Thousands of people experience negative health outcomes from the overuse or misuse of opioids, a drug class that includes both illegal substances, such as heroin, and prescription medicines for pain relief. Can mindfulness boost the effects of traditional treatments that relieve opioid cravings?
The National Institute on Drug Abuse report that around 21–29% of people, whose doctors prescribe them opioids for the management of chronic pain, end up misusing these drugs. Furthermore, some 8–12% of people who take prescription opioids develop opioid use disorder.
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A new study found that one in three young adults receive medication for opioid use disorder within 12 months of a non-fatal opioid overdose. The study, led by researchers at Boston Medical Center’s Grayken Center for Addiction, in collaboration with the Massachusetts Department of Public Health (DPH), shows which medications — buprenorphine, methadone or naltrexone — are being taken, and how long after the overdose they receive the treatment. Published online in Annals of Emergency Medicine, the results provide important new data that can help increase access and time to medication for opioid use disorder for young adults who survive an overdose, including in an emergency department setting.
Nonfatal opioid overdose is a significant predictor for recurrent nonfatal and fatal opioid overdoses. Young adults (under age 25) have been disproportionately affected by the opioid epidemic, as data indicates that drug overdose deaths nearly quadrupled nationally between 1999 and 2016 in young adults between 15 and 24 years old. Research shows that young adults have distinct developmental differences that predispose them to substance use disorders, which requires strategically designed interventions to engage and retain them in treatment.
Full story at Science Daily
A new study identifies specific locations where medication and harm reduction services for people with opioid use disorder should be available in order to have the greatest impact on reducing opioid overdose deaths. Led by researchers at Boston Medical Center’s Grayken Center for Addiction, the data show that more than half of those who died of an opioid overdose in Massachusetts encountered the health care, public health and/or criminal justice systems within the 12 months prior to their fatal overdose. These results, published in Drug and Alcohol Dependence, provide a roadmap to better reach these individuals at high risk of overdose and provide treatment and harm reduction services in order to reduce the number of overdose deaths.
For this retrospective cohort study, researchers set out to determine how and where individuals encounter the health care, criminal justice and public health systems in the 12 months prior to their fatal overdose. In collaboration with Massachusetts Department of Public Health, researchers examined eight data sets for persons over the age of 11 in Massachusetts between January and December 2014 with health insurance, as identified in the All-Payer Claims Database.
Full story at Science Daily
Family involvement is a key component to success in treatment for teen substance use disorder, according to a review of recent research by an expert at the Center on Addiction.
“Our review has shown that programs that involve families are the most effective,” said Aaron Hogue, Ph.D., Director of Adolescent and Family Research at the Center on Addiction. He recently spoke about treatment for adolescent substance use at the National Academy of Sciences, Engineering, and Medicine in Washington, D.C.
As the opioid epidemic grows, there is great demand for treatment for opioid use disorder for teens and young adults, Hogue noted. “We know the most effective treatment is medication-assisted treatment, which combines medications with behavioral interventions,” he said. “This review helps treatment providers know which types of behavioral interventions will have the greatest impact.”
Full story at drugfree.org
A team of NIDA-funded scientists has offered a critical look at how to build an improved framework of care for the identification and treatment of people with opioid use disorder (OUD).
Building upon the successful Cascade of Care model developed in 2017 to manage patients with HIV and AIDS, the study authors lay out a plan to expand OUD prevention and care at the state and federal levels, while customizing services to fit the unique needs of individuals and their communities. The authors recommend a framework that encompasses four interrelated domains: prevention, identification, treatment and recovery. People at varying stages of risk and need reside at various points within that cascading framework.
Full story at drugabuse.org