Yngvild Olsen, Joshua M. Sharfstein

The Opioid Epidemic (eBook, ePUB)

What Everyone Needs to KnowR

• Format: ePub

Produktbeschreibung

The opioid epidemic is responsible for longest sustained decline in U.S. life expectancy since the time of World War I and the Great Influenza. In 2017, nearly 50,000 Americans died from an opioid overdose - with an estimated 2 million more living with opioid addiction every day. 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: the basic science of opioids; the nature of addiction; the underlying reasons for the opioid epidemic; effective approaches to helping individuals, families, communities, and national policy; and common myths related to opioid addiction. Written by two expert physicians and enriched with stories from their experiences in the crosshairs 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.

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Produktdetails

• Verlag: Oxford University Press
• Seitenzahl: 336
• Erscheinungstermin: 1. Mai 2019
• Englisch
• ISBN-13: 9780190916053
• Artikelnr.: 56832461

Autorenporträt

Yngvild Olsen, MD, MPH, is Medical Director of the Institutes for Behavior Resources, Inc., a comprehensive addiction treatment center in Baltimore City. She is the current Vice President and former Chair for Public Policy of the American Society of Addiction Medicine. Olsen consults with governments and healthcare organizations on implementing evidence-based clinical care programs for opioid use disorder. In addition to caring for patients with complex substance use disorders and other medical conditions, she has written and lectured extensively on the opioid epidemic. Joshua M. Sharfstein, MD, is Vice Dean for Public Health Practice and Community Engagement and Professor of the Practice in Health Policy and Management at the Johns Hopkins Bloomberg School of Public Health. He previously served as the Health Commissioner of Baltimore City, the Principal Deputy Commissioner of the U.S. Food and Drug Administration, and the Health Secretary of the State of Maryland.

