addiction trends at the local, state, and national levels.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"38 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":"134584379","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
The Emergence of an Epidemic 流行病的出现
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0002
E. Finkelman, J. McGinnis
{"title":"The Emergence of an Epidemic","authors":"E. Finkelman, J. McGinnis","doi":"10.1093/oso/9780190056810.003.0002","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0002","url":null,"abstract":"The opioid crisis has roots deep in history, including social, cultural, and economic factors and trends that have driven the current epidemic. In this chapter, the authors describe the history of opioid use and its evolution to the current day. The modern epidemic has been spurred by the early marketing of pain medications as “nonaddictive,” increased availability of both prescription and illicit opioids in the United States, and perceptions that drug misuse and addiction are individual “moral failings” versus a broader understanding of addiction as being driven by broader social and environmental factors such as community resilience and social cohesion. The chapter suggests several opportunities to improve efforts to end the epidemic, including working with clinicians and community leaders to change health system procedures and to adopt policies that support communities in efforts to address the social determinants of health.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"42 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":"123589303","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: 2
Prescribing Guidelines and Opioid Stewardship 处方指南和阿片类药物管理
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0023
M. Bicket, C. Alexander
{"title":"Prescribing Guidelines and Opioid Stewardship","authors":"M. Bicket, C. Alexander","doi":"10.1093/oso/9780190056810.003.0023","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0023","url":null,"abstract":"Given the central role that the overuse of prescription opioids has played in the opioid epidemic, prescribing guidelines and opioid stewardship are critical strategies to reduce opioid-related addiction, injury, and death. This chapter highlights why prescribing guidelines are important and can improve the safe and effective use of opioids in clinical practice. Prescribing guidelines represent one important approach to fostering opioid stewardship, although there are many others, including public health surveillance, sound organizational policies, and patient and family engagement. Guidelines provide an efficient means of disseminating best practices to prescribers, patients, and others in a position to influence clinical care, such as policymakers and payers. Rigorously developed guidelines offer a valuable synthesis of the field, and thus serve as an important resource for individuals and organizations looking for an authoritative examination of the evidence base supporting the use of opioids in clinical and community practice.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"56 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":"122998873","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
A Comprehensive Approach to Addressing the Opioid Crisis 解决阿片类药物危机的综合方法
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0015
M. Fraser, M. Levine
{"title":"A Comprehensive Approach to Addressing the Opioid Crisis","authors":"M. Fraser, M. Levine","doi":"10.1093/oso/9780190056810.003.0015","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0015","url":null,"abstract":"An effective public health response to the opioid crisis includes understanding the many different contributors to the crisis and the need for a comprehensive versus piecemeal approach to addressing it. In this chapter, the authors add to prior work that describes the essential elements of a comprehensive response to the opioid crisis. Building on their commentary published in 2018, the authors state that there is a need to propel the governmental public health agency response well beyond its traditional role as data broker and convener of primarily health care partners toward a more contemporary and much-needed focus on the primary prevention of opioid misuse and addiction that forges new ground with social service agencies, employment and housing programs, law enforcement and corrections, addiction treatment providers and substance abuse prevention agencies, and many other sectors equally engaged in ending the opioid crisis.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"671 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":"130577584","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
Screening, Brief Intervention, and Referral to Treatment (SBIRT) as a Public Health and Prevention Strategy to Address Substance Misuse and Addiction 筛选，短暂干预和转诊治疗(SBIRT)作为解决药物滥用和成瘾的公共卫生和预防策略
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0009
Alexandra Nowalk, J. Pringle
