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USA. Trump administration will let nearly all doctors prescribe addiction medicine buprenorphine

WASHINGTON — The Trump administration announced a major shift in addiction medicine policy Thursday, giving doctors dramatically more flexibility to prescribe a popular and effective drug used to treat opioid use disorder.

The change will allow almost all physicians to prescribe the addiction drug buprenorphine, regardless of whether they’ve obtained a government waiver. Previously, doctors had to undergo an eight-hour training and receive the license, known as the “X-waiver,” before they could prescribe buprenorphine. For years, addiction treatment advocates have argued that tight buprenorphine regulations prevent thousands of doctors from providing high-quality addiction care. (Stat News, USA, 14.01.2021)

https://www.statnews.com/2021/01/14/trump-admin-nearly-all-doctors-buprenorphine/

Kanada. Wenn die Überdosis zum Alltag wird: Das Fentanyl-Drama in Kanada (Video)

Nur zwei Milligramm können einen Erwachsenen töten: Fentanyl ist das neue Heroin, aber viel stärker, deutlich billiger und in Vancouver an jeder Ecke zu haben. Ein Film von Dominic Streeter. (Spiegel online, 05.01.2021, Video, 34:04)

https://www.spiegel.de/panorama/gesellschaft/fentanyl-drama-in-kanada-wenn-die-ueberdosis-zum-alltag-wird-spiegel-tv-a-c102d2e0-4261-47cb-8454-a756b023e955

Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings: Proceedings of a Workshop. 

National Academies of Sciences, Engineering, and Medicine 2020. Washington, DC: The National Academies Press. doi.org/10.17226/25927.

https://www.nap.edu/download/25927

Increasing Access to Buprenorphine in Safety-Net Primary Care Clinics: The New York City Buprenorphine Nurse Care Manager Initiative. 

Kaplan-Dobbs M, Kattan JA, Tuazon E, Jimenez C, Saleh S, Kunins HV. 

Am J Public Health. 2020 Dec 22:e1-e4. doi: 10.2105/AJPH.2020.306000. Epub ahead of print. PMID: 33351661.

Abstract

https://pubmed.ncbi.nlm.nih.gov/33351661/

Types of Medication-Assisted Treatment for Opioid Use Disorder in Turkey: The Perceptions of Inpatients about Treatment Success. 

Erk MA, Firat S. 

Psychiatry Investig. 2020 Dec 11. doi: 10.30773/pi.2020.0307. Epub ahead of print. PMID: 33301668.

https://www.psychiatryinvestigation.org/journal/view.php?doi=10.30773/pi.2020.0307

The Opioid Crisis: How to Lessen the Burden on Emergency Departments by At-risk Populations. 

Patel S, Sheikh A, Nazir N, Monro S, Anwar A. 

Cureus. 2020 Nov 16;12(11):e11498. doi: 10.7759/cureus.11498. PMID: 33354444; PMCID: PMC7744207.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7744207/

USA. A chain is only as strong as its weakest link: Using a “cascade of care” approach to evaluate gaps in the opioid use disorder treatment pipeline

There are persistent gaps in the addiction “science-to-practice” pipeline that lead to marked differences in treatment availability and quality. A cascade of care is one way of assessing where gaps in the provision of empirically supported addiction care exist. Despite increased funding and policy support to address harms, opioid overdose rates remain high. Therefore, it is critical to understand at which points the health care system is failing to provide appropriate care for people with opioid use disorder (OUD) and to assess disparities in receipt of medication for OUD. The current study sought to address this by using a cascade of care model to assess treatment quality and outcomes for OUD in the Florida Medicaid population. (Recovery Resaerch Institute, USA, Januar 2020)

https://www.recoveryanswers.org/research-post/cascade-of-care-approach-to-evaluate-gaps-opioid-use-disorder-treatment-pipelin/

USA / Florida. Let's talk about the severe shortage of addiction-treatment doctors

Florida is a national leader when it comes to beautiful beaches, citrus production and ... drug overdose deaths.  The Sunshine State, like the United States as a whole, is in the midst of a crisis. In 2018 alone, provisional data indicate there were 4,936 overdose deaths in Florida from drugs including heroin, fentanyl, cocaine and methamphetamine. (TC Palm 06.01.2020)

https://eu.tcpalm.com/story/opinion/contributors/2020/01/06/lets-talk-severe-shortage-addiction-treatment-doctors/2804575001/

 

 

Addressing the Opioid Overdose Epidemic in the Emergency Department - Internet-based Training

(CDC, Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, 11.12.2020)

https://www.cdc.gov/drugoverdose/training/emergency-department

Schweiz. Sucht im Alter

Die Suchtproblematik im Kontext von Pflege und Betreuung stellt Pflegefachleute und -organisationen nicht nur heute, sondern auch künftig vor grosse Herausforderungen. (Themenseite von CuraViva, Schweiz)

https://www.curaviva.ch/Fachinformationen/Themendossiers/Sucht-im-Alter/PrMaw/

Quality of life in methadone maintenance treated patients in Long An, a southern province of Vietnam. 

