Matching Treatment To Patient Needs In Opioid Substitution Therapy

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Medications for Opioid Use Disorder Save Lives

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on Medication-Assisted Treatment for Opioid Use Disorder
Publisher : National Academies Press
Page : 175 pages
File Size : 52,8 Mb
Release : 2019-06-16
Category : Medical
ISBN : 9780309486484

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Medications for Opioid Use Disorder Save Lives by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on Medication-Assisted Treatment for Opioid Use Disorder Pdf

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.

Laam in the Treatment of Opiate Addiction

Author : Sandra Clunies
Publisher : DIANE Publishing
Page : 77 pages
File Size : 42,5 Mb
Release : 1999
Category : Electronic
ISBN : 9780788175923

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Laam in the Treatment of Opiate Addiction by Sandra Clunies Pdf

Prepared to facilitate the transfer of state-of-the-art protocols and guidelines for the treatment of alcohol and other drug (AOD) abuse from acknowledged clinical, research, and administrative experts to the Nation's AOD abuse treatment resources. Includes: introduction on LAAM (levo-alpha-acetyl-methadol), which suppresses opiate withdrawal symptoms for more than 72 hours; clinical profile of LAAM; clinical application of LAAM therapy; treatment planning; management and administrative issues; and regulatory and ethical issues. Bibliography. Training resources.

A Guide to Substance Abuse Services for Primary Care Clinicians

Author : Eleanor J. Sullivan
Publisher : Unknown
Page : 192 pages
File Size : 47,7 Mb
Release : 1997
Category : Primary care (Medicine)
ISBN : MINN:31951D01388693P

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A Guide to Substance Abuse Services for Primary Care Clinicians by Eleanor J. Sullivan Pdf

EXECUTIVE SUMMARY AND RECOMMENDATIONS: The goal of this TIP is to recommend guidelines for primary care clinicians to follow in caring for patients with alcohol and other drug use disorders. These guidelines were developed by a Consensus Panel of clinicians, researchers, and educators who work on the prevention and treatment of substance use disorders. Protocols are based partly on research evidence, partly on Panel members' clinical experience. The algorithm to the left follows a patient with substance use problems who presents in a primary care setting. The chart will serve as a guide or road map through screening, brief assessment, brief intervention, assessment, referral, specialized treatment, and followup care as they are detailed in the TIP. Since substance use disorders are often chronic conditions that progress slowly over time, primary care clinicians, through their regular, long-term contact with patients, are in an ideal position to screen for alcohol and drug problems and monitor each patient's status. Futhermore, studies have found that primary care clinicians can actually help many patients decrease alcohol consumption and its harmful consequences through office-based interventions that take only 10 to 15 minutes (Kahan et al., 1995; Wallace et al., 1988). This potential, however, is largely untapped: Saitz and colleagues found that of a sample of patients seeking substance abuse treatment, 45 percent reported that their primary care physician was unaware of their substance abuse (Saitz et al., in press). Yet even though screening and limited treatment of substance use disorders do not require a large time investment, the Consensus Panel that developed this TIP recognized that many primary care clinicians are already overwhelmed by the demands imposed by expanded gatekeeper functions. The Panel realized that a practical approach to addressing patients' substance abuse problems was needed: one that recognized the time and resource limitations inherent in primary care practice and offered a series of graduates approaches that could be incorporated into a normal clinic or office routine. Biological, medical, and genetic factors as well as psychological, social, familial, cultural, and other environmental features all bear on substance abuse. Addressing the condition effectively requires a team effort, especially when it has progressed beyond the early stage. For this reason, in addition to screening and intervention treatment options, these guidelines include information about viable referral for assessment and treatment, as well as followup. Readers will notice that the TIP contains more information on alcohol use and abuse than on use of illicit drugs. This reflects both the scope of the problems and the research literature available about them. It is estimated that about 18 million people with alcohol use problems and 5 million users of illicit drugs need treatment. Although the Panel recognizes that tobacco is an addictive substance with a major public health impact, it is not included in this TIP because the topic falls outside CSAT's purview. Readers are referred to "Smoking Cessation: a Guide for Primary Care Clinicians," published by the Agency for Health Care Policy and Research (Agency for Health Care Policy and Research, 1996). The Consensus Panel's recommendations are based on a combination of clinical experience and research-based evidence. In the list below, the summary guidelines supported by the research literature are followed by (1); clinically based recommendations are marked (2). Citations supporting the former are referenced in the body of the document. Screening and assessment instruments mentioned below are reproduced and discussed in Chapters 2 and 4 and Appendix C. The guidelines are presented in more detail in Chapter 6.

Guidelines for the Psychosocially Assisted Pharmacological Treatment of Opioid Dependence

Author : World Health Organization. Department of Mental Health and Substance Abuse,World Health Organization
Publisher : World Health Organization
Page : 133 pages
File Size : 54,6 Mb
Release : 2009
Category : Medical
ISBN : 9789241547543

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Guidelines for the Psychosocially Assisted Pharmacological Treatment of Opioid Dependence by World Health Organization. Department of Mental Health and Substance Abuse,World Health Organization Pdf

"These guidelines were produced by the World Health Organization (WHO), Department of Mental Health and Substance Abuse, in collaboration with the United Nations Office on Drugs and Crime (UNODC) a Guidelines Development Group of technical experts, and in consultation with the International Narcotics Control Board (INCB) secretariat and other WHO departments. WHO also wishes to acknowledge the financial contribution of UNODC and the Joint United Nations Programme on HIV/AIDS (UNAIDS) to this project. " - p. iv

