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

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Public Health Approaches to Preventing Substance Misuse and Addiction 预防药物滥用和成瘾的公共卫生方法

A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-11-01 DOI: 10.1093/oso/9780190056810.003.0003

J. Butler

引用次数: 1

The Neuroscience of Addiction 成瘾的神经科学

A Public Health Guide to Ending the Opioid Epidemic Pub Date : 2019-10-24 DOI: 10.1093/oso/9780190056810.003.0006

J. Butler

{"title":"The Neuroscience of Addiction","authors":"J. Butler","doi":"10.1093/oso/9780190056810.003.0006","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0006","url":null,"abstract":"Effective public health approaches to addressing the opioid crisis require an understanding of addiction as a health condition primarily involving the brain, rather than an individual’s series of ongoing “bad choices” or inherent criminal tendencies that ultimately lead to poor health outcomes. Addiction has been defined as “the most severe, chronic stage of substance-use disorder, in which there is a substantial loss of self-control, as indicated by compulsive drug taking despite the desire to stop taking the drug.” Whether addiction is viewed primarily as a “disease” or the outcome of experiential and environmental influences, chronic changes that occur in the brain of the person with addiction form the scientific basis of an effective public health response. Understanding the behavioral changes driven by addiction is vital since they have a profound impact on public safety, the criminal justice system, and public health. This chapter provides an overview of the changes that occur in the brain during development of addiction and how understanding these changes can improve public health practice and policy. It complements more complete clinical and basic science reviews of the neuroscience of addiction that have been recently published.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130578198","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 Community Pharmacy in Addressing and Preventing Opioid Use Disorder 社区药房在解决和预防阿片类药物使用障碍中的作用

A Public Health Guide to Ending the Opioid Epidemic Pub Date : 1900-01-01 DOI: 10.1093/oso/9780190056810.003.0008

Nicholas E. Hagemeier

{"title":"The Role of Community Pharmacy in Addressing and Preventing Opioid Use Disorder","authors":"Nicholas E. Hagemeier","doi":"10.1093/oso/9780190056810.003.0008","DOIUrl":"https://doi.org/10.1093/oso/9780190056810.003.0008","url":null,"abstract":"Pharmacists are actively engaged in providing patient care across multiple practice settings, and the community pharmacist has the opportunity to engage in activities that mitigate opioid use disorder and downstream morbidity and mortality. Community pharmacists’ roles have been expanded in some states to include conducting and being reimbursed for comprehensive medication reviews, administering injections, and prescribing through collaborative practice agreements with physicians. All of these expanded roles potentially have implications related to opioid use disorder. These expanded practice authorities highlight the need to strengthen understanding of pharmacists’ engagement in public health interventions. Given the role of pharmaceuticals in public health interventions and the accessibility of community pharmacies across the nation, determining ways to effectively and efficiently connect the public health and pharmacy professions to improve patient and population health is warranted. The interventions described in the chapter highlight the role of pharmacists in preventing opioid misuse and, more importantly, challenge the status quo regarding pharmacists’ roles in decreasing morbidity and mortality associated with opioid use.","PeriodicalId":417839,"journal":{"name":"A Public Health Guide to Ending the Opioid Epidemic","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126717334","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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