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 Misusejournal_title
Substance use & misuseauthors
Blum K,Gold M,Clark HW,Dushaj K,Badgaiyan RDdoi
10.1080/10826084.2016.1200097subject
Has Abstractpub_date
2016-10-14 00:00:00pages
1674-1679issue
12eissn
1082-6084issn
1532-2491journal_volume
51pub_type
杂志文章abstract:BACKGROUND:Injection drug users (IDUs) are at increased risk of various medical conditions, including bacterial skin and soft tissue infections (SSTIs). SSTIs, which are painful and can lead to life-threatening complications, are common but scarcely studied. OBJECTIVES:To investigate life time, past 12 month and past ...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2015.1023450
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:Alcohol use (and adverse consequences due to alcohol use) among college student-athletes is a common occurrence and consequently garners attention as a health concern within athletic departments and the NCAA. One of the strongest predictors of alcohol use in athletes is motivation to drink. However, not much ...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2018.1512624
更新日期:2019-01-01 00:00:00
abstract::Background: Temporary abstinence from alcohol as a challenge could support self-knowledge, self-care, and health consciousness in several ways. Objectives: The present study explored Dry November participants' personal experiences and coping strategies during a one-month abstinence period. The research is embedded in ...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2019.1705861
更新日期:2020-01-01 00:00:00
abstract::This paper presents alternative models for reducing alcohol-involved problems at the local level and a review of research evidence about effectiveness. A computer simulation model and results from a community trial in the United States is used to illustrate and demonstrate possibilities. ...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1081/ja-120004158
更新日期:2002-06-01 00:00:00
abstract::This commentary reviews two manuscripts about big event empirical data exploring concepts and pathways of drug use and health-related events. Using basic concepts and tools, it proposes a focused framework in order to help comprehension of the multifactorial and multilevel components between macrosocial determinants o...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2015.1042289
更新日期:2015-01-01 00:00:00
abstract::In Brazil, the medicinal misuse of trihexyphenidyl (Artane) has been observed among several segments of society. The present study was conducted in the city of São Paulo during 2002 to characterize this abuse. A sample of 21 users and 16 ex-users was interviewed using qualitative methodology; the subjects were single,...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1081/ja-200052423
更新日期:2005-01-01 00:00:00
abstract::Although the prevention of intimate partner violence is a major public health priority for the United States, little is known about how to prevent this form of violence. The strong cross-sectional and longitudinal association between substance misuse and partner violence suggests that substance-misusing populations ma...
journal_title:Substance use & misuse
pub_type: 杂志文章,评审
doi:10.1080/10826080902961377
更新日期:2009-01-01 00:00:00
abstract::Objective: Although the rapid increase in opioid use disorders (OUD) and concurrent increase in Hepatitis C virus (HCV) in the United States is well-documented, little is known about HCV testing among high-risk populations. We examine patterns of HCV testing across OUD treatment settings for individuals with OUD in Ne...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2020.1858106
更新日期:2021-01-01 00:00:00
abstract::We examined relationships among perceived alcohol availability, drinking location, alcohol consumption, and drinking problems. Subjects were 3,372 adolescent drinkers, ages 16-18, who participated in the Communities Mobilizing for Change on Alcohol Project baseline survey. Mixed-model regression was employed to identi...
journal_title:Substance use & misuse
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.3109/10826089709039378
更新日期:1997-08-01 00:00:00
abstract::This paper discusses the evolution of a two-and-a-half year pilot community action project aimed at developing strategies to reduce alcohol-use-related crashes in a rural police district in New Zealand. Formative evaluation aimed to assist an intersectoral coordinating group identify and implement strategies. Initiall...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826080009147691
更新日期:2000-01-01 00:00:00
abstract::By all published accounts and federal government reports, the United States is experiencing a serious opioid use epidemic. Additional treatment resources are needed in order to provide access to evidence based medical care for untreated individuals with substance use disorders. The focus of this commentary is increasi...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2017.1402451
更新日期:2018-01-28 00:00:00
abstract:BACKGROUND:The misuse of stimulant medications, commonly used for the treatment of attention-deficit/hyperactivity disorder (ADHD), is a concern on college campuses. OBJECTIVE:This study sought to examine the relations between the misuse of stimulant medications and symptoms of depression and ADHD. METHOD:Eight hundr...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2017.1318146
更新日期:2017-12-06 00:00:00
abstract::This cross-sectional research examined the effects of ethnicity, age, and primary drug (alcohol or other drug) on recovering women's social network size and social support. Study participants included 21 African-American, 39 Anglo-American, and 3 Mexican-American women in continuous recovery for a minimum of 6 months....