Substance Abuse Treatment for Persons With HIV/AIDS - TIP 37

Author : U.S. Department Of Health And Human Services
Publisher : Lulu.com
Page : 336 pages
File Size : 40,6 Mb
Release : 2019-11-22
Category : Reference
ISBN : 9781794760301

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Substance Abuse Treatment for Persons With HIV/AIDS - TIP 37 by U.S. Department Of Health And Human Services Pdf

Major research advances have substantially improved our understanding of the biology of HIV and the pathogenesis (i.e., origin and development) of AIDS. The pathogenesis of AIDS is now known to result from the ability of HIV to replicate at the rate of a billion new virions (viral particles) per day and nearly 10 trillion new virions over the course of HIV infection. This, countered by the ability of the body to produce CD4+ T cell lymphocytes (a primary target cell for HIV), sets the stage for the struggle between HIV and the immune system-a struggle that lasts from the first day of HIV infection to end-stage disease and death.

Integrating Substance Abuse Treatment and Vocational Services - TIP 38

Author : U.S. Department of Health And Human Services
Publisher : Lulu.com
Page : 250 pages
File Size : 50,6 Mb
Release : 2019-11-22
Category : Reference
ISBN : 9781794760349

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Integrating Substance Abuse Treatment and Vocational Services - TIP 38 by U.S. Department of Health And Human Services Pdf

Unemployment and substance abuse may be intertwined long before an individual seeks treatment. Although the average educational level of individuals with substance abuse disorders is comparable to that of the general U.S. population, people who use substances are far more likely to be unemployed or underemployed than people who do not use substances. According to the U.S. Census Bureau, employment rates for the non- substance-using population ranged from 72.3 percent in 1980 to 76.8 percent in 1991. However, employment rates of the population with substance abuse problems before admission or at admission to treatment have remained at relatively stable, low levels since 1970, ranging from 15 to 30 percent. Most of the research on the employment rates of persons with substance abuse disorders has focused on opiate-dependent persons (usually heroin), and employment rates for other substance users may vary. The data clearly indicate the need for interventions to improve employment rates...

Transnational Social Work and Social Welfare

Author : Beatrix Schwarzer,Ursula Kämmerer-Rütten,Alexandra Schleyer-Lindenmann,Yafang Wang
Publisher : Routledge
Page : 306 pages
File Size : 42,8 Mb
Release : 2016-08-05
Category : Social Science
ISBN : 9781317431190

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Transnational Social Work and Social Welfare by Beatrix Schwarzer,Ursula Kämmerer-Rütten,Alexandra Schleyer-Lindenmann,Yafang Wang Pdf

The underlying frame of social work is the nation state, and it is from within the state that welfare strategies and social policies are devised and implemented. However, post-colonialism, globalisation, migration and the associated implications for human rights, social justice and social welfare policies contest the idea of a clearly defined space for social work and present new challenges for researchers and practitioners. Transnational Social Work and Social Welfare argues for the increased importance of the transnational perspective in social work theory and practice. The book challenges the idea of the nation state as a given entity and argues that globalization and an increasing number of people crossing borders must have an impact on the theories and strategies of social work. The international contributors are critical of a restricted focus on a geographically defined space and the impact on work with clients. With cases covering China, France, India, UK, Germany, Malaysia, Israel, Turkey, the book highlights the challenges as well as the opportunities this new perspective can open up for theories and strategies in social work. It will be of interest to students, researchers and social workers interested in migration, social care, poverty and cultural competency in health and social care.

Heroin

Author : Anonim
Publisher : Unknown
Page : 32 pages
File Size : 54,9 Mb
Release : 2003
Category : Drug abuse
ISBN : UOM:39015085435603

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Heroin by Anonim Pdf

Recovery Monographs

Author : William White
Publisher : AuthorHouse
Page : 738 pages
File Size : 45,5 Mb
Release : 2015-11-06
Category : Psychology
ISBN : 9781504905084

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Recovery Monographs by William White Pdf

The addictions treatment field is reaching a tipping point that is revolutionizing the ways that behavioral health leaders think about people with alcohol and other drug problems—and how services and systems are developed. Recovery Management / Recovery Oriented Systems of Care contains six monographs by renowned recovery advocate William L. While and colleagues. These monographs provide insight and analysis of the topics important to today’s addiction counselors and recovery coaches: recovery-oriented systems of care, recovery management, peer-based recovery services, and treating addiction as a chronic condition that requires ongoing management.

Chemical Dependency Counseling

Author : Robert R. Perkinson
Publisher : SAGE Publications
Page : 1044 pages
File Size : 41,6 Mb
Release : 2021-10-14
Category : Psychology
ISBN : 9781544362373

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Chemical Dependency Counseling by Robert R. Perkinson Pdf

Helping individuals recover from addiction is one of the most rewarding professions in the world. Chemical Dependency Counseling: A Practical Guide is the most comprehensive text written for those counselors and professionals who work with or plan to work with clients struggling with chemical dependency in a variety of settings. Following the model of twelve-step programs, providing a ground-up introduction to guide the counselor through treatment from A to Z, and can be used as a core text for courses in addiction or substance abuse counseling. Author Robert R. Perkinson presents state-of-the-art tools necessary to deliver outstanding treatment and meet the highest standards demanded by accrediting bodies. This 6th edition continues to outline the best evidence-based treatment in the world, with a concentration on the following: cognitive behavioral therapy; motivational enhancement; medication assisted treatment, skills training; and 12-step facilitation.