Medications for Opioid Use Disorder Save Lives

Medications for Opioid Use Disorder Save Lives
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 175
Release: 2019-06-16
Genre: Medical
ISBN: 0309486483

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.

Drug Use in Metropolitan America

Drug Use in Metropolitan America
Author: Robert M. Bray
Publisher: SAGE
Total Pages: 367
Release: 1999
Genre: Social Science
ISBN: 0761903755

Recently, the Research Triangle Institute completed a 5-year study sponsored by the National Institute on Drug Abuse called The Washington, D.C., Metropolitan Area Drug Study (DC MADS). Drug Use in Metropolitan America describes, relates, and integrates findings from the DC MADS study. More than that, though, this book places the findings in the larger context of our national drug abuse problem. Therefore, while there is some reporting of findings, there is more emphasis on examining the policy, research, and program implications that flow from the studies. This book will be of interest to researchers, practitioners, and policymakers in a number of areas, as well as to academics in sociology courses dealing with drugs, deviance, social problems, and research methodology. It should also appeal to those in the psychology and medical/allied health fields.

Pathways of Addiction

Pathways of Addiction
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 329
Release: 1996-10-01
Genre: Medical
ISBN: 0309175380

Drug abuse persists as one of the most costly and contentious problems on the nation's agenda. Pathways of Addiction meets the need for a clear and thoughtful national research agenda that will yield the greatest benefit from today's limited resources. The committee makes its recommendations within the public health framework and incorporates diverse fields of inquiry and a range of policy positions. It examines both the demand and supply aspects of drug abuse. Pathways of Addiction offers a fact-filled, highly readable examination of drug abuse issues in the United States, describing findings and outlining research needs in the areas of behavioral and neurobiological foundations of drug abuse. The book covers the epidemiology and etiology of drug abuse and discusses several of its most troubling health and social consequences, including HIV, violence, and harm to children. Pathways of Addiction looks at the efficacy of different prevention interventions and the many advances that have been made in treatment research in the past 20 years. The book also examines drug treatment in the criminal justice setting and the effectiveness of drug treatment under managed care. The committee advocates systematic study of the laws by which the nation attempts to control drug use and identifies the research questions most germane to public policy. Pathways of Addiction provides a strategic outline for wise investment of the nation's research resources in drug abuse. This comprehensive and accessible volume will have widespread relevanceâ€"to policymakers, researchers, research administrators, foundation decisionmakers, healthcare professionals, faculty and students, and concerned individuals.

Handbook of Urban Health

Handbook of Urban Health
Author: Sandro Galea
Publisher: Springer Science & Business Media
Total Pages: 624
Release: 2005-06-21
Genre: Medical
ISBN: 9780387239941

The editors are two of the most prominent researchers in this area. Both are at the Center for Urban Epidemiologic Studies. David Vlahov is particularly visible and known as the editor of the Journal of Urban Health. Sandro Galea is very prominent for his research on urban health; in particularly, research done on PTSD and children post-9/11. Thorough analysis of different populations in urban settings and specific health considerations Useful section on methods for the research audience. Applied in nature with section on prevention and interventions There are over 100 urban health centers in North America and there are no thorough, up-to-date ressources.

Pain Management and the Opioid Epidemic

Pain Management and the Opioid Epidemic
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 483
Release: 2017-09-28
Genre: Medical
ISBN: 0309459575

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.

Women on Ice

Women on Ice
Author: Miriam Boeri
Publisher: Rutgers University Press
Total Pages: 255
Release: 2013-01-15
Genre: Social Science
ISBN: 0813554616

Methamphetamine (ice, speed, crystal, shard) has been called epidemic in the United States. Yet few communities were ready for increased use of methamphetamine by suburban women. Women on Ice is the first book to study exclusively the lives of women who use the drug and its effects on their families. In-depth interviews with women in the suburban counties of one of the largest metropolitan areas in the U.S. chronicle the details of their initiation into methamphetamine, the turning points into problematic drug use, and for a few, their escape from lives veering out of control. Their life course and drug careers are analyzed in relation to the intersecting influences of social roles, relationships, social/political structures, and political trends. Examining the effects of punitive drug policy, inadequate social services, and looming public health risks, including HIV/AIDS and hepatitis C, the book gives voice to women silenced by shame. Boeri introduces new and developing concepts in the field of addiction studies and proposes policy changes to more broadly implement initiatives that address the problems these women face. She asserts that if we are concerned that the war on drugs is a war on drug users, this book will alert us that it is also a war on suburban families.

Preventing Drug Abuse

Preventing Drug Abuse
Author: National Research Council
Publisher: National Academies Press
Total Pages: 175
Release: 1993-02-01
Genre: Medical
ISBN: 0309046270

As the nation's drug crisis has deepened, public and private agencies have invested huge sums of money in prevention efforts. Are the resulting programs effective? What do we need to know to make them more effective? This book provides a comprehensive overview on what we know about drug abuse prevention and its effectiveness, including: Results of a wide range of antidrug efforts. The role and effectiveness of mass media in preventing drug use. A profile of the drug problem, including a look at drug use by different population groups. A review of three major schools of prevention theory-risk factor reduction, developmental change, and social influence. An examination of promising prevention techniques from other areas of health and human services. This volume offers provocative findings on the connection between low self-esteem and drug use, the role of schools, the reality of changing drug use in the population, and more. Preventing Drug Abuse will be indispensable to anyone involved in the search for solutions, including policymakers, anti-drug program developers and administrators, and researchers.

The Economic Analysis of Substance Use and Abuse

The Economic Analysis of Substance Use and Abuse
Author: Frank J. Chaloupka
Publisher: University of Chicago Press
Total Pages: 398
Release: 2009-02-15
Genre: Business & Economics
ISBN: 0226100499

Conventional wisdom once held that the demand for addictive substances like cigarettes, alcohol, and drugs was unlike that for any other economic good and, therefore, unresponsive to traditional market forces. Recently, however, researchers from two disparate fields, economics and behavioral psychology, have found that increases in the overall price of an addictive substance can significantly reduce both the number of users and the amounts those users consume. Changes in the "full price" of addictive substances—including monetary value, time outlay, effort to obtain, and potential penalties for illegal use—yield marked variations in behavioral outcomes and demand. The Economic Analysis of Substance Use and Abuse brings these distinctive fields of study together and presents for the first time an integrated assessment of their data and results. Unique and innovative, this multidisciplinary volume will serve as an important resource in the current debates concerning alcohol and drug use and abuse and the impacts of legalizing illicit drugs.