Quyen BTT, Nguyen LT, Phuong VTV, Hoang LT. 

Health Psychol Open. 2020 Oct 13;7(2):2055102920953053. doi: 10.1177/2055102920953053. PMID: 33133632; PMCID: PMC7576922.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7576922/

Prescribing Buprenorphine for Opioid Use Disorders in the ED: A Review of Best Practices, Barriers, and Future Directions. 

Cao SS, Dunham SI, Simpson SA. 

Open Access Emerg Med. 2020 Oct 14;12:261-274. doi: 10.2147/OAEM.S267416. PMID: 33116962; PMCID: PMC7569244.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7569244/

Trends in the Use of Buprenorphine in US Emergency Departments, 2002-2017. 

Rhee TG, D'Onofrio G, Fiellin DA. 

JAMA Netw Open. 2020 Oct 1;3(10):e2021209. doi: 10.1001/jamanetworkopen.2020.21209. PMID: 33079195; PMCID: PMC7576404.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7576404/

Determination of epidemiological characteristics of addicts treated in drug addiction clinics in Kabul. 

Farook Mİ, İlhan MN, Koçak C. 

J Ethn Subst Abuse. 2020 Oct 15:1-20. doi: 10.1080/15332640.2020.1824842. Epub ahead of print. PMID: 33054629.

Abstract

https://pubmed.ncbi.nlm.nih.gov/33054629/

Kanada. Report Summary: Rapid Access Models for Substance Use Services (Report at a Glance) 

A summary of Rapid Access Models for Substance Use Services (Technical Report), a review of the published literature to identify the key features of rapid access models designed to improve access to and engagement with substance use treatment services, as well as the extent to which these models achieved their goals. The review identifies five models of rapid access for substance use services and supports: hospital-affiliated models; mobile or assertive outreach models; screening, assessment, brief intervention and referral to treatment models; integrated youth services models; and centralized and coordinated access models. (Canadian Centre on Substance Use and Addiction, 2020)

https://www.ccsa.ca/sites/default/files/2020-10/CCSA-Rapid-Access-Models-Substance-Use-Services-Rapid-Review-Report-2020-en.pdf

Kanada. Federal health minister appeals to Alberta to reconsider closing opioid treatment program

B.C. endorses opioid injections for treating addiction as Alberta ends program and Ontario ponders. (CBC Kanada, 18.10.2020)

https://www.cbc.ca/news/canada/edmonton/ioat-treatment-canada-1.5762541

USA. Opioid use disorder? Electronic health records help pinpoint probable patients 

Researchers analyze EHR data in a new, retrospective cross-sectional study. (Eureka alert, USA, 21.10.2020

https://www.eurekalert.org/pub_releases/2020-10/fau-oud102020.php

USA. How a controversial north Phoenix methadone clinic made peace with the neighbors

A once-controversial 24/7 north Phoenix methadone clinic that treats people with opioid use disorder has reached a détente with its neighbors.

Key to the truce is the lease of a large new clinic at a new location and a big change in operations at the existing one. While the clinic at 2301 W. Northern Ave. will stay open as a medication-assisted treatment center, it will no longer operate around the clock. (azcentral.com, Oktober 2020)

https://eu.azcentral.com/story/news/local/arizona-health/2020/09/13/controversial-north-phoenix-methadone-clinic-treats-opioid-addiction/5658992002/

USA. We Are Nurses, Not Police. The US Methadone System Expects Otherwise.

Recent public attention to police brutality, systemic racism and oppression has brought calls for changes to a policing structure that manifestly fails to promote community health and safety. These run the gamut from radical defunding and abolition to reformed models of policing, where officers partner with trusted mental health professionals like social workers or psychiatric nurses. Social worker Dr. Sheila Vakharia of the Drug Policy Alliance* argues that this approach will “exacerbate our profession’s already fraught role as agents of social control,” and “will not fundamentally change even one of the myriad harms inflicted.” (Filter, USA, 07.10.2020)

https://filtermag.org/nurses-policing-methadone/

Barriers and facilitators to a novel low-barrier hydromorphone distribution program in Vancouver, Canada: a qualitative study. 

Ivsins A, Boyd J, Mayer S, Collins A, Sutherland C, Kerr T, McNeil R. 

Drug Alcohol Depend. 2020 Sep 11:108202. doi: 10.1016/j.drugalcdep.2020.108202. Epub ahead of print. PMID: 32948372; PMCID: PMC7490624.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7490624/

Retention and outcomes for clients attending a methadone clinic in a resource-constrained setting: a mixed methods prospective cohort study in Imphal, Northeast India. 

Kermode M, Choudhurimayum RS, Rajkumar LS, Haregu T, Armstrong G. 

Harm Reduct J. 2020 Sep 29;17(1):68. doi: 10.1186/s12954-020-00413-z. PMID: 32993646; PMCID: PMC7523306.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7523306/

Kanada. Bringing substance use care into your primary care practice (Audio)

Summary

Want to bring treatment for substance use disorder into your practice, but not sure where to start?

