Should the United States Government Repeal Restrictions on Buprenorphine/Naloxone Treatment?

Abstract:

:Attention must be focused on needed changes to the current United States law that restricts physicians who prescribe buprenorphine for the detoxification or treatment of Opioid Use Disorder, to accepting no more than 100 patients. The current system does not provide comprehensive treatment as defined by the American Society of Addiction Medicine (ASAM) criteria. In addition, it suffers from both fragmentation and stigma and will require a significant change to comply with ASAM's call for integrated delivery of comprehensive addiction treatment. This commentary calls for the development and implementation of "best practice," by recommending caution in lifting the 100 patient limit until substantial achievement of this goal occurs. The authors call for an increase to 200 in the patient limit to be restricted to those physicians who are Board Certified in Addiction Medicine by the American Board of Addiction Medicine (ABAM) or in Addiction Psychiatry by the American Board of Psychiatry and Neurology (ABPN), or other responsible medical organizations. Any additional restriction lifting should follow a systemic evolution that rewards and documents competency. Such a system would involve the integration of treatment, treatment systems, and recovery with prescription medication. In addition, it should monitor emotional blunting, treatment progress and initiation of genetic addiction risk testing.

journal_name

Subst Use Misuse

journal_title

Substance use & misuse

authors

Blum K,Gold M,Clark HW,Dushaj K,Badgaiyan RD

doi

10.1080/10826084.2016.1200097

subject

Has Abstract

pub_date

2016-10-14 00:00:00

pages

1674-1679

issue

12

eissn

1082-6084

issn

1532-2491

journal_volume

51

pub_type

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