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Barriers and facilitators to office-based opioid agonist therapy prescribing and effective interventions to increase provider prescribing: protocol for a systematic review.

Nixon LL, Marlinga JC, Hayden KA, Mrklas KJ.

Syst Rev. 2019 Jul 25;8(1):186. doi: 10.1186/s13643-019-1076-7.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6657163/

Physicians' satisfaction with providing buprenorphine treatment.

Knudsen HK, Brown R, Jacobson N, Horst J, Kim JS, Collier E, Starr S, Madden LM, Haram E, Toy A, Molfenter T.

Addict Sci Clin Pract. 2019 Aug 26;14(1):34. doi: 10.1186/s13722-019-0163-3.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709557/

A call to maximize impact of the SUPPORT for Patients and Communities Act through standard inclusion of opioid use disorder treatment curricula in medical schools.

Shapiro A, Villarroel LR, George P.

Adv Med Educ Pract. 2019 Aug 2;10:581-583. doi: 10.2147/AMEP.S205946. eCollection 2019.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6683946/

Schottland. Scottish methadone prescription numbers 'not accurate'

The NHS does not have accurate data for the number of people being prescribed methadone and other opioid substitutes in Scotland, the BBC has learned. (BBC, 05.09.2019)

https://www.bbc.com/news/uk-scotland-49578981

USA. SAMHSA Ushers in Law Enforcement “Fishing Expeditions” for MAT Patients

The federal government’s move to ditch confidentiality regulations for substance use disorder treatment will increase patients’ exposure to law enforcement investigations, despite claims to the contrary. (Filter, USA, 28.08.2019)

https://filtermag.org/samhsa-law-enforcement-mat/

Schweiz. Spannungsfeld zwischen Fürsorge und Selbstbestimmung - Umgang mit Sucht im Pflegealltag

Alwin Bachmann; Linda Gotsmann, Jonas Wenger

Suchtprobleme bei betreuten älteren Männern und Frauen stellen Pflegefachleute und Pflegeorganisationen vor grosse Herausforderungen. Know-how-Transfer und interdisziplinäre Zusammenarbeit sind nötig, um die Früherkennung von Suchtproblemen im Alter zu stärken und eine altersgerechte Versorgung zu gewährleisten.
Wie gelingt die Früherkennung und der Umgang mit Sucht im Pflegealltag? Die aktuelle Ausgabe des Magazins «Krankenpflege» (08 2019) des Schweizerischen Berufsverbands der Pflegefachpersonen (SBK/ASI) widmet sich der Thematik und zeigt praktische Herangehensweisen auf.

https://www.alterundsucht.ch/files/content/pdf-de/1908_de_hauptartikel_low.pdf

Offering the best death possible: supporting people using substances at the end of life.

Galvani, S. (2019) 

Addiction, doi.org/10.1111/add.14779.

https://onlinelibrary.wiley.com/doi/full/10.1111/add.14779

USA. Emergency Departments Can Help Prevent Opioid Overdoses

One of the biggest risk factors for overdose death from opioids is having had a previous overdose. Common sense and a growing body of research suggest that patients with opioid use disorder (OUD) who receive acute care in an emergency department will be at reduced risk for later overdose if they are initiated on medications to treat their OUD. Unfortunately, too few emergency departments (EDs) are making this a standard practice, and lives are being lost as a result. (NIDA, Nora’s Blog, 27.08.2019)

https://www.drugabuse.gov/about-nida/noras-blog/2019/08/emergency-departments-can-help-prevent-opioid-overdoses

USA. Feds to Revamp Confidentiality Rules for Addiction Treatment

Federal health officials proposed Thursday to revamp stringent patient confidentiality regulations from the 1970s to encourage coordination among medical professionals treating people caught in the nation’s opioid epidemic. (AT Forum News, USA, 29.08.2019)

http://atforum.com/2019/08/feds-revamp-confidentiality-rules-addiction-treatment/

The darker side of paradise: heroin addiction in Zanzibar

Yee, Amy

The Lancet, Volume 394, Issue 10200, 721 - 722 

Behind the beautiful touristic sand beaches, sober recovery houses provide safe havens for the thousands of people dealing with heroin addiction in Zanzibar. Amy Yee reports from Stone Town.

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)32001-X/fulltext

USA. Hospitals Can Exclude Measuring Co-prescribing Methadone and Buprenorphine With Benzodiazepines in Palliative Care

In a final rule published August 16 in the Federal Register, the Center for Medicare and Medicaid Services said that information did not need to be collected on patients on methadone or buprenorphine receiving benzodiazepines as part of palliative care.  (It also said it didn’t need to include cancer care.) (ATForum, USA, 21.08.2019)

http://atforum.com/2019/08/hospitals-can-exclude-measuring-co-prescribing-methadone-and-buprenorphine-with-benzodiazepines-in-palliative-care/

People who inject drugs in Bangladesh - The untold burden!