Inhaltsangabe

* Preface
* Section 1: The Basics
* 1. The Basics of Opioids and Opioid Addiction
* What are opioids?
* How are opioids made?
* How do opioids affect the brain?
* How do opioids affect the body?
* What forms do opioids take?
* How do opioids differ from one another?
* What is tolerance to opioids?
* What is withdrawal?
* What is physical dependence on opioids?
* What is addiction to opioids?
* What is the stigma of addiction?
* Is there a cure for opioid addiction?
* Can the symptoms of opioid addiction improve without treatment?
* Is there effective treatment for opioid addiction?
* Is using an opioid medication for treatment just replacing one
addiction for another?
* How do opioids cause overdose?
* What is naloxone?
* What are remission and recovery?
* What is relapse?
* What is the opioid epidemic?
* What can be done to respond effectively to the opioid epidemic?
* Section 2: Opioid Use in Individuals and Families
* 2. Use of Opioid Medications for Pain
* When is it appropriate for someone to receive opioids for pain?
* Should opioids be used for chronic, non-cancer pain?
* In what forms are opioid medications used for pain?
* Should people with a family history of addiction worry about taking
opioids for pain?
* What should I discuss with my doctor before taking opioids for pain?
* Should I take an opioid medication if I am pregnant?
* What are the side effects of opioid medications for pain?
* Do all people who take opioids for pain develop an addiction?
* What are the signs of developing an addiction to opioid medications?
* How should my doctor monitor my use of opioids for pain?
* If I would like to reduce my use of opioid pain medications, what
should I do?
* What are signs and symptoms of an overdose to opioid medications?
* Should I have naloxone on hand if I am taking an opioid medication
for pain?
* Where should I store opioid medications at home?
* What should I do if I have opioid pills left over?
* Why do people keep unused opioids at home?
* 3. Illicit Use of Opioids
* What is the illicit use of opioids?
* What are the different ways of using opioids illicitly?
* What is fentanyl?
* How do people start using opioids illicitly?
* vWhat is the connection between illicit opioid use and sex?
* Why do people use other illicit substances with opioids?
* What can people who use opioids illicitly do to reduce their risks?
* 4. Opioid Addiction
* What causes opioid addiction?
* What is happening in the brain of someone with an opioid addiction?
* What are triggers?
* What are drug dreams?
* Is opioid addiction a disease?
* How do doctors diagnose opioid addiction?
* What are the consequences of opioid addiction?
* How long does opioid addiction last?
* Do people with addiction want to stop using opioids?
* 5. Opioid Overdose
* What factors determine whether someone who uses opioids overdoses?
* How can I tell if someone is experiencing an opioid overdose?
* What should I do if suspect someone is experiencing an opioid
overdose?
* What are the different forms of naloxone and how are they used?
* What happens after someone suffering an opioid overdose gets
naloxone?
* Do I still need to call 911 if I have rescued someone with naloxone?
* How can I get naloxone?
* 6. Treatment for Opioid Addiction
* What are the goals of treatment for opioid addiction?
* What are effective ways to engaging people with opioid addiction in
treatment?
* What is remission?
* What is effective treatment for opioid addiction?
* When is the right time to start treatment for opioid addiction?
* How are the needs of someone with opioid addiction assessed?
* What is methadone?
* Does methadone make people sleepy?
* Can I take other medications with methadone?
* What are Opioid Treatment Programs?
* What is buprenorphine?
* Why does buprenorphine come in a formulation mixed with naloxone?
* What is naltrexone?
* Which is the best medication to take for opioid addiction?
* How long should I take a medication for opioid addiction?
* Does evidence support the use of marijuana as an effective treatment
for opioid addiction?
* Does evidence support the use of the botanical kratom as an effective
treatment for opioid addiction?
* Does evidence support ibogaine as an effective treatment for opioid
addiction?
* How is pain managed in someone being treated for an opioid addiction?
* What is detox?
* What is the role of counseling in the treatment of opioid addiction?
* What is the role of peers in the treatment of opioid addiction?
* What is the role of a residential (inpatient) setting in the
treatment of opioid addiction?
* What is the role of drug testing in the treatment of opioid
addiction?
* What is the role of a primary care practitioner in the treatment of
opioid addiction?
* What should I expect from my specialty addiction treatment provider?
* What should I expect from other clinicians in the healthcare system?
* What confidentiality protections exist for treatment for opioid
addiction?
* 7. Opioids and Pregnancy
* What are the risks of opioid exposure during pregnancy?
* How is opioid addiction treated during pregnancy?
* Which medication is most effective for pregnant women with opioid
addiction?
* What is Neonatal Abstinence Syndrome?
* How is Neonatal Abstinence Syndrome treated?
* Is a baby with Neonatal Abstinence Syndrome born addicted?
* What are the long-term effects of opioid use during pregnancy?
* Should women exposed to opioids breastfeed?
* 8. Teens
* Has the opioid epidemic in the United States included teenagers?
* What are the characteristics of opioid addiction among teenagers?
* Is treatment effective for teens with opioid addiction?
* Should parents keep naloxone in the home?
* What should parents do in a crisis?
* Are there scams targeting parents of teens with addiction to opioids
and other substances?
* 9. Opioids and Families
* What do I do if I suspect my family member is misusing opioids?
* How can I help connect my family member with opioid addiction to
effective treatment?
* How can I tell if a treatment program is high quality?
* How can my family avoid scams?
* What is enabling?
* Does my family member first need to hit rock bottom before getting
better?
* How can I cope with the stress of having a family member with opioid
addiction?
* What is the role of home drug testing?
* How can I help a family member who is in recovery from opioid
addiction?
* 10. Recovery from Opioid Addiction
* What is recovery from opioid addiction?
* What are 12-step programs?
* How can peers assist with recovery?
* What kinds of supports do people in recovery need?
* What is recovery housing?
* What are threats to recovery?
* What is the role of treatment in the recovery process?
* 11. History and Current State of the Opioid Epidemic
* When did the opioid epidemic start?
* Why have historians called the opioid problem, The American Disease?
* What led to the increase in prescriptions of opioids for pain from
1990 to 2010?
* What was the response to the overprescription of opioids in the early
2000s?
* Have tighter regulations on opioid prescriptions led to a rise in use
of heroin?
* What is fentanyl and what is the fentanyl crisis?
* What role does race play in the opioid epidemic?
* 12. Preventing Opioid Addiction in Communities
* What is the role of a community in preventing opioid addiction?
* Does reducing exposure to excessive prescribing of opioids prevent
opioid addiction?
* What Are Prescription Drug Monitoring Programs?
* What are Take Back Days?
* What can the U.S. Food and Drug Administration do to prevent opioid
addiction in communities?
* Do abuse-deterrent formulation of opioids work?
* What other technologies are under development to prevent misuse of
opioid pain medications?
* What is the role of marijuana in preventing opioid addiction?
* Can communities go too far in restricting opioid prescribing?
* How can communities support resilience and create a safe environment
to prevent opioid addiction?
* 13. Treatment and Recovery Policy for the Opioid Epidemic
* What is the relative importance of broad access to effective
treatment for opioid addiction?
* What are the elements of a successful treatment system?
* What is the case for having hospital emergency departments provide
treatment for opioid addiction?
* Other than emergency departments, what other types of providers would
benefit from offering treatment for opioid addiction?
* Where are there gaps in payment and coverage for opioid addiction
treatment?
* What happens when there is no financial support for effective opioid
addiction treatment?
* What are the factors that limit expansions of access to effective
treatment?
* What is Not in My Backyard Syndrome?
* Why is there resistance in some minority communities to treatment
programs?
* Can treatment expansions backfire?
* How should the treatment system support pregnant women with opioid
addiction?
* What is the controversy over forcing people with opioid addiction
into treatment?
* What is the role of communities in supporting people in treatment and
recovery?
* 14. Harm Reduction in the Opioid Epidemic
* What is harm reduction?
* What are naloxone programs?
* What is the case for making naloxone available without a
prescription?
* What are good-Samaritan laws?
* What are syringe exchange programs?
* What are the controversies over how syringe exchange programs are
managed?
* What are single-use syringes and what is the controversy over whether
syringe exchange programs should exclusively distribute them?
* What is drug checking?
* What are supervised consumption facilities?
* What is the medical use of heroin?
* What limits the expansion of harm-reduction programs in the United
States?
* 15. Criminal Justice and the Opioid Epidemic
* What is the war on drugs?
* Has the war on drugs failed?
* What is the role of race in the war on drugs?
* Is the war on drugs over?
* What is the role of police departments in addressing the opioid
epidemic?
* What is the role of jails and prisons in addressing the opioid
epidemic?
* 16. Surveillance, Evaluation, and Research and the Opioid Epidemic
* How well is the United States tracking the opioid epidemic?
* What trends related to the opioid epidemic are most useful to
monitor?
* What other trends might make sense to track?
* What is the role of evaluation in assessing the response to the
opioid epidemic?
* What are the most promising areas of current research related to
opioids and opioid addiction?
* What are the challenges to moving research discoveries quickly into
practice?
* 17. Future Considerations for the Opioid Epidemic
* What can the addiction field do to address the opioid epidemic?
* What can others in the healthcare system do to address the opioid
epidemic?
* What can the criminal justice system do?
* What can litigation do?
* What can local communities do?
* What can cities and counties do?
* What can states do?
* What can the federal government do?
* What can individuals and families do?
* Index