TY - JOUR
AU - C. Allen
AU - C. Arredondo
AU - R. Dunham
AU - M. Fishman
AU - L. Lev
AU - S. Mace
AU - J. Parks
AU - D. Rosa
AU - S. Shoyinka
AU - D. White
AU - A. Williams
A1 - 
AB - The use of fentanyl and its analogs is the primary driver of deaths related to the opioid overdose crisis. In fall 2021, the U.S. Drug Enforcement Administration issued its first public safety alert in 6 years to raise awareness of the escalating prevalence of fentanyl in counterfeit pills and in other opioids, such as heroin, and nonopioids, such as methamphetamine. In addition to increased public awareness, specific actions are needed to remediate the risk for fentanyl overdose. The authors endorse four principles to address the opioid overdose crisis and provide guidance for remediating its impacts: an incremental approach to behavior change or harm reduction; engagement strategies for individuals with substance use disorder; an integrated care approach to ensure better access to treatment programs and effective interventions; and vigilance among clinicians, program staff, and patients to the threat of fentanyl-adulterated drugs. The authors offer specific recommendations on how to apply these principles effectively within health care systems, communities, and law enforcement agencies across the United States.
AD - Addiction Services, Hartford HealthCare, Meriden, Connecticut (Allen); El Rio Community Health Center, Tucson (Arredondo); Metropolitan Human Services District, New Orleans (Dunham); Maryland Treatment Centers, Johns Hopkins University, Baltimore (Fishman); Beebe Healthcare, Lewes, Delaware (Lev); National Council for Mental Wellbeing, Washington, D.C. (Mace, Parks, Williams); Emergency Medicine, Acacia Network, New York City (Rosa); Department of Behavioral Health and Intellectual Disability Services, Philadelphia (Shoyinka); Psychiatric Emergency Services, Grady Health System, Emory University School of Medicine, Atlanta (White).
AN - 37042103
BT - Psychiatr Serv
C5 - Opioids & Substance Use; Education & Workforce
CP - 10
DA - Oct 1
DO - 10.1176/appi.ps.202100660
DP - NLM
ET - 20230412
IS - 10
JF - Psychiatr Serv
LA - eng
N2 - The use of fentanyl and its analogs is the primary driver of deaths related to the opioid overdose crisis. In fall 2021, the U.S. Drug Enforcement Administration issued its first public safety alert in 6 years to raise awareness of the escalating prevalence of fentanyl in counterfeit pills and in other opioids, such as heroin, and nonopioids, such as methamphetamine. In addition to increased public awareness, specific actions are needed to remediate the risk for fentanyl overdose. The authors endorse four principles to address the opioid overdose crisis and provide guidance for remediating its impacts: an incremental approach to behavior change or harm reduction; engagement strategies for individuals with substance use disorder; an integrated care approach to ensure better access to treatment programs and effective interventions; and vigilance among clinicians, program staff, and patients to the threat of fentanyl-adulterated drugs. The authors offer specific recommendations on how to apply these principles effectively within health care systems, communities, and law enforcement agencies across the United States.
PY - 2023
SN - 1075-2730
SP - 1059
EP - 1062+
ST - Guidance for Handling the Increasing Prevalence of Drugs Adulterated or Laced With Fentanyl
T1 - Guidance for Handling the Increasing Prevalence of Drugs Adulterated or Laced With Fentanyl
T2 - Psychiatr Serv
TI - Guidance for Handling the Increasing Prevalence of Drugs Adulterated or Laced With Fentanyl
U1 - Opioids & Substance Use; Education & Workforce
U3 - 10.1176/appi.ps.202100660
VL - 74
VO - 1075-2730
Y1 - 2023
ER -