Fundo

A partir da década de 1990, o uso não médico de opioides prescritos (OPs) tornou-se uma grande crise de saúde pública. Em resposta ao aumento das taxas de dependência de opioides e intoxicações fatais, medidas foram instituídas para diminuir a prescrição, o desvio e o uso não médico de OPs, incluindo programas de monitoramento de medicamentos prescritos (PDMPs), leis clínicas de dor, limites de duração da prescrição, disciplinando médicos que prescreveram um número excessivo de OPs e o advento de formulações dissuasoras de abuso de OPs. Este artigo explora os efeitos não intencionais...

Background

Opioid overdose remains a public health crisis in diverse communities. Between 2019 and 2020, there was an almost 40% increase in drug fatalities primarily due to opioid analogues of both stimulants and opioids. Medications for opioid use disorder (MOUD; e.g., buprenorphine) are effective, evidence-based treatments that can be delivered in office-based primary care settings. We investigated disparities in the proportion of national prescribers who have obtained a waiver issued to prescribe MOUD by demographic characteristics.

Methods

Data for the secondary data analyses were...

Background

When used in combination with other therapies for drug use disorders, neurofeedback (NF) has been classified as "probably effective," according to recent research in the community of people with opioid use disorder. Despite these encouraging results, the severity of the opioid crisis, and the high risk of relapse even with the most effective medication-assisted maintenance therapy, NF remains a little-studied therapeutic option. The possibility of incorporating Alpha/Theta Neurofeedback into standard opioid addiction therapy in an outpatient urban treatment facility is examined in...