Year: 2017
Type: review
Abstract: Treatment for opioid use disorder in the United States evolved in response to changing federal policy and advances in science. Inpatient care began in 1935 with the US Public Health Service Hospitals in Lexington, Kentucky, and Fort Worth, Texas. Outpatient clinics emerged in the 1960s to provide aftercare. Research advances led to opioid agonist and opioid antagonist therapies. When patients complete opioid withdrawal, return to use is often rapid and frequently deadly. US and international authorities recommend opioid agonist therapy (i.e., methadone or buprenorphine). Opioid antagonist therapy (i.e., extended-release naltrexone) may also inhibit return to use. Prevention efforts emphasize public and prescriber education, use of prescription drug monitoring programs, and safe medication disposal options. Overdose education and naloxone distribution promote access to rescue medication and reduce opioid overdose fatalities. Opioid use disorder prevention and treatment must embrace evidence-based care and integrate with physical and mental health care.
Source: Annual Review of Public Health
Institutions: Portland State University, Oregon Health & Science University
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Awards: G1237377007, G1521399996, G1663173960, Oregon's Coordinated Care Organizations Integrate Care for Drug Use Disorders, Oregon HIV/Hepatitis and Opioid Prevention and Engagement (OR-HOPE) Study, G4084508092, G4478006816, Integrating Addiction Treatment and Medical Care in a Commercial Health Plan, G5219567028, G5521801010, Methamphetamine Abuse Research Center, To Test A Payer/Treatment Agency Intervention to Increase Use of Buprenorphine, G9000080582, G9000300436
OpenAlex ID: W2776268798