{"title":"Screening, Brief Intervention, and Referral to Treatment (SBIRT) as a Public Health and Prevention Strategy to Address Substance Misuse and Addiction","authors":"Alexandra Nowalk, J. Pringle","doi":"10.1093/oso/9780190056810.003.0009","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0009","url":null,"abstract":"SBIRT (screening, brief intervention, and referral to treatment) is a comprehensive and integrated public health approach that aims to address hazardous and harmful substance use in patients through universal screening for substance misuse risk and the subsequent delivery of appropriate evidence-based interventions to reduce this risk. SBIRT has been implemented throughout all 50 states in a wide variety of medical settings. Thus far, over one million people across the country have been screened for substance use using SBIRT practices. SBIRT has also been implemented internationally. SBIRT is predicated on the premise that, like other chronic diseases, substance use falls along a clinical spectrum ranging from low to high risk. Patient substance use can be stratified across increasing risk levels that correlate with an appropriate disease state extending from abstinence to a diagnosable substance use disorder. Implications for treatment and prevention programs are discussed.","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":"131666973","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
Developing a Culture of Opioid Stewardship 发展阿片类药物管理文化
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0024
A. Michalowski, Sarah Boateng, M. Fraser, Rachel L. Levine
{"title":"Developing a Culture of Opioid Stewardship","authors":"A. Michalowski, Sarah Boateng, M. Fraser, Rachel L. Levine","doi":"10.1093/oso/9780190056810.003.0024","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0024","url":null,"abstract":"The goal of opioid stewardship is to provide public health practitioners and health care professionals with the education and tools they need to appropriately prescribe opioid medications to patients for whom an opioid is indicated and to reduce the overall supply of unused opioid medications that might be diverted and used by individuals other than the intended patient. In this chapter, the Pennsylvania Department of Health’s experience with developing a comprehensive opioid stewardship approach illustrates that creating a statewide culture of opioid stewardship is a process requiring active involvement of health care professionals, provider and patient groups, law enforcement agencies, academic institutions and large health systems, state policymakers and politicians, and the general public. By analyzing Pennsylvania’s experience of building a culture of opioid stewardship, other states can learn how to foster opioid stewardship to ensure its effective spread across the nation.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"5 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":"114201243","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
Building Effective Public Health and Public Safety Collaborations to Prevent Opioid Overdose at the Local, State, and Federal Levels 在地方、州和联邦各级建立有效的公共卫生和公共安全合作，以防止阿片类药物过量
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0020
J. Carroll, R. Noonan, Jessica Wolff
{"title":"Building Effective Public Health and Public Safety Collaborations to Prevent Opioid Overdose at the Local, State, and Federal Levels","authors":"J. Carroll, R. Noonan, Jessica Wolff","doi":"10.1093/oso/9780190056810.003.0020","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0020","url":null,"abstract":"This chapter describes the public health role in the Overdose Response Strategy (ORS), a public health/public safety collaboration between the Office of National Drug Control Policy’s High Intensity Drug Trafficking Areas program and the US Centers for Disease Control and Prevention. The mission of the ORS is to reduce opioid overdose incidents by developing and sharing information about heroin, fentanyl, and other opioids across state and federal agencies. In addition, the ORS supports states in implementing evidence-based strategies to combat the opioid overdose epidemic, especially where those strategies are informed by local data. Teams comprising one drug intelligence officer and one public health analyst work in each of the 24 ORS states. Challenges and opportunities of public health and law enforcement collaboration are described.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"21 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":"134614481","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 Surveillance and the Opioid Crisis 公共卫生监测和阿片类药物危机
A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0021
J. Engel, Valerie N. Goodson, Megan Toe, M. Landen
{"title":"Public Health Surveillance and the Opioid Crisis","authors":"J. Engel, Valerie N. Goodson, Megan Toe, M. Landen","doi":"10.1093/oso/9780190056810.003.0021","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0021","url":null,"abstract":"The roles for public health surveillance are well established in the infectious disease surveillance literature; however, as they relate to noninfectious diseases and more specifically the current opioid epidemic, there is little standardization between states on what is being surveilled and there is a lack of definitions for some of the most important elements of the crisis, such as what constitutes an overdose death from opioids. Without standard definitions and processes, public health practitioners may develop response protocols based on incomplete data. As such, the opioid epidemic presents many challenges for public health surveillance by limiting the ability for case-based follow-up and stymies creation of a variety of shared indicators and metrics that make it difficult to capture the true burden of disease. In this chapter, the authors review prior surveillance activities related to substance use and share emerging consensus on opportunities to improve the surveillance among states and territories.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"13 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":"122486414","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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