Khan SI, Reza MM, Crowe SM, Rahman M, Hellard M, Sarker MS, Chowdhury EI, Rana AKMM, Sacks-Davis R, Banu S, Ross AG.

Int J Infect Dis. 2019 Jun;83:109-115. doi: 10.1016/j.ijid.2019.03.009. 

https://linkinghub.elsevier.com/retrieve/pii/S1201-9712(19)30138-9

USA. Public Comment on Draft Recommendation Statement and Draft Evidence Reviews: Screening for Illicit Drug Use, Including Nonmedical Use of Prescription Drugs

August 13, 2019 – The U.S. Preventive Services Task Force seeks comments on a draft recommendation statement and two draft evidence reviews on screening for illicit drug use, including nonmedical use of prescription drugs. The Task Force found that clinicians should screen all adults for illicit drug use. More research is needed to make a recommendation for teens. The draft recommendation statement and draft evidence reviews are available for review and public comment from August 13, 2019 to September 9, 2019. (U.S. Preventive Services Task Force, 13.08.2019)

https://www.uspreventiveservicestaskforce.org/Announcements/News/Item/public-comment-on-draft-recommendation-statement-and-draft-evidence-reviews-screening-for-illicit-drug-use-including-nonmedical-use-of-prescription-drugs

Inpatient Addiction Medicine Consultation and Post-Hospital Substance Use Disorder Treatment Engagement: a Propensity-Matched Analysis

Englander, H., Dobbertin, K., Lind, B.K. et al. 

J GEN INTERN MED (2019). doi.org/10.1007/s11606-019-05251-9

Abstract

https://link.springer.com/article/10.1007%2Fs11606-019-05251-9

Addiction intervention in hospital is a 'reachable moment'

Patients who meet an addiction medicine consult team while they're in the hospital are twice as likely to participate in treatment for substance use disorder after they go home, according to new research. (Oregon Health & Science University, USA, 15.08.2019)

https://medicalxpress.com/news/2019-08-addiction-intervention-hospital-reachable-moment.html

USA. It's The Go-To Drug To Treat Opioid Addiction. Why Won't More Pharmacies Stock It?

Louis Morano knows what he needs, and he knows where to get it.

Morano, 29, has done seven stints in rehab for opioid addiction in the past 15 years. So, he has come to a mobile medical clinic parked on a corner of Philadelphia's Kensington neighborhood, in the geographical heart of the city's overdose crisis. People call the mobile clinic the "bupe bus."

Buprenorphine is a drug that curbs cravings and treats the symptoms of withdrawal from opioid addiction. One of the common brand name drugs that contains it, Suboxone, combines the buprenorphine with naloxone. (NPR – National Public Radio, USA, 13.08.2019)

https://www.npr.org/sections/health-shots/2019/08/13/741113454/its-the-go-to-drug-for-opioid-addiction-so-why-won-t-more-pharmacists-stock-it

USA. OTP Responds to Shooting at Baltimore Clinic Across the Street

Two people died after a shooting at the highly respected Man Alive opioid treatment program (OTP) in Baltimore on July 15—the shooter, and one other man. “Fortunately, these kinds of incidents are rare,” noted Mark W. Parrino, president of the American Association for the Treatment of Opioid Dependence (AATOD).  (ATForum, USA, 12.08.2019)

http://atforum.com/2019/08/otp-responds-shooting-baltimore-clinic-across-street/

USA. AAFP Supports Methadone Treatment in Primary Care

One resolution at this year’s meeting of the American Association of Family Physicians (AAFP) with family physicians’ inability to prescribe methadone in the primary care setting for treatment of opioid use disorder. Resolution co-author Taylor Boland, M.D., of the University of Wisconsin Department of Family and Community Health’s Madison Family Medicine Residency Program, told a reference committee that physicians need more options for battling OUD. (ATForum, USA, 05.08.2019)

http://atforum.com/2019/08/aafp-supports-methadone-treatment-primary-care/

USA. Methadone Treatment and a Program for New Parents Approved for New Federal Child Welfare Law

The new clearinghouse for the Family First Prevention Services Act has approved another parent support program and a substance abuse treatment model. (ATForum, USA, 29.07.2019)

http://atforum.com/2019/07/methadone-treatment-new-federal-child-welfare-law/

Offering Emergency Buprenorphine Without a Prescription.

Roy PJ, Stein MD. 

