Evidence for state, community and systems-level prevention strategies to address the opioid crisis

Haegerich, Tamara M.; Jones, Christopher M.; Cote, Pierre-Olivier; Robinson, Amber; Ross, Lindsey

doi:10.1016/j.drugalcdep.2019.107563

Cited by 57 publications

(50 citation statements)

References 115 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…org/resources/what-works-preventing-excessive-alcoholconsumption). Enhanced enforcement of existing substance use policies (e.g., prescription drug monitoring programs that are used universally with near-real-time data and laws prohibiting sales of alcohol to persons aged <21 years) also can help reduce substance use among youths (19,20). In addition, strategies for expanding access to evidence-based pain treatment and improving prescribing of prescription opioids through safer prescribing practices can help reduce opioid misuse and overdoses.…”

Section: Discussionmentioning

confidence: 99%

Prescription Opioid Misuse and Use of Alcohol and Other Substances Among High School Students — Youth Risk Behavior Survey, United States, 2019

Jones¹,

Clayton²,

Deputy³

et al. 2020

MMWR Suppl.

Self Cite

171

View full text Add to dashboard Cite

Adolescence is an important period of risk for substance use initiation and substance use-related adverse outcomes. To examine youth substance use trends and patterns, CDC analyzed data from the 2009-2019 Youth Risk Behavior Survey. This report presents estimated prevalence of current (i.e., previous 30-days) marijuana use, prescription opioid misuse, alcohol use, and binge drinking and lifetime prevalence of marijuana, synthetic marijuana, cocaine, methamphetamine, heroin, injection drug use, and prescription opioid misuse among U.S. high school students. Logistic regression and Joinpoint analyses were used to assess 2009-2019 trends. Prevalence of current and lifetime substance use by demographics, frequency of use, and prevalence of co-occurrence of selected substances among students reporting current prescription opioid misuse are estimated using 2019 data. Multivariable logistic regression analysis was used to determine demographic and substance use correlates of current prescription opioid misuse. Current alcohol, lifetime cocaine, methamphetamine, heroin, and injection drug use decreased during 2009-2019. Lifetime use of synthetic marijuana (also called synthetic cannabinoids) decreased during 2015-2019. Lifetime marijuana use increased during 2009-2013 and then decreased during 2013-2019. In 2019, 29.2% reported current alcohol use, 21.7% current marijuana use, 13.7% current binge drinking, and 7.2% current prescription opioid misuse. Substance use varied by sex, race/ethnicity, grade, and sexual minority status (lesbian, gay, or bisexual). Use of other substances, particularly current use of alcohol (59.4%) and marijuana (43.5%), was common among students currently misusing prescription opioids. Findings highlight opportunities for expanding evidence-based prevention policies, programs, and practices that aim to reduce risk factors and strengthen protective factors related to youth substance use, in conjunction with ongoing initiatives for combating the opioid crisis.

show abstract

Section: Discussionmentioning

confidence: 99%

Prescription Opioid Misuse and Use of Alcohol and Other Substances Among High School Students — Youth Risk Behavior Survey, United States, 2019

Jones¹,

Clayton²,

Deputy³

et al. 2020

MMWR Suppl.

Self Cite

171

View full text Add to dashboard Cite

show abstract

“…1,9 The growing concern about the opioid crisis has stimulated research, cross-border knowledge sharing, and health system-level initiatives. 12,13 Several literature reviews related to the opioid crisis have been recently completed to inform clinicians and decision makers on the effectiveness of different strategies and to summarize the state of knowledge in this area. [13][14][15][16] Despite the potential role of EDs, a comprehensive evaluation of the literature related to OUD interventions initiated in EDs is still lacking.…”

mentioning

confidence: 99%

Emergency Department–initiated Interventions for Patients With Opioid Use Disorder: A Systematic Review

