Topic
Addiction medicine
About: Addiction medicine is a research topic. Over the lifetime, 1070 publications have been published within this topic receiving 23685 citations.
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TL;DR: To the issues reviewed in the statement ‘Different psychotherapies appear to produce similar treatment outcomes’, it is added that support programs are useful additional tools for sustaining abstinence in people receiving professional treatment.
Abstract: ‘The more individualized and broad-based the treatment a person with addiction receives, the better the outcome’. To the issues reviewed in the statement ‘Different psychotherapies appear to produce similar treatment outcomes’, I would add that support programs are useful additional tools for sustaining abstinence in people receiving professional treatment. They play a key role in many developing countries. For instance, in Mexico 40% of people with substance dependence disorders received help only from self-help groups [5]. Evidence that treatment can be successful, provided motivation to change is included as a first step, inspires his statement, ‘ “Come back when you’re motivated” is no longer an acceptable therapeutic response’. This is especially relevant, as availability of good treatment does not suffice. People on the road to severe dependence often deny their disease, and thus actions to bring treatment close to the person in need are a necessary complement. The law is a good strategy; other relevant experiences such as mass media campaigns aimed at reducing stigma, and actions to motivate people to seek treatment are not explored by the author. Accepting his challenge, I would say that two additional issues deserve a statement: differences between substances in dependence liability and the availability of medication.
3 citations
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TL;DR: The Addiction Medicine Practice-Based Research Network (AMNet) was developed to facilitate the uptake of MBC in outpatient practices via implementation of patient-reported assessments and quality of care performance measures to improve patient outcomes as discussed by the authors.
Abstract: Introduction The need for innovative approaches to address the opioid epidemic in the United States is widely recognized. Many challenges exist to addressing this epidemic, including the obstacles outpatient substance use treatment practices face in implementing measurement-based care (MBC), quality measurement systems, and evidence-based treatments. Also, there are insufficient opportunities for clinicians in these settings to participate in research, resulting in diminished translation of research findings into community-based practice. To address these challenges, the Addiction Medicine Practice-Based Research Network (AMNet) was developed to facilitate the uptake of MBC in outpatient practices via implementation of patient-reported assessments and quality of care performance measures to improve patient outcomes. This network will offer clinicians in outpatient settings (not incuding opioid treatment programs [OTPs]) the opportunity to participate in future substance use disorder treatment research studies. Methods A key step in the development of AMNet was the selection of substance use-specific assessment tools and quality of care performance measures for incorporation into the American Psychiatric Association's mental health patient registry, PsychPRO. A scoping review and multi-step consensus-based process were used to identify, review and select candidate assessment tools and quality of care performance measures for opioid use disorders (OUD) and substance use disorders (SUD). Results Following a consensus-based methodology, 12 standardized assessment tools and 3 quality of care performance measures for OUD and SUD were selected to help facilitate the implementation of MBC and quality improvement for AMNet participants. These tools were further categorized as core and optional. Conclusion By offering a collection of carefully vetted assessment tools and quality measures through PsychPRO, AMNet will help participating clinicians with the systematic uptake of MBC and delivery of evidence-based treatment for patients with SUD. Also, AMNet will act as a centralized repository of data collected from patients and clinicians in non-OTP outpatient addiction medicine practices and serve as a platform for opioid treatment research.
3 citations
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TL;DR: The remedicalization of the authors' response to addiction is bringing physicians into the field of addiction medicine and is strengthening the place of science and clinical observation in the foundations of their public policy.
Abstract: Public health and public policy for our society's response to substance use and abuse and addiction should be the logical extension of our knowledge and information about the drugs and our clinical experience with addicted people. The drugs should be seen along a continuum of addicting potential and physical damage and harm to individuals and to society. There should be no distinction between legal and illegal substances when viewing the impact of drug use. Public policy should reflect the fact that nicotine and alcohol should be viewed as dependence-producing drugs. Addictions are all interrelated; people are addicted. Addiction is a public health problem and should be subjected to the same study and treatment as any other. The remedicalization of our response to addiction is bringing physicians into the field of addiction medicine and is strengthening the place of science and clinical observation in the foundations of our public policy.
3 citations
01 Jan 2001
3 citations
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TL;DR: Investigations that offer direct contact with medical schools, such as a telephone survey, may provide a more accurate representation of how addiction medicine education is incorporated into the medical school curricula.
Abstract: Background: Substance use disorders (SUDs) are a worldwide problem, and have become a major health concern in Ireland particularly. We aimed to determine the extent to which addiction medicine is embedded in the undergraduate medical curriculum in Ireland. Methods: To further investigate the degree to which drug addiction is taught in the Irish medical curriculum an online literature search was performed using Google Scholar, PubMed (from 2009 to present), EMBASE, PsycINFO, CINAHL, and Medline using the keywords “substance-related disorders,” “undergraduate,” “curriculum” and “Ireland.” Additionally, all Irish medical school websites were examined (n = 6), and a Google search and manual searches of conference programs were performed. We used the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines to systematically review and discuss findings. Results: A total of zero published studies met the criteria for inclusion in an updated systematic literature search of add...
3 citations