The American Opioid Epidemic: From Patient Care to Public Health
provides practicing psychiatrists, trainees, and other mental
health professionals with the latest information on opioid
addiction, including misuse of heroin and other illicit opioids,
the role of prescription analgesic opioids, and recent overdose
trends. Although highly effective in relieving acute pain, opioids
can cause untold damage to people's lives, health, and social
structures. Recognizing the efficacy of these drugs when prescribed
appropriately, the editors call not for eliminating access or for
incarcerating those who are addicted, but for changing the patterns
of prescribing and use. The crisis is analyzed by expert
contributors from a wide variety of perspectives; they address
issues of epidemiology and toxicology, prevention and harm
reduction, and common comorbidities. Stressing that prevention and
treatment do work, expert contributors provide down-to-earth,
public-health-focused strategies that clinicians and public health
workers alike will find indispensable. Moreover, the use of
clinical vignettes and key chapter points help ground the reader
and highlight the most important concepts.The book is comprehensive
in its exploration of all facets of the crisis: * A thorough
overview of prescription opioids is presented, including
descriptions of the agents and their physiological effects, details
on the origins of the opioid prescription use and misuse epidemic,
current national trends in the nonmedical use of these prescription
medications, and the consequences of long-term use of prescription
opioids, such as the risk of initiating use of heroin and other
illegal opioids.* Screening, assessment, and treatment planning for
opioid use disorder is explored in detail, as is the
pathophysiology, clinical signs, and management of opioid
withdrawal.* The epidemiology, pathophysiology, and toxicology of
opioid-related overdose are covered, guiding clinicians in key
principles of overdose management-from evaluation to treatment to
prevention. Readers will learn about the pharmacology and clinical
use of the main opioid overdose reversal agent, naloxone, as well
as the toxic profiles of the most common opioids implicated in
overdose deaths.* The social determinants of the opioid epidemic
are addressed from historical, demographic, and socioeconomic
perspectives, as well as the pharmaceutical marketing-related,
regulatory, and governmental policy-oriented factors that shape
health disparities around opioid addiction and its consequences.*
Harm reduction programs, including syringe access programs,
overdose prevention education (including naloxone training and
dispensing), education for safe injection practices, and
facilitating access to opioid agonist treatment, are thoroughly
explored. Harm reduction strategies that clinicians can use with
individual patients are also discussed. The American Opioid
Epidemic: From Patient Care to Public Health provides an in-depth
look at clinical and public health approaches to this epidemic from
both psychiatric and medical perspectives and gives mental health
professionals the big picture necessary to understand the epidemic,
as well as the clinical detail required to help patients avoid or
overcome opioid addition.
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