scholarly journals Waking up from Dreamland: Opioid Addiction Precipitance and Support for Redistributive Drug Treatment

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
David Chavanne ◽  
Kimberly Goodyear
Keyword(s):  
Drug Treatment ◽  
Public Support ◽  
Income Redistribution ◽  
Opioid Addiction ◽  
Opioid Epidemic ◽  
Randomized Design ◽  
Treatment Changes ◽  
Waking Up

AbstractMotivated by the historical components of the ongoing U.S. opioid epidemic, this study examines how public support for redistributive drug treatment changes with awareness that someone’s opioid addiction started with a legally acquired prescription. Using different versions of a vignette, we vary in a randomized design whether someone’s addiction to painkillers started with a legally acquired prescription or with the decision to take pills from a friend. After reading the vignette, participants expressed their level of support for a policy that uses income redistribution to fund a program that provides the person in the vignette with drug treatment. We find that participants are less likely to support redistributive drug treatment when a prescription precipitates the addiction. The results imply that emphasizing the medical establishment’s role in the opioid epidemic may actually make people less likely to favor using redistributive drug treatment to provide support.

Narcan as biomedical panic: The war on overdose and the harms of harm reduction

2020 ◽  
pp. 136248062096477
Author(s):  
Philip R Kavanaugh
Keyword(s):  
Public Health ◽  
Drug Treatment ◽  
Harm Reduction ◽  
Drug Users ◽  
Opioid Addiction ◽  
The State ◽  
Opioid Overdose ◽  
State Response ◽  
Drug Companies ◽  
The Us

As the opioid overdose crisis in the US persists, governments have coordinated with drug companies to propagate the overdose reversal drug naloxone (Narcan) as a ‘kinder/gentler’ state response, deriving from a supposedly progressive harm reduction ethos. Drawing on Derrida’s deconstruction of pharmakon, I show how Narcan is rendered paradoxical and terminal, diverting attention from the structural antecedents of opioid addiction and resources for drug treatment while reproducing corporeal suffering in those revived. I further highlight how Narcan is positioned in a wider array of regressive governing practices that legitimate the state’s punitive drug war and demonization of drug users. Narcan thus provides a useful opening between the state and contemporary biomedicine to theorize how harm reduction and public health unfurl in insidious and corrosive ways.

scholarly journals The prospects for sustaining evidence-based responses to the US opioid epidemic: State leadership perspectives

2020 ◽  
Author(s):  
Lauren Caton ◽  
Mina Yuan ◽  
Dexter Louie ◽  
Carlos Gallo ◽  
Karen Abram ◽  
...  
Keyword(s):  
State Government ◽  
Public Awareness ◽  
Public Support ◽  
Optimal Strategies ◽  
State Agencies ◽  
Evidence Based ◽  
Opioid Epidemic ◽  
Awareness Campaigns ◽  
Start Up ◽  
The Us

Abstract Background: The US 21st Century Cures Act provided $7.5 billion in grant funding to states and territories for evidence-based responses to the opioid epidemic. Currently, little is known about optimal strategies for sustaining these programs beyond this start-up funding. Methods: Using an inductive, conventional content analysis, we conducted key informant interviews with former and current state leaders (n=16) about barriers/facilitators to sustainment and strategies for sustaining time-limited grants. Results: Financing and reimbursement, service integration, and workforce capacity were the most cited barriers to sustainment. Status in state government structure, public support, and spending flexibility were noted as key facilitators. Effective levers to increase chances for sustainment included strong partnerships with other state agencies, workforce and credentialing changes, and marshalling advocacy through public awareness campaigns.Conclusions: Understanding the strategies that leaders have successfully used to sustain programs in the past can inform how to continue future time-limited, grant-funded initiatives.

scholarly journals The Prospects for Sustaining Evidence-based Responses to the US Opioid Epidemic State Leadership Perspectives

2020 ◽  
Author(s):  
Lauren Caton ◽  
Mina Yuan ◽  
Dexter Louie ◽  
Carlos Gallo ◽  
Karen Abram ◽  
...  
Keyword(s):  
State Government ◽  
Public Awareness ◽  
Public Support ◽  
Optimal Strategies ◽  
State Agencies ◽  
Evidence Based ◽  
Opioid Epidemic ◽  
Awareness Campaigns ◽  
Start Up ◽  
The Us