Kaczorowski

Bilodeau

Orkin

et al. 2020

Academic Emergency Medicine

View full text Add to dashboard Cite

Objectives: The opioid crisis has risen dramatically in North America in the new millennium, due to both illegal and prescription opioid use. While emergency departments (EDs) represent a potentially strategic setting for interventions to reduce harm from opioid use disorder (OUD), the absence of a recent synthesis of literature limits implementation and scalability. To fill this gap, we conducted a systematic review of the literature on interventions targeting OUDs initiated in EDs. Methods: Using an explicit search strategy (PROSPERO), the MEDLINE, CINAHL Complete, EMBASE, and EBM reviews databases were searched from 1980 to October 4, 2019. The gray literature was explored using Google Scholar. Study characteristics were abstracted independently. The methodologic quality and risk of bias were assessed. Results: Twelve of 2,270 studies met the inclusion criteria (two of high quality). In addition to the heterogeneity of the outcome measures used (retention in treatment, opioid consumption, and overdose), brief intervention and buprenorphine initiation (six of 12 studies) were the most documented with mixed effects for the former and positive short-term and confined to single ED sites effects for the latter. Conclusion: Emergency departments can be an appropriate setting for initiating opioid agonist treatment, but to be sustained, it likely needs to be coupled with community-based follow-up and support to ensure longer-term retention. The scarcity of high-quality evidence on OUD interventions initiated in emergency settings highlights the need for future research. O pioid use disorder (OUD) and opioid-related deaths have risen dramatically in North America in the new millennium and now reach epidemic proportions. 1,2 In the United States, opioid-related deaths increased by 345% from 9,489 to 42,245 between 2001 and 2016 (3.3 to 13.1 deaths per 100,000 population). 3 This crisis has reduced overall life expectancy in British Columbia, the Canadian province where the highest death rates have occurred. 4 In the past 3 years, the opioid-related deaths in Canada have

show abstract

“…CDC is implementing strategies and programs to assist communities in compiling and using data in ways that will reduce silos and link surveillance and prevention data (Haegerich, Jones, Pierre-Olivier, Robinson, & Ross, 2019 misusing opioids, how the illicit opioid drug supply enters communities, and when critical surveillance interventions are needed. Programs highlighted for the MDI community are found in Table 1.…”

Section: Discussionmentioning

confidence: 99%

National Institute of Justice’s Forensic Technology Center of Excellence 2019 National Opioid and Emerging Drug Threats Policy and Practice Forum

Presler-Jur¹,

Daye²,

Shute³

et al. 2020

View full text Add to dashboard Cite

The National Institute of Justice (NIJ) and its Forensic Technology Center of Excellence (FTCoE) hosted the National Opioid and Emerging Drug Threats Policy and Practice Forum on July 18–19, 2019, in Washington, DC. The forum explored ways in which government agencies and programs, law enforcement officials, forensic laboratory personnel, medical examiners and coroners, researchers, and other experts can cooperate to respond to problems associated with drug abuse and misuse. Panelists from these stakeholder groups discussed ways to address concerns such as rapidly expanding crime laboratory caseloads; workforce shortages and resiliency programs; analytical challenges associated with fentanyl analogs and drug mixtures; laboratory quality control; surveillance systems to inform response; and policy related to stakeholder, research, and resource constraints. The NIJ Policy and Practice Forum built off the momentum of previous stakeholder meetings convened by NIJ and other agencies to discuss the consequences of this national epidemic, including the impact it has had on public safety, public health, and the criminal justice response. The forum discussed topics at a policy level and addressed best practices used across the forensic community.

show abstract

Evidence for state, community and systems-level prevention strategies to address the opioid crisis

Cited by 57 publications

References 115 publications

Prescription Opioid Misuse and Use of Alcohol and Other Substances Among High School Students — Youth Risk Behavior Survey, United States, 2019

Prescription Opioid Misuse and Use of Alcohol and Other Substances Among High School Students — Youth Risk Behavior Survey, United States, 2019

Emergency Department–initiated Interventions for Patients With Opioid Use Disorder: A Systematic Review

National Institute of Justice’s Forensic Technology Center of Excellence 2019 National Opioid and Emerging Drug Threats Policy and Practice Forum

Contact Info

Product

Resources

About