Good Samaritans vs. predatory peddlers: problematizing the war on overdose in the United States - McLean K.

In the wake of dramatic increases, and demographic shifts, in the misuse of heroin and prescription opioids, drug addiction and accidental overdose have been increasingly framed as public health, not criminal justice, matters in the United States. In turn,...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

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Data from an emergency department in Richmond suggests that the number of nonfatal opioid-related overdoses may have risen during the first few months of the COVID-19 pandemic, particularly among people who are Black. Thefindings were published inJAMA.Taylor A. Ochalek, Ph.D., of Virginia Commonwealth University (VCU) and colleagues compared the number of nonfatal opioid overdoses recorded in electronic medical records from VCU ’s Emergency Department from March to June 2019 with those that occurred from March to June 2020—the first few months of the COVID-19 pandemic. They found nonfatal opioid overdoses incre...
Source: Psychiatr News - Category: Psychiatry Tags: black COVID-19 emergency department JAMA nonfatal overdose opioid pandemic Source Type: research
CONCLUSIONS: Despite a comprehensive OEND training that addressed addiction and harm reduction and directly targeted hypothesized drivers of negative attitudes (e.g., risk compensation beliefs), some officers' attitudes worsened after the training. Randomized experiments of different training approaches would elucidate the mediators and moderators underlying these unexpected responses. PMID: 32931324 [PubMed - as supplied by publisher]
Source: The American Journal of Drug and Alcohol Abuse - Category: Addiction Authors: Tags: Am J Drug Alcohol Abuse Source Type: research
INTRODUCTION: Premature mortality associated with opioid-related overdose and suicide is a significant public health problem in the United States. Approximately 20-30% of individuals with opioid use disorder (OUD) have a history of both suicide attempt and...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
Mikayla Mace A University of Arizona pharmacologist discusses how the conditions created by the pandemic and the response could be exacerbating drug use and overdose. Monday University Communicationssad-505857_1920.jpgHealthCOVID-19Researcher contact: Todd W. Vanderah Comprehensive Pain and Addiction Center 520-626-7801vanderah@email.arizona.eduMedia contact: Mikayla Mace University Communications 520-621-1878mikaylamace@arizona.edu For the latest on the University of Arizona response to the novel coronavirus, visit the university'sCOVID-19 webpage.For UANews coverage of COVID-19, visithttps://uanews.arizona.edu/...
Source: The University of Arizona: Health - Category: Universities & Medical Training Authors: Source Type: research
Ohio is one of the hardest-hit states in the United States when it comes to opioid overdose deaths. Confronted with over 4,000 opioid overdose deaths in 2017, the Ohio Department of Mental Health and Addiction Services launched the Community Collective Imp...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
Deaths involving illicit opioids, stimulants (such as methamphetamine), heroin, and cocaine rose dramatically between 2015 and the end of 2019, according to areport released Monday by the AMA ’s Opioid Task Force.The report also showed a 37.1% decrease in opioid prescribing; wider use of state Prescription Drug Monitoring Programs; and increasing numbers of doctors trained to prescribe buprenorphine (a medication used for treating opioid use disorder).The trends indicate that the nature of the nation ’s drug overdose crisis has changed. “The nation’s drug overdose epidemic is now being driven predom...
Source: Psychiatr News - Category: Psychiatry Tags: AMA AMA Opioid Task Force buprenorphine CDC cocaine fentanyl heroin medication-assisted treatment mental health parity opioid use disorder opioids Patrice Harris stimulants Source Type: research
Abstract BACKGROUND: With the emergence of illicitly-manufactured fentanyl, drug overdose deaths have risen in unprecedented numbers. In this context, there is an urgent need to characterize potential changes in drug use behaviors among people who use drugs (PWUD). OBJECTIVE: To examine changes in drug use behaviors following the emergence of illicit fentanyl among people who use drugs (PWUD). METHODS: Data for this cross-sectional analysis was derived from three prospective cohorts of PWUD between December 2016 and May 2017 in Vancouver, Canada. Multivariable logistic regression was used to determine fa...
Source: The American Journal of Drug and Alcohol Abuse - Category: Addiction Authors: Tags: Am J Drug Alcohol Abuse Source Type: research
CONCLUSIONS: An index of socioeconomic disadvantage was generally predictive of overdose, regardless of the setting in which the overdose occurred (in-home vs. out-of-home). The associations between neighborhood-level socioeconomic characteristics and fatal overdose can be tailored by substance type to create targeted interventions. Overdose setting may be an important consideration for future policy efforts, as overdoses were nearly twice as likely to occur at-home. PMID: 32717498 [PubMed - as supplied by publisher]
Source: Addictive Behaviors - Category: Addiction Authors: Tags: Addict Behav Source Type: research
Conclusions: OUD is more prevalent among certain sociodemographic groups in the US. Targeted interventions focusing on young, White, unmarried, male, and uninsured/Medicaid/Medicare populations should be implemented to reduce the OUD. PMID: 32633664 [PubMed - as supplied by publisher]
Source: Substance Use and Misuse - Category: Addiction Tags: Subst Use Misuse Source Type: research
We present a case of a patient with OUD who was successfully switched and managed on oral hydromorphone after development of a prolonged QTc interval on methadone. Case: A 51-year-old man with longstanding polysubstance use presented to an urban hospital in Vancouver, Canada, for management of alcohol intoxication and hyponatremia. At the time of admission, the patient was stable on 100 mg of methadone daily, but was found to have a persistently elevated QTc (>550 milliseconds), putting him at increased risk for Torsades de Pointes. In an effort to find an alternative opioid agonist therapy for maintenance, a tri...
Source: Journal of Addiction Medicine - Category: Addiction Tags: Case Reports Source Type: research
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