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826089809058952
更新日期:1998-06-01 00:00:00
abstract::Background People who inject drugs (PWID) in rural areas of the United States have had limited access to syringe service programs (SSP). Rural SSP have recently surged, but accompanying research is lacking about PWID utilization, barriers, and preferences for SSP design and how those preferences vary by gender. Method...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2020.1800741
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:To extend our knowledge of general strain theory by exploring how under-researched strains such as racial discrimination, witnessing violence, physical victimization and verbal bullying affect adolescent substance use while considering differences according to racial identification. METHODS:This research ut...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2016.1191513
更新日期:2016-10-14 00:00:00
abstract::The present study was conducted as an evaluation of a two-year pilot program started in 1998 in the Netherlands to provide free hepatitis B vaccination targeted at drug users (DUs). In order to identify which demographic and social-cognitive factors predict vaccination uptake, written questionnaires were distributed i...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826080802344609
更新日期:2008-12-01 00:00:00
abstract::This study investigated the impact of a needle exchange policy change on community health. Data were collected from a needle exchange program in Eureka, California, for clients who participated in the program between the weeks (n = 112) of January 1, 2002, and February 28, 2004. Analysis was done using an autoregressi...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826080701204763
更新日期:2007-01-01 00:00:00
abstract::This study explores the longitudinal pathways by which risk and protective factors influence the development of alcohol-related harms in a representative community sample of 941 young adults (19-20 years) from Victoria, Australia, focusing on the role of concurrent risky drinking. Impulsivity at 15-16 years, alcohol-r...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2012.699577
更新日期:2012-10-01 00:00:00
abstract::A systematic literature review was conducted to examine whether mother's smoking influences girls' smoking more than boys' smoking. Fifty-seven studies, published between 1989 and 2009, were analyzed using a sex and gender lens. Results indicate that mother's prenatal and postnatal smoking influences girls' smoking mo...
journal_title:Substance use & misuse
pub_type: 杂志文章,评审
doi:10.3109/10826084.2010.528122
更新日期:2011-01-01 00:00:00
abstract::Considering the absence of data on the appearance of drugs other than alcohol and tobacco in movie scenes, we decided to study the prevalence of portrayal of illicit drug use in a convenience sample of 50 Brazilian Movies. A total of 192 scenes (12h49'03(″)) meeting the inclusion criteria were identified and assessed ...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2012.753549
更新日期:2013-02-01 00:00:00
abstract:BACKGROUND:Prior research has shown that ongoing drug use inhibits the commonly reported maturing out of crime process and that ongoing crime inhibits the commonly reported maturing out of drug use process. OBJECTIVES:To test the predictive efficacy of drug use for crime deceleration and of crime for drug deceleration...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2018.1424914
更新日期:2018-08-24 00:00:00
abstract:BACKGROUND:Fentanyl-related mortality has skyrocketed among people who use opioids (PWUO) in North America. The current study of PWUO aims to examine the perceived fentanyl risk and training needs; fatal overdose prevention behaviors; and, feasibility of a peer education approach to reducing fentanyl-related fatal over...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2018.1555597
更新日期:2019-01-01 00:00:00
abstract::Background: Several records of high prevalence of HBV have been made in northern Brazil. Among risk groups for viral infection, people who use illicit drugs (PWUDs) stand out, especially if they inject drugs and engage in risky sexual behavior. Objectives: In this study, the prevalence, genotype distribution and facto...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2020.1756334
更新日期:2020-01-01 00:00:00
abstract::The association between stimulant use and legal outcomes was examined in rural adults aged 18-21 years (n = 98) in the Mississippi River Delta of Arkansas from 2003 through 2008. Participants were interviewed at baseline and every 6 months for 2 years, using the Substance Abuse Outcomes Module, Addiction Severity Inde...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2010.526981
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Methadone maintenance treatment is an effective way to reduce harms associated with opioid use disorder and, in several countries, is delivered in community-based primary care settings. Expanding methadone into primary care depends, in part, on physicians' willingness and readiness to integrate it into their...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2017.1325376
更新日期:2018-01-28 00:00:00
abstract::This study aims to investigate whether the administration of questionnaires measuring subjective craving induces more craving for opiates compared to questionnaires measuring other subjective states. The study was conducted in 2000. The sample was composed of 53 patients that were treated as inpatients and outpatients...
journal_title:Substance use & misuse
pub_type: 杂志文章,随机对照试验
doi:10.1080/10826080601006334
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Chronic hepatitis C virus (HCV) infection is common among people who inject drugs (PWID) and is associated with morbidity and premature death. Although HCV can be cured, treatment may be inaccessible. We studied HCV testing, status and treatment among marginalized people who use drugs in Ottawa, Canada, a se...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2018.1485699
更新日期:2019-01-01 00:00:00
abstract::This study examines patterns of alcohol consumption among the Hispanic immigrant population in Valencia (Spain), and also whether the length of immigrants' residence in our country and perceived degree of discrimination have any influence on such patterns. A total of 610 Spanish-speaking immigrants (314 women, 296 men...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826080903550554
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Rates of drug and alcohol use are higher among men who have sex with men (MSM) than the general adult male population, and are often associated with increased sexual risk-taking. OBJECTIVES:We aim to examine the prevalence of drunk or high sex and their associations with socio-demographic characteristics, g...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2017.1322985
更新日期:2018-01-02 00:00:00
abstract:BACKGROUND:The prevalence of alcohol use disorders in Asia is increasing and relapse among treated populations remains the norm, not the exception. The extent to which cognitive impairment influences clinical outcome remains unclear, with research dominated by studies of Caucasian populations. OBJECTIVES:This study ex...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2015.1092985
更新日期:2016-01-28 00:00:00