A Dissemination and Implementation Science Approach to the Epidemic of Opioid Use Disorder in the United States
| Autor: | Robert P. Pack, Nicholas E. Hagemeier, John Dreyzehner, Angela Hagaman, Stephanie M. Mathis |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject Psychological intervention Disease Article 03 medical and health sciences 0302 clinical medicine Virology medicine Humans 030212 general & internal medicine Medical prescription Epidemics Psychiatry Implementation Science media_common 030505 public health business.industry Public health Addiction Opioid use disorder Models Theoretical Opioid-Related Disorders medicine.disease United States Primary Prevention Infectious Diseases Conceptual model Public Health 0305 other medical science business Tertiary Prevention |
| Zdroj: | Current HIV/AIDS Reports. 15:359-370 |
| ISSN: | 1548-3576 1548-3568 |
| DOI: | 10.1007/s11904-018-0409-9 |
| Popis: | PURPOSE OF REVIEW: This review aims to (1) conceptualize the complexity of the opioid use disorder epidemic using a conceptual model grounded in the disease continuum and corresponding levels of prevention and (2) summarize a select set of interventions for the prevention and treatment of opioid use disorder. RECENT FINDINGS: Epidemiologic data indicate non-medical prescription and illicit opioid use have reached unprecedented levels, fueling an opioid use disorder epidemic in the USA. A problem of this magnitude is rooted in multiple supply- and demand-side drivers, the combined effect of which outweighs current prevention and treatment efforts. Multiple primary, secondary, and tertiary prevention interventions, both evidence-informed and evidence-based, are available to address each point along the disease continuum—non-use, initiation, dependence, addiction, and death. SUMMARY: If interventions grounded in the best available evidence are disseminated and implemented across the disease continuum in a coordinated and collaborative manner, public health systems could be increasingly effective in responding to the epidemic. |
| Databáze: | OpenAIRE |
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