Sharing and exchange of best practices to actual transfer to other countries is an important tool that helps to bridge the gap between public health challenges and practical solutions [1].
Objectives: Women with Opioid Use Disorder (OUD) commonly report unintended pregnancies. Clinics providing Medication for OUD (MOUD) treatment serve as ideal sexual health education settings.
Substance Use Disorder (SUD) is common among military veterans, where post-traumatic stress disorder and other comorbidities stemming from deployment or other military experiences increase the severity of SUD and incidence of relapse. It is thus critical to discover and evaluate potential advances in SUD treatment, such as methods for enhanced patient engagement in treatment.
Objectives: This study evaluates data from the National Survey of Substance Abuse Treatment Services years 2015-2020. The analysis seeks to determine the prevalence and changes of trauma-specific treatment in Substance Use Treatment (SUD) facilities.
Rationale: The increasing use of social media on a global scale has brought with it some problems in the digital age we live in. With the reporting of many problems arising from the excessive use of social media and disrupting the daily life of the individual, the direction of research has shifted predominantly to psychological studies.
This article introduces the Relationship-Oriented Recovery System for Youth (RORSY) protocol, which is designed to increase uptake of Medications for Opioid Use Disorder (MOUD) and related services among adolescents and young adults. Youth exhibit alarmingly poor rates of MOUD initiation and adherence, OUD services involvement and long-term recovery success.
This project utilizes GIS to map data pertaining to the physician role in combating this epidemic. There is a positive correlation between the number of opioid prescribers per county and the number of opioid prescriptions
When people with drug and alcohol addiction drop out of treatment, they may experience impaired psychological, physical, and mental functioning, emotional distress, and return to intense drug use. Some of the reasons for dropping out of treatment are related to the personal characteristics of the clients, their family background, and the therapeutic intervention that may not be well suited to the client's needs.
The United States is currently grappling with an opioid epidemic, prompting the development of Opioid Overdose Education and Naloxone Distribution programs (OEND) and Suboxone distribution programs as a response in certain states.
The expanding field of psychedelic-assisted therapy presents innovative treatment avenues for various mental health disorders. This review explores the potential role of psychedelics in enhancing neuroplasticity, a key mechanism underlying recovery from mental health conditions.
Background: The use of psychoactive substances (PAS) is nowadays a priority in the field of psychiatric research. It is a public health problem linked to dependence and mental health disorders in terms of causality and co-morbidity. Objective: To establish the epidemiological profile, assess the dependence on alcohol and other psychoactive substances in subjects consulting for acute intoxication with methanol, and study the prevalence of anxiety and depression in these patients. Methods: In order to better understand the phenomenon of PAS consumption among young adults, we conducted a descriptive cross-sectional study among patients who presented an acute collective intoxication with methanol-based cologne in May 2020 in Hajeb El Ayoun in Kairouan, Tunisia. Results: Patients had a particular epidemiological status in terms of numerous criteria. PAS addiction prevalence was among the majority of participants including alcohol, cannabis, and drugs (respectively 86%, 69.8%, 46.5%). Also, depression and anxiety evaluation rates were high (more than 79% for definite symptomatology). Furthermore, we found a statistically significant association between anxiety and alcohol dependence (p=0.032), and depression and addiction to a medication or a drug (p=0.017). Conclusions: It is essential to set up strategies to prevent the consumption of PAS to avoid its harmful consequences. Moreover, determining factors associated with this addiction could allow us to pay attention to the vulnerable subjects to make the screening much easier and more accessible to prevent the occurrence of mental disorders such as anxiety and depression.
The safety of Opioid Substitution Therapy (OST) for the treatment of Substance Use Disorder (SUD) in people with Coronavirus Disease 2019 (COVID-19) is not well understood. People with SUD are typically disengaged with healthcare and have multiple comorbidities. Further, opioids are respiratory depressants and could exacerbate respiratory difficulties arising from COVID-19.
