Part of the Population Health Primer Series, Opioids and Population Health: A Primer provides a concise overview of the opioid crisis leading the reader to explore what's been done to address this epidemic thusfar and what might be done more effectively using a population health approach. Written from a systems and public health perspective, Opioids and Population Health: A Primer begins with an overview of how drug use and addiction have been perceived and how prevention, intervention, and treatment services have been delivered in the U.S. It then reviews the epidemiology of opioid morbidity and mortality, historical framing of addiction, and addresses the government response to the epidemic. Finally, it explores the public health response to the epidemic and considers how a population health approach may better address the epidemic.
"Opioids and Population Health: A Primer, will help senior undergraduate and graduate students to: 1. Describe theories of addiction. 2. Demonstrate the differences between substance abuse prevention, intervention, and treatment. 3. Explain the United States' historical response to opioids. 4. Discuss the differential scope and burden of the current opioid and heroin epidemic on communities and populations. 5. Explain the various sectors, government agencies, and institutions that address addiction generally and the opioid/heroin epidemic specifically. 6. Describe the effectiveness of policy, legal, and regulatory approaches currently in use to address the epidemic. 7. Consider recommendations for sustainable policy and systems changes that are needed to change the opioid addiction trajectory and reduce the epidemic. The text is written through an interdisciplinary approach using the fields of public health, addiction health services research, and implementation science. The authors' experiences with direct client services, city, county, and state governments, managing non-profits, and evaluating treatment interventions speaks to their ability to address issues related to the epidemic thoroughly and critically"--
Written for undergraduate and graduate students with little or no mathematical background, Biostatistics for Population Health: A Primer offers current and future health professionals a clear, and accessible approach to learning the basic tools and techniques necessary to conduct biostatistical analyses and the professional confidence to critically evaluate and interpret biostatistical findings. Each unit begins with a contemporary population health issue (e.g., the opioid crisis, physical inactivity among children, diabetes) and raises questions that require the use of techniques discussed in that unit. Each technique, in turn, is illustrated with realistic, contemporary examples (e.g. vaping) to pique student interest. By the end of the unit, students are encouraged to apply the techniques to address the questions that were raised.
"Opioids and Population Health: A Primer, will help senior undergraduate and graduate students to: 1. Describe theories of addiction. 2. Demonstrate the differences between substance abuse prevention, intervention, and treatment. 3. Explain the United States' historical response to opioids. 4. Discuss the differential scope and burden of the current opioid and heroin epidemic on communities and populations. 5. Explain the various sectors, government agencies, and institutions that address addiction generally and the opioid/heroin epidemic specifically. 6. Describe the effectiveness of policy, legal, and regulatory approaches currently in use to address the epidemic. 7. Consider recommendations for sustainable policy and systems changes that are needed to change the opioid addiction trajectory and reduce the epidemic. The text is written through an interdisciplinary approach using the fields of public health, addiction health services research, and implementation science. The authors' experiences with direct client services, city, county, and state governments, managing non-profits, and evaluating treatment interventions speaks to their ability to address issues related to the epidemic thoroughly and critically"--
Opidemic - A Public Health Epidemic is a book written by a physician, who is a specialist in pain management and addiction. In addiction, J. Kimber Rotchford, M.D. is a master of Public Health. His book, Opidemic-A Public Health Epidemic takes the reader into potential preventive and therapeutic approaches to the opioid epidemic. The book is a compendium of medical writings on the topic. It reviews some of the basic medical understandings of opioid use disorders (OUDs) and addictions in general. It explores some of the myths surrounding opioid abuse, the complex risk factors associated with OUDs, and effective treatment strategies for OUDS. The rest of the book lays out the foundations for a public health response, fortunately already underway in Washington State. Because epidemics have been best addressed by professionals within the public health arena, it makes sense that their leadership would be solicited in addressing the current opioid abuse epidemic. As in a tuberculosis epidemic where a health officer would assure that effective treatment was readily available, health departments and their associated public health professionals and institutions are challenged to take a leadership role. The public health community has the expertise to assure a comprehensive and evidence-based approach. It also has the expertise to better secure collaborative efforts by various providers within a community. Public health currently lacks the financial and the clinical expertise. This is true both in most urban as well as rural communities. It also lacks a tradition of dealing with non-infectious epidemics. It did, however, effectively address the AIDS epidemic. To achieve this, it had to educate and attempt to change behavior regarding IV drug use and sexual behavior. Both AIDS and the opioid epidemic can be effectively managed by a combination of medical as well as behavioral interventions. Given proper funding and authority, I am confident public health would effectively manage the opioid crisis and achieve effective prevention strategies. The compendium has six chapters with associated links. The first two chapters provide some basics for understanding the opioid epidemic, along with common misunderstandings. The next chapter offers solutions with the help of an empowered public health response. Subsequent chapters give further background information regarding public health and clinical information. A primer for an informed public health response to an epidemic, epidemiology, is provided in chapter 4. The final chapters explore more detailed information regarding Medication Assisted Treatment (MAT) in the care for opioid use disorders and lastly a brief discussion of the essential role of addictive substances in medical care.