JAMA.Published online July 08, 2019. doi:10.1001/jama.2019.8309

https://jamanetwork.com/journals/jama/fullarticle/2737850

Changes in Substance Abuse and HIV Risk Behaviors over 12-Month Methadone Maintenance Treatment among Vietnamese Patients in Mountainous Provinces.

Tran BX, Fleming M, Nguyen TMT, Vu GT, Vuong QH, Ho MT, Dam NV, Vuong TT, Do HN, Doan LP, Latkin C, Ho CS, Ho RC.

Int J Environ Res Public Health. 2019 Jul 8;16(13). pii: E2422. doi: 10.3390/ijerph16132422.

https://www.mdpi.com/1660-4601/16/13/2422

Characteristics of US Counties With High Opioid Overdose Mortality and Low Capacity to Deliver Medications for Opioid Use Disorder.

Haffajee RL, Lin LA, Bohnert ASB, Goldstick JE.

JAMA Netw Open. 2019 Jun 5;2(6):e196373. doi: 10.1001/jamanetworkopen.2019.6373.

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2736933

USA. 40% of treatment facilities won't accept people prescribed meds to fight opioid addiction

As American policymakers and health care providers try multiple approaches to reduce the number of deaths related to the opioid epidemic, treatment facilities are commonly recommended. But there's a major obstacle: Many facilities that serve individuals with opioid-related needs often won't accept people who have been prescribed medications to combat the addiction. (MedicalXpres, USA, 24.07.2019)

https://medicalxpress.com/news/2019-07-treatment-facilities-wont-people-meds.html

USA. Access to Addiction Services Differs by Race and Gender

Disparities in access to quality treatment play a role in every aspect of health care and health outcomes, and the opioid crisis is no different. While whites and men continue to experience the highest rates of opioid misuse and deaths from opioid overdose, studies show that minorities and poor people with opioid use disorders remain at a disadvantage when it comes to accessing appropriate treatment and that women face greater barriers to both treatment and overdose reversal than men do. (N.Volkow in: Nora’s Blog, NIH-NIDA, 16.07.2019)

https://www.drugabuse.gov/about-nida/noras-blog/2019/07/access-to-addiction-services-differs-by-race-gender

A Mobile Buprenorphine Treatment Program for Homeless Patients With Opioid Use Disorder.

Buzza C, Elser A, Seal J.

Psychiatr Serv. 2019 Jul 1;70(7):635-636. doi: 10.1176/appi.ps.70701.

https://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.70701

USA. Opioids study shows high-risk counties across the country, suggests local solutions

In a study of more than 3,000 counties across the U.S., the researchers found that residents of 412 counties are at least twice as likely to be at high risk for opioid overdose deaths and to lack providers who can deliver medications to treat opioid use disorder. (MedicalXpress, USA, 28.06.2019)

https://medicalxpress.com/news/2019-06-opioids-high-risk-counties-country-local.html

Factors Associated with Compliance among Methadone Maintenance Treatment Transfers: Evidence from Audit Records at Clinics in Guangdong, China.

Gong C, Zou X, Chen W, Liu Y, Lu Q, Ling L.

Int J Environ Res Public Health. 2019 Jun 6;16(11). pii: E2023. doi: 10.3390/ijerph16112023.

https://www.mdpi.com/1660-4601/16/11/2023

USA. One Possible Solution to the Opioid Crisis in the U.S. Has Been Inexplicably Ignored

The President’s Council of Economic Advisors (CEA) just released a new report on how to beat back America’s opioid crisis. The CEA highlighted as potential solutions measures like curbing illicit drug trafficking, reducing over-prescribing in doctors’ offices, and cracking down on drug distributors fueling the epidemic for profit.

Those are noble goals, to be sure. But the CEA report lacks one crucial element in fighting this crisis: nurse practitioners. (Time, USA, 24.06.2019)

https://time.com/5612549/opioid-crisis-nurses/

Expanding low-threshold buprenorphineto justice-involved individuals through mobile treatment: Addressing a critical care gap.

Krawczyk N, Buresh M, Gordon MS, Blue TR, Fingerhood MI, Agus D.

J Subst Abuse Treat. 2019 Aug;103:1-8. doi: 10.1016/j.jsat.2019.05.002. 

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/31229187

A scalable, automated warm handoff from the emergency department to community sites offering continued medication for opioid use disorder: Lessons learned from the EMBED trial stakeholders.

Ahmed OM, Mao JA, Holt SR, Hawk K, D'Onofrio G, Martel S, Melnick ER.

J Subst Abuse Treat. 2019 Jul;102:47-52. doi: 10.1016/j.jsat.2019.05.006.

https://linkinghub.elsevier.com/retrieve/pii/S0740-5472(19)30007-8