Opioid Use Disorders

被引:65
|
作者
Sharma, Bikash [1 ]
Bruner, Ann [1 ,2 ]
Barnett, Gabrielle [1 ]
Fishman, Marc [1 ,3 ]
机构
[1] Mt Manor Treatment Ctr, Baltimore, MD 21224 USA
[2] Johns Hopkins Univ, Dept Pediat, Baltimore, MD 21218 USA
[3] Johns Hopkins Univ, Dept Psychiat, Baltimore, MD USA
关键词
Opioids; Opioid use disorder; Heroin; Injection; Prescription opioids; Withdrawal; Overdose; SUBSTANCE USE DISORDERS; INJECTION-DRUG USE; EXTENDED-RELEASE NALTREXONE; CHILDHOOD SEXUAL-ABUSE; HEROIN USE; YOUNG-ADULTS; PRESCRIPTION OPIOIDS; UNITED-STATES; BUPRENORPHINE/NALOXONE TREATMENT; CLINICAL CHARACTERISTICS;
D O I
10.1016/j.chc.2016.03.002
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Opioid use and addiction in adolescents and young adults is a health problem of epidemic proportions, with devastating consequences for youth and their families. Opioid overdose is a life-threatening emergency that should be treated with naloxone, and respiratory support if necessary. Overdose should always be an opportunity to initiate addiction treatment. Detoxification is often a necessary, but never sufficient, component of treatment for OUDs. Treatment for OUDs is effective but treatment capacity is alarmingly limited and under-developed. Emerging consensus supports the incorporation of relapse prevention medications such as buprenorphine and extended release naltrexone into comprehensive psychosocial treatment including counseling and family involvement.
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页码:473 / +
页数:16
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