Abstract Background: The US 21st Century Cures Act provided $7.5 billion in grant funding to states and territories for evidence-based responses to the opioid epidemic. Currently, little is known about optimal strategies for sustaining these programs beyond this start-up funding.Methods: Using an inductive, conventional content analysis, we conducted key informant interviews with former and current state leaders (n=16) about barriers/facilitators to sustainment and strategies for sustaining time-limited grants.Results: Financing and reimbursement, service integration, and workforce capacity were the most cited barriers to sustainment. Status in state government structure, public support, and spending flexibility were noted as key facilitators. Effective levers to increase chances for sustainment included strong partnerships with other state agencies, workforce and credentialing changes, and marshalling advocacy through public awareness campaigns. Conclusions: Understanding the strategies that leaders have successfully used to sustain programs in the past can inform how to continue future time-limited, grant-funded initiatives.

The Opioid Epidemic

2019 ◽  
Author(s):  
Yngvild Olsen ◽  
Joshua M. Sharfstein
Keyword(s):  
World War I ◽  
Life Expectancy ◽  
National Policy ◽  
Opioid Addiction ◽  
Opioid Overdose ◽  
Opioid Epidemic ◽  
World War ◽  
General Reader ◽  
Health Crisis ◽  
Critical Resource

An incisive, essential guide to understanding one of today’s most urgent -- and complex -- problems. The opioid epidemic is responsible for longest sustained decline in U.S. life expectancy since the time of World War I and the Great Influenza. In 2017, nearly 50,000 Americans died from an opioid overdose - with an estimated 2 million more living with opioid addiction every day. The Opioid Epidemic: What Everyone Needs to Know is an accessible, nonpartisan overview of the causes, politics, and treatments tied to the most devastating health crisis of our time. Its comprehensive approach and Q&A format offer readers a practical path to understanding the epidemic from all sides. This includes: • the basic science of opioids • the nature of addiction • the underlying reasons for the opioid epidemic • effective approaches to helping individuals, families, communities, and national policy • myths and common misunderstandings related to opioid addiction Written by two expert physicians and enriched with stories from their experiences in the crosshairs of this epidemic, this book is a critical resource for any general reader -- and for the individuals and families fighting this fight in their own lives.

Treatment and Recovery Policy for the Opioid Epidemic

2019 ◽  
Author(s):  
Yngvild Olsen ◽  
Joshua M. Sharfstein
Keyword(s):  
Effective Treatment ◽  
Opioid Addiction ◽  
System Of Care ◽  
Opioid Epidemic

How important is broad access to effective treatment for opioid addiction? Top of the list. Treatment does more than just help save individuals one at a time. If treatment is broadly accessible and well-organized into a system of care, then it can bend the...

Prevention Policy for the Opioid Epidemic

2019 ◽  
Author(s):  
Yngvild Olsen ◽  
Joshua M. Sharfstein
Keyword(s):  
Opioid Addiction ◽  
Opioid Epidemic ◽  
Prevention Policy

How can communities prevent opioid addiction? Addiction involves an interaction between the substance, an individual, and the environment. This means there are three ways to prevent addiction: by reducing exposure, by helping individuals remain resilient even when exposure occurs, and by promoting a healthy...

Public support for safe consumption sites and syringe services programs to combat the opioid epidemic

2018 ◽  
Vol 111 ◽  
pp. 73-77 ◽  
Author(s):  
Emma E. McGinty ◽  
Colleen L. Barry ◽  
Elizabeth M. Stone ◽  
Jeff Niederdeppe ◽  
Alene Kennedy-Hendricks ◽  
...  
Keyword(s):  
Public Support ◽  
Opioid Epidemic

Coping with the opioid crisis: Teachers need support, right now

2019 ◽  
Vol 101 (3) ◽  
pp. 53-56
Author(s):  
Kathryn A. Welby
Keyword(s):  
New Hampshire ◽  
Opioid Addiction ◽  
Opioid Epidemic ◽  
Opioid Crisis ◽  
Need Support ◽  
Eye Opening ◽  
And Training

Kathryn Welby’s case study of schools in regions of Massachusetts, New Hampshire, and Maine that have been touched by the opioid crisis yields eye-opening insights into the devastating impact the opioid epidemic has on schools. Students in these communities are experiencing serious trauma because of opioid addiction in their families, and this trauma affects their ability to participate and learn at school. Educators in the schools reveal that they are overwhelmed and feel helpless to do anything for their students, and they have received little support and training on how to cope with the crisis. Schools in areas affected by the epidemic need to acknowledge that the problem exists and proactively work to prepare teachers to respond.

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