This unique and timely title offers a comprehensive assessment of the previously underappreciated risks and potentially overstated benefits of chronic opioid therapy. It does so by approaching the rampant problem of opioid abuse and addiction - currently labeled an epidemic in the United States -- from a public health/epidemiologic perspective. That is, following a thorough overview in Part 1 that compares (and contrasts) classic infectious disease epidemiology concepts with the epidemic, the book categorizes our current understanding of basic science and best clinical practices in opioid therapy in terms of Agent (opioid), Vector (prescriber) and Host (patient) factors. The majority of the book, which includes a plethora of instructional case studies, is organized according to these three arenas. Opioid Dependence: A Clinical and Epidemiologic Approach is designed to update all clinicians on opioid basic science, current areas of drug improvement research and development, alternatives to opioid therapy, evidence-based indications for opioid therapy, and clinical strategies for preventing and overcoming opioid dependence. Importantly, an overview of clinical practice guidelines from the American Society of Addiction Medicine, with its biopsychosocial-spiritual "multidimensional assessment" focus is provided, along with a discussion of medication-assisted treatment, organized by the three currently FDA-approved pharmacotherapeutics (methadone, buprenorphine and naltrexone). Developed for practitioners at every level, this ground-breaking title offers a fresh and novel approach to improving the care and outcomes of patients receiving opioid therapy.
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"The book is intended for all healthcare professionals, specifically prescribers including physicians, nurse practitioners, advanced practice nurses, and residents who treat patients with acute and chronic pain. It is also appropriate for nonprescribers and trainees in healthcare settings managing these patient populations. ... This book covers the increasingly problematic opiate abuse problem from an epidemiological perspective." (Michael Easton, Doody's Book Reviews, March, 2018)
"This is quite of an intro into mind puzzling theme as opioid dependence which caught attention of all medical professionals prescribing opioid medications. ... I would like to conclude that authors gave great insight into scientificviews of opioid dependence and medication assisted therapy but emphasized that it requires much more than this for accomplishing recovery from opioid dependence." (Marijana Batkovic, Alcoholism and Psychiatry Research, Vol. 53 (2). 2017)
"This is quite of an intro into mind puzzling theme as opioid dependence which caught attention of all medical professionals prescribing opioid medications. ... I would like to conclude that authors gave great insight into scientificviews of opioid dependence and medication assisted therapy but emphasized that it requires much more than this for accomplishing recovery from opioid dependence." (Marijana Batkovic, Alcoholism and Psychiatry Research, Vol. 53 (2). 2017)