Addiction medicine

About: Addiction medicine is a research topic. Over the lifetime, 1070 publications have been published within this topic receiving 23685 citations.

Description of a Comprehensive Addiction Rotation at a Psychiatry Residency Program.

Abstract: Despite the increased recognition of the need to provide quality education in addiction psychiatry, there continues to be a gap and little standardization in delivering relevant clinical education during residency training [1–3]. This has particular urgency, given the current opioid epidemic and generally acknowledged inadequate level of expertise among psychiatrists to treat addiction. The Accreditation Council for Graduate Medical Education (ACGME) requires one-month full-time equivalent experience in addiction psychiatry for general psychiatry residents, which is expected to encompass the evaluation and management of patients with substance use and co-occurring psychiatric disorders, including detoxification and overdose management and medication-assisted and psychosocial treatment and recovery strategies [4]. This presents a challenge for many programs due to limited availability of trained staff and adequate clinical settings, and lack of integration between addiction treatment and general psychiatric and medical care [5–7]. In addition, advances in the psychopharmacology and treatment interventions for addiction do not consistently make their way into mainstream general psychiatry, where antiquated perceptions of addiction treatment and recovery continue to linger [8]. We provide a description of the addiction psychiatry rotation at a psychiatry residency program, along with an elaboration of its objectives and challenges.We offer this as a model for other programs, as it affords a comprehensive experience across several domains, both fulfilling ACGME requirements and preparing residents for treating addiction regardless of the setting of their future practice.

Preparing for the Future of Medical Education: A Case Series of Traditional and Virtual Clinical Rotations in Addiction Medicine Spanning the Covid Pandemic

Abstract: Background: Substance use accounts for more than 400,000 deaths annually in the United States and overdose rates surged during the COVID pandemic. While the pandemic created increased pressure for better prepared providers, it simultaneously placed restrictions on medical training programs. The purpose of this educational case series is to assess the feasibility of a virtual addiction medicine training program and conduct a qualitative evaluation of medical student attitudes toward caring for people with substance use disorders, both before and after their addiction medicine training experience. Methods: We conducted a qualitative analysis related to course content focused on strengths and limitations of in-person and virtual training modalities. Individual quotes were evaluated and content themes were developed after a thorough review of all codes and detailed examination of interviewee quotes. Results: The primary themes that emerged were (1) Addiction medicine content is important to improve care of patients with substance disorders and is not fully addressed in undergraduate medical education (2) In-person and virtual training contain unique strengths and weaknesses and (3) Students perceived that both experiences provided positive and needed training in addiction medicine that shifted perspective and enhanced confidence to practice. Conclusions: Remote training via virtual lectures and patient visits may enhance training opportunities for students with limited exposure to addiction medicine patients and faculty with addiction medicine expertise. There is a need to further refine virtual care for patients with SUDs and virtual training to meet the needs of patients and learners across the country.

The Addiction Benefits Scorecard: A Framework to Promote Health Insurer Accountability and Support Consumer Engagement

Abstract: Health care insurance plans covering treatment for substance use disorders (SUD) offer a wide range of benefits. Distinctions between health plan benefits are confusing, and consumers making selections may not adequately understand the characteristics or significance of the choices they have. The California Society of Addiction Medicine sought to help consumers make informed decisions about plan selections by providing education on the standard of care for SUD and presenting findings from an expert analysis of selected health plans. We developed an assessment framework, based on criteria endorsed by the American Society of Addiction Medicine, to rate the quality of SUD treatment benefits offered by a sample of insurance plans. We convened an expert panel of physicians to rate 16 policies of 10 insurance providers across seven categories. Data from published resources for 2014 insurance plans were extracted, categorized, and rated. The framework and ratings were summarized in a consumer-facing white paper. We found significant heterogeneity in benefits across comparable plans, as well as variation in the characterization and clarity of published services. This article presents findings and implications of the project. There is a pressing need to define requirements for SUD benefits and to hold health plans accountable for offering quality services in accordance with those benefits.

Comprehensive and Multidimensional Model: Life Therapy and Spiritual Psychotherapy for Prevention and Treatment of Addiction

Abstract: Individual, familial, social, economic, political, existential and spiritual factors all influence substance use Lifestyle, quality of life, parenting style and parents’ personality disorders and mental health problems, social capital, poverty and the largest globe businesses of illegal-drugs in the world have also share a significant effect on the addiction One should consider all of those factors in order to efficiently prevention and treatment of the addiction Each factor should be considered in the treatment and interventions