The Opioid Epidemic and Psychiatry: The Time for Action Is Now

Brunette, Mary F.; Oslin, David W.; Dixon, Lisa B.; Adler, David A.; Berlant, Jeffrey; Erlich, Matthew D.; First, Michael B.; Goldman, Beth; Levine, Bruce; Siris, Samuel G.; Winston, Helena

doi:10.1176/appi.ps.201800582

Cited by 5 publications

(10 citation statements)

References 13 publications

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“…The expectation of the role of the psychiatrist in supporting persons with OUD is highly variable, depending on the treatment setting. [111][112][113][114] For example, in some settings, psychiatrists may be primary OAT prescribers, whereas, in others, they may support concurrent disorder management in conjunction with a separate OAT prescriber, often family doctors. [111][112][113][114] Nevertheless, psychiatrists should be familiar with the indications for OAT and able to assist a patient in attending a clinic or primary care setting to initiate or continue OAT.…”

Section: Pharmacological Treatment Of Oudmentioning

confidence: 99%

“…[111][112][113][114] For example, in some settings, psychiatrists may be primary OAT prescribers, whereas, in others, they may support concurrent disorder management in conjunction with a separate OAT prescriber, often family doctors. [111][112][113][114] Nevertheless, psychiatrists should be familiar with the indications for OAT and able to assist a patient in attending a clinic or primary care setting to initiate or continue OAT. [111][112][113][114] In some settings, psychiatrists will need the skills to discuss OAT, assist in choosing a medication, obtain consent, initiate OAT and manage or refer for ongoing treatment.…”

Section: Pharmacological Treatment Of Oudmentioning

confidence: 99%

“…[111][112][113][114] Nevertheless, psychiatrists should be familiar with the indications for OAT and able to assist a patient in attending a clinic or primary care setting to initiate or continue OAT. [111][112][113][114] In some settings, psychiatrists will need the skills to discuss OAT, assist in choosing a medication, obtain consent, initiate OAT and manage or refer for ongoing treatment. [111][112][113][114] OAT is the standard of care for OUD.…”

Section: Pharmacological Treatment Of Oudmentioning

confidence: 99%

“…[111][112][113][114] In some settings, psychiatrists will need the skills to discuss OAT, assist in choosing a medication, obtain consent, initiate OAT and manage or refer for ongoing treatment. [111][112][113][114] OAT is the standard of care for OUD. Regarding OAT selection, buprenorphine-naloxone is generally considered first-line, given its superior safety profile and lower risk of diversion, 20,21,115,116 while methadone is second-line.…”

Section: Pharmacological Treatment Of Oudmentioning

confidence: 99%

See 3 more Smart Citations

Training in Substance use Disorders, Part 1: Overview of Clinical Practice Recommendations

Bahji,

Crockford,

Brasch

et al. 2024

Can J Psychiatry

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Section: Pharmacological Treatment Of Oudmentioning

confidence: 99%

Section: Pharmacological Treatment Of Oudmentioning

confidence: 99%

Section: Pharmacological Treatment Of Oudmentioning

confidence: 99%

Section: Pharmacological Treatment Of Oudmentioning

confidence: 99%

See 2 more Smart Citations

Training in Substance use Disorders, Part 1: Overview of Clinical Practice Recommendations

Bahji,

Crockford,

Brasch

et al. 2024

Can J Psychiatry

View full text Add to dashboard Cite

show abstract

“…As an example, missed diagnosis of mental and social health opportunities and inappropriate treatment with opioids was arguably one contributor to the current epidemic of opioid misuse, overdose, and overdose-related deaths. 10 Do not rely on mental health screening questionnaires—people do not always answer them honestly, likely from fear that their physical problem may not be the focus they believe it should be. 11,12 Remember the verbal and nonverbal signs of mental and social health opportunities.…”

mentioning

confidence: 99%

American Academy of Orthopaedic Surgeons Appropriate Use Criteria: Early Screening for Psychosocial Risk and Protective Factors

Piuzzi

Ring

2021

J Am Acad Orthop Surg

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The Major Extremity Trauma and Rehabilitation Consortium and the American Academy of Orthopaedic Surgeons (AAOS) have developed Appropriate Use Criteria for the Early Screening for Psychosocial Risk and Protective Factors. Evidence and clinical expertise were used to develop criteria for addressing mental and social health opportunities to help people recover from musculoskeletal injuries to the extremity, spine, and pelvis. The criteria were developed by identifying observable symptoms and results of screening that suggest mental and social health challenges among patients with lower extremity trauma in clinical practice. The 32 patient scenarios and three interventions (evaluate for psychological distress, evaluate for social health opportunities, and evaluate coping and resilience strategies) were developed by the writing panel of clinicians who are specialists in mental and social health in musculoskeletal illness. Next, a separate, multidisciplinary, voting panel made up of specialists and nonspecialists rated the appropriateness of treatment for each patient scenario using a 9-point scale to designate a treatment as “appropriate” (median rating, 7 to 9), “may be appropriate” (median rating, 4 to 6), or “rarely appropriate” (median rating, 1 to 3). Notably, with a high level of agreement, the voting panel determined that interventions to address mental and social health were appropriate in all scenarios as follows: 86% were rated appropriate, 14% were rated possibly appropriate, and none were rated rarely appropriate.

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Opioid mortality, public health care expenditures, and cross-national homicide rates: findings from 25 OECD countries, 2000–2017

Testa

Weiss

Santos

2021

Soc Psychiatry Psychiatr Epidemiol

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The Opioid Epidemic and Psychiatry: The Time for Action Is Now

Cited by 5 publications

References 13 publications

Training in Substance use Disorders, Part 1: Overview of Clinical Practice Recommendations

Training in Substance use Disorders, Part 1: Overview of Clinical Practice Recommendations

American Academy of Orthopaedic Surgeons Appropriate Use Criteria: Early Screening for Psychosocial Risk and Protective Factors

Opioid mortality, public health care expenditures, and cross-national homicide rates: findings from 25 OECD countries, 2000–2017

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