Background:In 2014, the Centers for Disease Control and Prevention funded a four-year partnership effort between university and health care professional associations (HCPAs) to reach health care providers (HCPs) nationally in six health disciplines and engage them to adopt evidence-based practices for the prevention, identification, and treatment of fetal alcohol spectrum disorders (FASDs). The aim of this project was to evaluate partnerships for their (1) structure and formation, (2) collaboration process, and (3) outcomes with regard to resources and strategies developed for FASD prevention and management. Methods:We used quantitative and qualitative data from quarterly progress reports, a semi-annual collaboration survey, and annual interviews with each discipline's members. Results:Partnerships in each discipline varied in the number of members and organizations, expertise in the discipline, and access to HCPs. Assigned partnerships with limited researchers' expertise in the discipline or the inability of HCPAs to reach priority audiences created challenges in the development and dissemination of resources. Two partnerships showed challenges in the collaboration process regarding understanding respective responsibilities, sharing similar ideas, and resolving disagreements despite efforts at facilitated discussion. Messaging and resource dissemination by HCPAs and the use of provider champions developed through HCPAs' national network emerged as promising approaches to engage HCPs. Conclusion:Circumstances under which partnerships are formed can facilitate or challenge collaboration and outcome efforts. Discipline-specific partnerships between researchers and HCPAs provide a model for evidence-based resources to be developed and disseminated widely for adoption by HCPs in their practice.
National surveys of drug use among those living in Afghanistan shows multiple substances are easily accessible and commonly used in combination. The drug use situation in Afghanistan is complex and compounded with concern for its future given that Afghanistan is a country comprised of individuals who almost half (48%) are under the age of 15. The number of women and children reported drug use have been increased alarmingly in last one and half decades. However, drug treatment services expanded in urban areas of Afghanistan but still there is need for evidence based and culturally appropriate drug prevention and treatment program in rural areas and to fulfill the constitutional obligation there is an obvious need for strong institutions to refine coordination of counternarcotic efforts.
Background.Sport participation has been found to be positively associated with alcohol use, especially among students, but negatively associated with illicit drug use, with inconsistent results regarding cannabis use.Objectives.We investigated cannabis use among French sports science students.We studied factors associated to cannabis use, especially sporting characteristics, then we identified various kinds of polydrug use among cannabis users.Methods.We used a questionnaire to survey sports science students from southern France in 2013-2016 (n=1,244).We performed a logistic regression to investigate the correlates of repeated cannabis use (several times in lifetime versus never/just once), and a cluster analysis to identify profiles of substance use among repeated users (n=415).Results.Overall, 33% of participants reported repeated cannabis use.This prevalence was higher among students practicing a team sport other than soccer or a sliding sport, and lower among those practicing at national/international level.Among repeated users, we found various kinds of polydrug use (combining regular or 'light' cannabis use, cannabis use for enhancing sportive or nonsportive performances, regular heavy drinking, and consumption of illicit stimulants).These combinations were correlated to respondents' sporting characteristics and sex.Conclusions/importance. Considering various kind of polydrug use, instead of each use separately, is a promising avenue of research to better understand correlations between sports participation and drugs use.In this article, cannabis use was frequent only among males who also exhibited high levels of alcohol use, and taking into account users' motives and sporting characteristics fueled our understanding of drugs use in this specific population.
Background"Recovery" has been made the focus of UK drug policy.It is a term that means different things to different people and is difficult to operationalize.In this narrative review a discourse analysis was conducted on the use of the term "Recovery" and its many associated connotations in the literature on addiction treatment. Key findings"Recovery" has been most commonly equated with abstinence.It is also often associated with participation in 12-step fellowships.When used in this context, and increasingly as the word is used in academic literature, "recovery" goes beyond abstinence to incorporate transformation and growth in many areas of life."Recovery" is neither a clearly defined state of being nor a single path or programmed.However, there is reasonable consensus on factors associated with or facilitating recovery.Social reintegration, stable housing, relationships, employment and a meaningful social role have long been recognized as key markers of good treatment outcomes and have recently been rebranded 'recovery capital'. ConclusionUse of the term "recovery" involves an ideological shift, based on the limitations of professional treatment and the greater importance of family and societal support.It is widely understood as a long-term process.Funding treatment services based on clients achieving "recovery" narrowly defined as abstinence from all drugs not only misses the broader meaning of "recovery" but potentially compromises the effectiveness of treatment in reducing harm from drug dependence.
