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Opioids & SU
The Literature Collection contains over 11,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More
Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).
11272 Results
6024
Managing opioid addiction with buprenorphine
Type: Journal Article
Year: 2006
Publication Place: United States
Abstract: Legislation has enabled physicians to treat opioid-dependent patients with an office-based maintenance program using buprenorphine, a partial mu-opioid receptor agonist. Clinical studies indicate buprenorphine effectively manages opioid addiction. Buprenorphine is more effective than placebo for managing opioid addiction but may not be superior to methadone if high doses are needed. It is comparable to lower doses of methadone, however. Treatment phases include induction, stabilization, and maintenance. Buprenorphine therapy should be initiated at the onset of withdrawal symptoms and adjusted to address withdrawal symptoms and cravings. Advantages of buprenorphine include low abuse potential and high availability for office use. Disadvantages include high cost and possible lack of effectiveness in patients who require high methadone doses. Most family physicians are required to complete eight hours of training before they can prescribe buprenorphine for opioid addiction.
Topic(s):
Opioids & Substance Use
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, Healthcare Policy
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6025
Managing opioid dependence in pregnancy -- a general practice perspective
Type: Journal Article
Year: 2013
Publication Place: Australia
Abstract: BACKGROUND: Managing opioid dependence in pregnant women is a complex and potentially challenging task. Drug-dependent women may be difficult to engage in antenatal care and opioid substitution requires careful dose titration. Pregnancy, however, can be an opportune time to effect behaviour change, and supporting an opioid-dependent woman through pregnancy can be a rewarding clinical experience. OBJECTIVE: This article provides an overview of treatment principles for managing opioid dependence in pregnancy, and reviews current treatment guidelines for use of opioid-substitution therapy in pregnant women. DISCUSSION: The management of opioid dependence during pregnancy requires holistic and comprehensive assessment and referral to specialist services is often appropriate. Specific issues that may need to be addressed include decision-making regarding the choice of opioid-substitution therapy and the potential for neonatal abstinence syndrome in the newborn. General practitioners are often well placed to support and coordinate care of their opioid-dependent pregnant patients.
Topic(s):
Opioids & Substance Use
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Reference Links: View the PubMed citation for Managing opioid dependence in pregnancy -- a general practice perspective
6026
Managing Opioid Use Disorder and Co-Occurring Posttraumatic Stress Disorder Among Veterans
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
Healthcare Disparities
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, Opioids & Substance Use
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Reference Links:
View the DOI record for Managing Opioid Use Disorder and Co-Occurring Posttraumatic Stress Disorder Among Veterans
View DOI Record
View the PubMed citation for Managing Opioid Use Disorder and Co-Occurring Posttraumatic Stress Disorder Among Veterans6027
Managing Opioid Withdrawal for Hospital Patients in Custody
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Opioids & Substance Use
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Reference Links: View the PubMed citation for Managing Opioid Withdrawal for Hospital Patients in Custody
6028
Managing Opioid-Tolerant Patients in the Perioperative Surgical Home
Type: Journal Article
Year: 2016
Publication Place: United States
Topic(s):
Opioids & Substance Use
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, Education & Workforce
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Reference Links:
View the DOI record for Managing Opioid-Tolerant Patients in the Perioperative Surgical Home
View DOI Record
View the PubMed citation for Managing Opioid-Tolerant Patients in the Perioperative Surgical Home6030
Managing Postoperative Pain
Type: Journal Article
Year: 2018
Publication Place: United States
Abstract: : Acute postoperative pain remains undertreated despite the dramatic increase in opioid prescribing in the United States over the past 20 years. Inadequately relieved postoperative pain may be a risk factor for persistent postoperative pain, chronic pain, and disability. In an effort to promote evidence-based strategies for optimal postoperative pain management, the American Pain Society published a new postoperative pain management guideline in 2016. Its 32 recommendations for interdisciplinary and multimodal postoperative pain management are stratified according to risks and benefits, based on varying levels of evidence. This article aims to help nurses translate the recommendations into clinical practice, while providing the historical context in which the guidelines emerged and describing current events that may affect guideline implementation.
Topic(s):
Education & Workforce
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, Opioids & Substance Use
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Reference Links:
View the DOI record for Managing Postoperative Pain
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View the PubMed citation for Managing Postoperative PainExport Citation: Download the RIS reference file for Managing Postoperative Pain
6031
Managing to get by?
Type: Journal Article
Year: 2002
Publication Place: United States
Topic(s):
HIT & Telehealth
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Reference Links: View the PubMed citation for Managing to get by?
Export Citation: Download the RIS reference file for Managing to get by?
6035
Mapping colocation: Using national provider identified data to assess primary care and behavioral health colocation
Type: Journal Article
Year: 2020
Publication Place: United States
Topic(s):
Education & Workforce
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, Healthcare Disparities
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Reference Links:
View the DOI record for Mapping colocation: Using national provider identified data to assess primary care and behavioral health colocation
View DOI Record
View the PubMed citation for Mapping colocation: Using national provider identified data to assess primary care and behavioral health colocation6036
Mapping Evidence of Patients' Experiences in Integrated Care: A Scoping Review
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Mapping Evidence of Patients' Experiences in Integrated Care: A Scoping Review
View DOI Record
View the PubMed citation for Mapping Evidence of Patients' Experiences in Integrated Care: A Scoping Review6037
Mapping heroin careers: utilising a standardised history-taking method to assess the speed of escalation of heroin using careers in a treatment-seeking cohort
Type: Journal Article
Year: 2008
Publication Place: Australia
Abstract: INTRODUCTION AND AIMS: Although there has been increasing research attention to the concept of addiction careers and treatment careers, there are few standardised measures for assessing illicit drug using careers. A new instrument for mapping lifetime drug use history (LDUH) was used to assess transitions in the initial stages of heroin use careers among illicit drug users. DESIGN AND METHODS: 58 lifetime heroin users completed a one-off researcher-administered interview in treatment settings in two English cities, London and Birmingham, about their histories of drug use, drug treatment and other key life events. RESULTS: The sample reported initiating heroin use at a mean age of 21 years and escalated to daily use by 23 years. On average, there was a gap of nearly 8 years before seeking treatment and at the time of interview the cohort averaged one-third of their heroin careers in treatment. However, there was marked variability across the group, with three discernible groups identified based on use patterns. While one group (n = 21) showed consistent escalation in total quantity of heroin used across the first year, the second group had an intermittent pattern of use and the third group reported an unchanging monthly heroin use pattern. These groups differed in the time taken to initiate treatment and in the proportion of their heroin careers in active use. DISCUSSION AND CONCLUSIONS: The instrument was acceptable to research participants and identified important variability in onset and escalation factors in heroin careers. The implications for therapeutic interventions and for clinical use of the instrument are discussed.
Topic(s):
Opioids & Substance Use
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, Measures
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