Combining historical perspective with analysis of current trends, Sultz & Young's Health Care USA, Tenth Edition charts the evolution of modern American health care, providing a complete examination of its organization and delivery while offering critical insight into the issues that the U.S. health system faces today. Building on the legacy of its prior successful editions, new co-authors James Johnson, Kim Davey, and Richard Greenhill lend their deep expertise in health services planning, administration, quality assessment, and teaching to the Tenth Edition by providing an updated, wide-ranging, and timely view of today's health care delivery system.
THE DEFINITIVE GUIDE FOR PUBLIC HEALTH PROFESSIONALS FIGHTING THE OPIOID EPIDEMIC The opioid crisis has devastated families and communities across the United States. Changes in policing and medical practices have been swift, but they've achieved only a modest impact on the fundamental causes of substance misuse and addiction. The necessity for upstream intervention is clear. But what does that look like? A Public Health Guide to Ending the Opioid Epidemic does what only a public health approach can: offer credible, scalable, and empirically supported approaches to uprooting one of society's most pernicious challenges. It systemizes the core tenets of the public health approach to substance misuse and addiction, which alongside clinical approaches (prescription guidelines and monitoring, increased access to overdose-reversal medication, and medication-assisted treatment availability) offers a roadmap for end-to-end response to this diverse problem. Core elements of the public health approach, all covered here in practical terms, include: · How to support community-based, primary prevention of substance misuse and addiction in different settings and populations · How to effectively address the cultural, social, and environmental aspects of health that are driving the current epidemic · How governmental public health agencies play a significant role in responding to the epidemic, both in the field's traditional model of disease surveillance and control and in more directed approaches to health promotion (building community resilience; addressing the impact of adverse childhood events; mitigating the root causes of addiction) These frameworks offer a foundation for understanding, analyzing, and meaningfully impacting the burden of opioid misuse and addiction in any population or setting. A Public Health Guide to Ending the Opioid Epidemic is a roadmap for meaningful change.
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.
This book provides an in-depth look at clinical and public health approaches to this epidemic from both psychiatric and medical perspectives and gives mental health professionals the big picture necessary to understand the epidemic.
Opioid use and infectious diseases are intertwined epidemics. Despite the fact that the United States is more than two decades into the opioid crisis - the cause of tens of thousands of deaths every year on its own - the health system has not sufficiently addressed the morbidity and mortality of drug use coupled with infectious diseases. This is at least in part due to traditional models of substance use disorder care wherein substance use disorder treatment is delivered independently of other medical care, thereby inhibiting the delivery of comprehensive care. As a result, the United States is experiencing a drastic increase in infectious diseases that spread with drug use. Opportunities to Improve Opioid Use Disorder and Infectious Disease Services examines current efforts to integrate care and describes barriers, such as inadequate workforce and training; lack of data integration and sharing; and stigma among people who use drugs and have also been diagnosed with an infectious disease. The conclusions and recommendations of this report will help to promote patient-centered, integrated programs to address this dual epidemic.