In this episode of Addiction Practice Pod, addiction physician Dr. Christy Sutherland, journalist David P. Ball and their guests talk about the nuts and bolts of integrating treatment for opioid use disorder into a family practice. They also discuss the challenges that patients face in accessing medical care, and how health care providers can help bridge that gap by building a well thought-out, compassionate practice. (BCCSU - British Columbia Centre on Substance Use, Kanada, 06.10.2020, Audio, 22:21)

https://bcechoonsubstanceuse.ca/podcasts/episode-2-bringing-substance-use-care-into-your-primary-care-practice/

Kanada. 'It is a death sentence': Patients launch lawsuit after UCP cuts funding for opioid treatment program

iOAT patients testified about the life-changing impact of the program. Many have found housing, become healthier, reconnected with family and dream of a drug-free future. (Calgary Herald, Kanada, 08.10.2020)

https://calgaryherald.com/news/politics/it-is-a-death-sentence-ioat-patients-launch-lawsuit-against-ucp-over-clinic-closures

Sansibar. Sonne, Strand und Heroin 

Auf Sansibar wird tonnenweise Heroin umgesetzt. Die Droge ist billig und leicht zu bekommen, viele Einheimische sind süchtig. Lange Zeit wurden sie als Aussätzige behandelt - bis sie anfingen, sich selbst zu helfen. (Spiegel online, 06.09.2020)

https://www.spiegel.de/politik/ausland/sansibar-und-sein-drogenproblem-sonne-strand-und-heroin-a-066bd4bc-3dc6-46e8-9e28-c12aa0b118ea

Schweiz. SUMMER SCHOOL: Substitution bei Opioidabhängigkeit - Primäres Ziel ist nicht die Abstinenz 

In der Schweiz befinden sich zirka 70 Prozent der Patienten mit einer Opioidabhängigkeitserkrankung in einer Substitutionstherapie, die heute Opioidagonistentherapie (OAT) genannt wird. Davon wird etwa die Hälfte der Patienten von Hausärzten betreut und die andere Hälfte an spezialisierten sucht- medizinischen Zentren. Im Folgenden geht es um die Auswahl der Substanzen für eine OAT und die Frage, wann eine heroingestützte OAT in Betracht gezogen werden sollte. 

Mirjam Kälin, Thilo Beck, Philip Bruggmann 

ARS MEDICI 14–16 | 2020 

https://www.rosenfluh.ch/media/arsmedici/2020/14-16/Substitution-bei-Opioidabhaengigkeit-Primaeres-Ziel-ist-nicht-die-Abstinenz.pdf

Malediven. State to resume methadone treatment in rehabilitation centres

Maldives’ government confirmed on Saturday, the decision to return to ‘Methadone Maintenance Therapy’ in the state-rehabilitation offered for opiate addiction.

The announcement, made on the International Day Against Drug Abuse and Illicit Trafficking, comes after a three-year hiatus, as the country’ previous administration put an end to the particular treatment. (The Edition, Malediven, 28.06.2020)

https://edition.mv/news/17533

What are misconceptions about maintenance treatment?. 

NIDA – National Institute on Drug Abuse, USA, Juni 2018

https://www.drugabuse.gov/publications/research-reports/medications-to-treat-opioid-addiction/what-are-misconceptions-about-maintenance-treatment

USA. New study highlights success of a mobile clinical and outreach van in helping people on the street with opioid addiction

A novel mobile health program created in early 2018 by the Kraft Center for Community Health at Massachusetts General Hospital (MGH) has proven to be an effective model for bringing opioid addiction treatment services directly to marginalized individuals, particularly the homeless, a population that faces the highest risk of near-term death from drug overdose. The early success of the program, known as Community Care in Reach, in breaking down traditional barriers of care and serving as an entry point for people disconnected from the healthcare system was detailed in a community case study published in Frontiers in Public Health. (Massachusetts General Hospital, 25.09.2020)

https://medicalxpress.com/news/2020-09-highlights-success-mobile-clinical-outreach.html

USA. Health on Wheels: Tricked-Out RVs Deliver Addiction Treatment to Rural Communities

Colorado sends mobile addiction treatment clinics to remote underserved towns — and uses telehealth to connect patients with doctors. Even as brick-and-mortar addiction clinics have closed or stopped taking new patients during the pandemic, the fleet of six-wheeled clinics has kept going.  (Kaiser Health News, USA, 28.09.2020)

https://khn.org/news/health-on-wheels-tricked-out-rvs-deliver-addiction-treatment-to-rural-communities

Münster/Wstf. Jahresbericht der Internationalen Informations- und Koordnationsstelle für Auslandsreichen von Substitutionspatient*innen für 2019

Erstellt von Ralf Gerlach im Auftrag des Ministeriums für Arbeit, Gesundheit und Soziales des Landes Nordrhein-Westfalen und von INDRO Münster, Februar 2020

https://indro-online.de/wp-content/uploads/2020/02/jbreise2020-1.pdf