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: 2017-10-28
Genre: Medical
ISBN: 0309459540

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.

Ending Discrimination Against People with Mental and Substance Use Disorders

Ending Discrimination Against People with Mental and Substance Use Disorders
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 171
Release: 2016-09-03
Genre: Social Science
ISBN: 0309439124

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

World Drug Report

World Drug Report
Author: United Nations
Publisher: UN
Total Pages: 180
Release: 2016-06-23
Genre: Law
ISBN: 9789211482867

The World Drug Report provides an annual overview of recent developments for various drug categories. Chapter one of the World Drug Report 2015 provides a global overview of the latest developments with respect to opiates, cocaine, cannabis and synthetic drugs, ranging from production to trafficking as well as consumption and the health impact of drug use. Chapter two focuses on Alternative Development, its relation to illicit cultivation, and also within the broader context of the development agenda.

Report of the International Narcotics Control Board (2007)

Report of the International Narcotics Control Board (2007)
Author:
Publisher: DIANE Publishing
Total Pages: 144
Release: 2009
Genre: Medical
ISBN: 1437902804

Illicit drug supply and demand are inextricably linked components of a single phenomenon. Contents of this 2007 report by the International Narcotics Control Board: (I) The Principle of Proportionality and Drug-Related Offenses; (II) Operation of the International Drug Control System; (III) Analysis of the World Situation; (IV) Recommendations to Governments, the United Nations and Other Relevant and Regional Organizations. Annexes: (I) Regional Groupings Used in the Report of the International Narcotics Control Board; (II) Current Membership of the International Narcotics Control Board.

The Nexus

The Nexus
Author: Frank Shanty
Publisher: Bloomsbury Publishing USA
Total Pages: 304
Release: 2011-03-03
Genre: Political Science
ISBN: 031338522X

This timely and important work offers an in-depth analysis of the existence—or nonexistence—of a nexus between international terrorism and drug trafficking emanating from Afghanistan. The Nexus: International Terrorism and Drug Trafficking from Afghanistan addresses an issue that directly impacts the prospects for resolution of the current insurgency in that nation. Written by noted terrorism expert Frank Shanty, the book explores the nature and the extent of involvement between international criminal drug traffickers, particularly of drugs originating from Afghanistan, and international terrorist networks with global reach. Shanty dispels the myths and disinformation surrounding this vital—and controversial—question, even as he arrives at his own answers. In addition to offering a historical overview of the opium problem in Afghanistan from the late 1970s to 2010, the book looks at three distinct phenomena. It examines the existence, characteristics, and behavior of international terrorists operating from Afghanistan, specifically the evolution and ascendancy of al-Qaeda and the Taliban and the nature of their relationship. It looks at Afghanistan's opium trade relative to specific-actor involvement and, finally, it analyzes allegations of a link between terrorists in Afghanistan and international drug criminals and the implications of that connection.

The Politics of Narcotic Drugs

The Politics of Narcotic Drugs
Author: Julia Buxton
Publisher: Routledge
Total Pages: 330
Release: 2011-04-06
Genre: Political Science
ISBN: 1136880607

The Politics of Narcotic Drugs brings together leading experts on the drugs trade to provide an accessible yet detailed analysis of the multiple challenges that the contemporary trade in narcotic drugs and its prohibition pose, from the local to the international community. Through the use of country and regional case studies that include Afghanistan, Mexico, Colombia and the Middle East, the drivers of the drugs trade and the security and development dilemmas created by the prohibition of narcotic substances are explored. Contributions that assess the international drug control regime, British anti-drug enforcement organizations, 'narcoterrorism' and options for drug policy reform engage readers in current debates and the narrative frameworks that shape discussion of the drugs issue. The book is an invaluable guide to the dynamic and far-reaching issue of narcotic drugs and the impact of their prohibition on our countries and communities. The chapters are followed by an A-Z glossary of key terms, issues and organizations, and a section of maps and statistics.

The Oxford Handbook of Global Drug History

The Oxford Handbook of Global Drug History
Author: Paul Gootenberg
Publisher: Oxford University Press
Total Pages: 721
Release: 2022
Genre: History
ISBN: 0190842644

"This essay reveals how a global "New Drug History" has evolved over the past three decades, along with its latest thematic trends and possible next directions. Scholars have long studied drugs, but only in the 1990s did serious archival and global study of what are now illicit drugs emerge, largely from the influence of the anthropology of drugs on history. A series of key interdisciplinary influences are now in play beyond anthropology, among them, commodity and consumption studies, sociology, medical history, cultural studies, and transnational history. Scholars connect drugs and their changing political or cultural status to larger contexts and epochal events such as wars, empires, capitalism, modernization, or globalizing processes. As the field expands in scope, it may shift deeper into non-western perspectives, a fluid historical definition of drugs; environmental concerns; and research on cannabis and opiates sparked by their current transformations or crises"--

The World Heroin Market

The World Heroin Market
Author: Letizia Paoli
Publisher: Oxford University Press
Total Pages: 392
Release: 2009-04-10
Genre: Political Science
ISBN: 0190207949

Heroin is universally considered the world's most harmful illegal drug. This is due not only to the damaging effects of the drug itself, but also to the spread of AIDS tied to its use. Burgeoning illegal mass consumption in the 1960s and 1970s has given rise to a global market for heroin and other opiates of nearly 16 million users. The production and trafficking of opiates have caused crime, disease, and social distress throughout the world, leading many nations to invest billions of dollars trying to suppress the industry. The failure of their efforts has become a central policy concern. Can the world heroin supply actually be cut, and with what consequences? The result of a five-year-long research project involving extensive fieldwork in six Asian countries, Colombia, and Turkey, this book is the first systematic analysis of the contemporary world heroin market, delving into its development and structure, its participants, and its socio-economic impact. It provides a sound and comprehensive empirical base for concluding that there is little opportunity to shrink the global supply of heroin in the long term, and explains why production is concentrated in a handful of countries--and is likely to remain that way. On the basis of these findings, the authors identify a key set of policy opportunities, largely local, and make suggestions for leveraging them. This book also offers new insights into market conditions in India, Tajikistan, and other countries that have been greatly harmed by the production and trafficking of illegal opiates. A deft integration of economics, sociology, history, and policy analysis, The World Heroin Market provides a rigorous and vital look into the complex--and resilient--global heroin trade.

The Latin American Drug Trade

The Latin American Drug Trade
Author: Peter Chalk
Publisher: Rand Corporation
Total Pages: 101
Release: 2011-05
Genre: History
ISBN: 0833052039

Transnational crime remains a particularly serious problem in Latin America, with most issues connected to the drug trade. There are several relevant roles that the U.S. Air Force can and should play in boosting Mexico?'s capacity to counter drug production and trafficking, as well as further honing and adjusting its wider counternarcotics effort in Latin America.

Illicit Drugs in the Environment

Illicit Drugs in the Environment
Author: Sara Castiglioni
Publisher: John Wiley & Sons
Total Pages: 449
Release: 2011-02-14
Genre: Science
ISBN: 1118008995

Illicit drugs are an emerging class of environmental contaminants and mass spectrometry is the technique of choice for their analysis. This landmark reference discusses the analytical techniques used to detect illicit drugs in wastewater and surface water, details how to estimate the levels of contaminants in the environment, and explores the behavior, fate, and toxic effects of this new class of contaminants, now a ubiquitous presence in wastewater and surface water. The book details how an estimate of illicit drug consumption in a given population can be developed from an analysis of the residues of illicit drugs in wastewater. An important resource for analytical chemists, environmental researchers, forensic scientists, biologists, and toxicologists.