TY - JOUR KW - Adolescent KW - Adult KW - Aged KW - Analgesics/adverse effects KW - buprenorphine KW - Female KW - Heroin KW - Heroin Dependence/drug therapy/epidemiology KW - Humans KW - Male KW - Medication assisted therapy KW - Methadone KW - Middle Aged KW - Naltrexone KW - opioid epidemic KW - Opioid-Related Disorders/drug therapy/epidemiology KW - prescription pain medications KW - Registries KW - Risk Factors KW - United States/epidemiology KW - Young Adult AU - Carlisle Maxwell A1 - AB - AIMS: The abuse of prescription pain relievers and/or heroin is a significant public health concern. This article identifies the changes in this epidemic and estimates the extent of the gap between treatment availability and need. METHOD: This article uses the national data on opioid and heroin abuse to identify at-risk groups. RESULT: Findings include shifting from narcotic analgesics to heroin and demographic changes as well as changes in supply and new medication-assisted therapies. CONCLUSIONS: The number of persons dependent on pain relievers or heroin and new initiates is more than three times greater than the current capacity to deliver treatment. BT - Journal of addictive diseases C5 - Opioids & Substance Use CP - 2-3 CY - England DO - 10.1080/10550887.2015.1059667 IS - 2-3 JF - Journal of addictive diseases N2 - AIMS: The abuse of prescription pain relievers and/or heroin is a significant public health concern. This article identifies the changes in this epidemic and estimates the extent of the gap between treatment availability and need. METHOD: This article uses the national data on opioid and heroin abuse to identify at-risk groups. RESULT: Findings include shifting from narcotic analgesics to heroin and demographic changes as well as changes in supply and new medication-assisted therapies. CONCLUSIONS: The number of persons dependent on pain relievers or heroin and new initiates is more than three times greater than the current capacity to deliver treatment. PP - England PY - 2015 SN - 1545-0848; 1055-0887 SP - 127 EP - 140 EP - T1 - The Pain Reliever and Heroin Epidemic in the United States: Shifting Winds in the Perfect Storm T2 - Journal of addictive diseases TI - The Pain Reliever and Heroin Epidemic in the United States: Shifting Winds in the Perfect Storm U1 - Opioids & Substance Use U2 - 26106929 U3 - 10.1080/10550887.2015.1059667 VL - 34 VO - 1545-0848; 1055-0887 Y1 - 2015 ER -