Pain Management and the Opioid Epidemic

Pain Management and the Opioid Epidemic

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-09-28

Total Pages: 483

ISBN-13: 0309459575

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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.


The Opioid Epidemic and the Therapeutic Community Model

The Opioid Epidemic and the Therapeutic Community Model

Author: Jonathan D. Avery

Publisher: Springer Nature

Published: 2019-10-18

Total Pages: 160

ISBN-13: 3030262731

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This book aims to explore the evidence supporting the therapeutic community (TC) modality as a uniquely effective approach to care of individuals living with opioid use disorder and other addictions, and also to identify salient mediators of improved outcome, including long-term treatment and removal from the opioid-associated environment. The book includes multiple international perspectives and is designed for worldwide appeal—for countries that have established some TCs with success, those looking to improve care, and those looking to build them for the first time. Written by experts in addiction psychiatry and medicine, this book describes the unique role of therapeutic communities in treating substance use disorders, how the model has changed over time and adapted to diverse sociocultural contexts and systems of care, and how the TC model may serve an important population in the context of the current opioid epidemic. The chapters are written so as to be accessible for clinicians across specialties and professions. The Opioid Epidemic and the Therapeutic Community Model is an excellent resource for all professionals interested in diverse and effective models of care to treat opioid use disorder and other addictions, including addiction medicine specialists, psychiatrists, psychologists, rehabilitation administrators, hospitalists, social workers, public health workers, students, and the interested public


The Therapeutic Community

The Therapeutic Community

Author: George De Leon, PhD

Publisher: Springer Publishing Company

Published: 2000-04-15

Total Pages: 471

ISBN-13: 0826116671

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This volume provides a comprehensive review of the essentials of the Therapeutic Community (TC) theory and its practical "whole person" approach to the treatment of substance abuse disorders and related problems. Part I outlines the perspective of the traditional views of the substance abuse disorder, the substance abuser, and the basic components of this approach. Part II explains the organizational structure of the TC, its work components, and the role of residents and staff. The chapters in Part III describe the essential activities of TC life that relate most directly to the recovery process and the goals of rehabilitation. The final part outlines how individuals change in the TC behaviorally, cognitively, and emotionally. This is an invaluable resource for all addictions professionals and students.


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

Published: 2019-06-16

Total Pages: 175

ISBN-13: 0309486483

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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.


Community As Method

Community As Method

Author: George De Leon

Publisher: Praeger

Published: 1997-09-16

Total Pages: 0

ISBN-13: 0275948188

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This is a collection of published papers describing modified therapeutic community (TC) programs, presenting adaptations of the TC model and methods implemented in a variety of institutions and settings.


The Opioid Epidemic and Infectious Diseases E- Book

The Opioid Epidemic and Infectious Diseases E- Book

Author: Brianna L. Norton

Publisher: Elsevier Health Sciences

Published: 2020-10-25

Total Pages: 302

ISBN-13: 0323683290

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Offering timely guidance on the junction of the opioid crisis and infectious diseases, this practical handbook by Dr. Brianna L. Norton provides concise yet comprehensive coverage of a growing patient population. Infectious disease specialists are increasingly seeing patients who previously used opiods and now use intravenous drugs. Many challenges are unique to this patient population, including new and growing infections such as hepatitis C, endocarditis, HIV, and hepatitis B. The Opioid Epidemic and Infectious Diseases is an up-to-date, real-world guide that covers the scope of the problem, management guidelines, and much more. - Describes the new landscape of the opioid crisis in the U.S. and its intersection with infectious diseases, including epidemiology, Opioid Use Disorder (OUD) and rural America, and more. - Offers practical guidance on (OUD) and infectious co-morbidities like hepatitis C, STDs, endocarditis, HIV, and hepatitis B. - Covers prevention, treatment, and harm reduction. - Discusses OUD, infectious diseases, and the criminal justice system. - Consolidates today's available information and guidance into a single, convenient resource.


Introduction to Forensic Psychology

Introduction to Forensic Psychology

Author: Stacey L. Shipley

Publisher: Academic Press

Published: 2012-07-10

Total Pages: 722

ISBN-13: 012382169X

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This edition of Introduction to Forensic Psychology has been completely restructured to map to how courses on forensic psychology are taught, and features more figures, tables, and text boxes, textbook pedagogy. Uniquely. this book offers equal representation of criminal behavior, the court systems, and law enforcement/prisons. It also has equal representation of criminal and civic forensics and of issues pertaining to adults and children. new coverage of emerging issues in forensic psychology expanded case illustrations and vignettes, practice and ethics updates, and international trends new "key issue" overviews, boldface terms and concepts, and chapter reviews expanded coverage of corrections for juveniles.


The Opioid Epidemic

The Opioid Epidemic

Author: Yngvild Olsen

Publisher: What Everyone Needs to Know(r

Published: 2019

Total Pages: 345

ISBN-13: 0190916036

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An incisive, essential guide to understanding one of today's most urgent -- and complex -- problems. The Opioid Epidemic: What Everyone Needs to Know® is an accessible, nonpartisan overview of the causes, politics, and treatments tied to the most devastating health crisis of our time. Its comprehensive approach and Q&A format offer readers a practical path to understanding the epidemic from all sides. Written by two expert physicians and enriched with stories from their experiences on the front lines of this epidemic, this book is a critical resource for any general reader -- and for the individuals and families fighting this fight in their own lives.


Clinical Interventions in Criminal Justice Settings

Clinical Interventions in Criminal Justice Settings

Author: George T. Patterson

Publisher: Academic Press

Published: 2018-01-26

Total Pages: 222

ISBN-13: 0128113820

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Clinical Interventions in Criminal Justice Settings balances theoretical frameworks and research methodology to examine the effective evidence-based practices and principles for populations within the criminal justice system. The book explores the major clinical issues that are relevant for adopting evidence-based practices and demonstrates how to implement them. Topics include legislation, law enforcement, courts, corrections, actuarial assessment instruments, treatment fidelity, diverse populations, mental illness, substance use and juvenile delinquency. Clinical Interventions in Criminal Justice Settings models opportunities for evidence-based practice during entry into the criminal justice system (arrest), prosecution (court, pretrial release, jail, and prison), sentencing (community supervision, incarceration), and corrections (jail, prison, probation and parole). - Addresses offenders in all four components of the criminal justice system—legislation, law enforcement, courts and corrections - Covers the use of actuarial risk assessment instruments for clinical decision-making - Includes tools that predict recidivism, levels of service needed, and future offending behavior - Separates specific practices for juvenile and adult offenders - Delves into specific special populations, such as those with HIV and AIDS, substance abuse, co-occurring disorders and homelessness