The Comprehensive Addiction and Recovery Act
| Autor: | Jeanne Murphy, M. Christina Johnson, Daisy J. Goodman, Mishka Terplan |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Nurse Midwives media_common.quotation_subject Legislation House of Representatives Midwifery Health Services Accessibility 03 medical and health sciences Public law 0302 clinical medicine Pregnancy Opiate Substitution Treatment medicine Humans 030212 general & internal medicine media_common 030219 obstetrics & reproductive medicine business.industry Addiction Obstetrics and Gynecology Opioid use disorder Opioid-Related Disorders medicine.disease Waiver United States Buprenorphine Analgesics Opioid Pregnancy Complications Family medicine Female business medicine.drug |
| Zdroj: | Obstetrics & Gynecology. 131:542-544 |
| ISSN: | 0029-7844 |
| DOI: | 10.1097/aog.0000000000002493 |
| Popis: | The federal response to the opioid use disorder crisis has included a mobilization of resources to encourage office-based pharmacotherapy with buprenorphine, an effort culminating in the 2016 Comprehensive Addiction and Recovery Act, signed into law as Public Law 114-198. The Comprehensive Addiction and Recovery Act was designed to increase access to treatment with special emphasis on services for pregnant women and follow-up for infants affected by prenatal substance exposure. In this effort, the Comprehensive Addiction and Recovery Act laudably expands eligibility for obtaining a waiver to prescribe buprenorphine to nurse practitioners and physician assistants. However, certified nurse-midwives and certified midwives, who care for a significant proportion of pregnant and postpartum women and attend a significant proportion of births in the United States, were not included in the Comprehensive Addiction and Recovery Act legislation. In this commentary, we argue that an "all-hands" approach to providing office-based medication-assisted treatment for opioid use disorder is essential to improving access to treatment. Introduced in the House of Representatives in September 2017, the Addiction Treatment Access Improvement Act (H.R. 3692) would allow midwives to apply for the federal waiver to prescribe buprenorphine and is supported by the American College of Obstetricians and Gynecologists and the American College of Nurse-Midwives. We support this change and encourage the U.S. Congress to act quickly to allow midwives to prescribe medication-assisted treatment for pregnant women with opioid use disorder. |
| Databáze: | OpenAIRE |
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