The opioid epidemic : medical, nursing, counseling behavioral treatment / Albert Anthony Rundio Jr., and Stephanie Brooks, editors. - 1 online resource. - Substance abuse assessment, interventions and treatment . - Substance abuse assessment, interventions and treatment series. .

Includes bibliographical references and index.

Intro -- Contents -- Preface -- Chapter 1 -- The Opioid Epidemic/SUD: Facts, Figures and Assessment Tools -- Abstract -- SBIRT (Screening Brief Intervention Referral to Treatment) -- Case Example -- Tools -- Screening for Alcohol Problems -- At-Risk Drinking -- A. WHO -- ASSIST V3.0 -- B. Who Assist V3.0 Response Card for Patients -- C. Alcohol, Smoking and Substance Involvement Screening Test (Who Assist V3.0) Feedback Report Card For Patients -- D. WHO Risks of Injecting Card -- Information for clients E. Translation and Adaptation to Local Languages and Culture: A Resource for Clinicians and Researchers -- CAGE Questionnaire -- Scoring -- Clinical Opiate Withdrawal Scale (COWS) -- Flow-Sheet for Measuring Symptoms for Opiate Withdrawals over a Period of Time -- CRAFFT -- Objective Opioid Withdrawal Scale (OOWS) -- References -- Chapter 2 -- The Neurobiology of Opioid Drug Addiction -- Abstract -- Case Study -- Introduction and Overview -- The Physiology of Addiction -- Biologic Models of Addiction -- Tolerance and Reverse Tolerance -- Case Study Revisited -- References -- Chapter 3 Pharmacologic Concepts in Opioid Addiction Treatment Through the Continuum -- Abstract -- Pharmacokinetics and Pharmacodynamics -- Case Study -- Part 1 -- Treatment of Opioid Overdose -- Case Study -- Part 2 -- Withdrawal Management from Opioid Drugs -- A Short History of the Detoxification Process -- Case Study -- Part 3 -- The Protracted Abstinence Syndrome -- Case Study -- Part 4 -- Medication Assisted Treatment -- Medications Used in Maintenance Treatment of Opioid Use Disorder -- Naltrexone -- Methadone -- Buprenorphine -- Case Study -- Epilogue -- References -- Chapter 4 Maternal Substance Use: Systemically Understanding Treatment and Recovery -- Abstract -- Introduction -- Key Concepts in Maternal Substance Use -- Prevalence and Correlates of Maternal Substance Use -- Considering the Family Unit -- Treatment Barriers for Maternal SUD -- Cultural and Social Justice Considerations -- Gender -- Race and Ethnicity -- Considering Intersectionality -- Best Practices for Assessing and Treating Maternal Substance Use -- Screening and Assessment -- AUDIT -- ASSIST -- CAGE and CAGE-AID -- Toxicology Testing -- Evidence-Based Practices -- Family-Centered Treatment Trauma-Informed Care -- Parenting Education and SUDs -- Family Spirit Model (Center for American Indian Health at the Bloomberg School of Public Health at Johns Hopkins University) -- Celebrating Families! (National Association for Children of Addiction, 2007) -- Trauma and SUDs -- Helping Women Recover: A Program for Treatment Addiction, Special Criminal Justice Edition (HWR) (Covington, 2000) -- Seeking Safety (Najavits, Weiss, Shaw, and Muenz, 1998) -- Opioid Use Disorders -- Limitations of Current Treatment Models for Maternal Substance Use -- Case Example: Mary -- Treatment Considerations for Mary

"The Opioid Epidemic is one of the major events that has occurred in the United States during the past few years. Several factors have contributed to this epidemic. Accrediting bodies identifying pain as the 5th Vital Sign certainly addressed patient's pain but also accelerated the use of prescription narcotic pain medications as first line therapy rather than utilizing other types of pharmacologic agents that are not narcotics as well as trying other non-pharmacologic interventions such as holistic health modalities. Dependent upon the type of narcotic pain medication prescribed, patients can develop a dependence upon the medication which then leads to addiction. Purchasing such medications can be rather expensive. Many patients then turn to purchasing less expensive drugs, such as Heroin, off of the street. Compounding the problem today is that much of the heroin is tainted with other drugs, such as Benzodiazepines and Fentanyl. Fentanyl is far more potent than heroin. The end result is that many young people as well as older people are dying from overdoses. If someone is not available to administer Naloxone immediately the end result is death. There have been many strategies implemented by both the federal government and individual states governments to combat the opioid epidemic. Many states have implemented Prescription Drug Monitoring Programs (PDMP) that report the prescriptions for controlled substances that a patient purchases. Legislation has been passed to promote addiction treatment centers and medicated assisted treatment programs. Although there has been a noted decreased in opioid related deaths, there is still a long way to go to combat this epidemic. Care rendered to the patient with opioid substance use disorders needs to be interprofessional and inclusive of Medicine, Nursing, Counseling and other behavioral modalities. Such interprofessional care will yield the best treatment outcomes"--

1536183695 9781536183696

2020030184


Opioid abuse--United States.
Medication abuse--United States.
Substance abuse--United States.
Substance abuse--Treatment--United States.
Substance abuse--Alternative treatment--United States.
Substance abuse--Psychological aspects.--United States

RM146.7 / .S83 2020

362.29