Psychiatry and the Opioid Overdose Crisis.
Psychiatry and the Opioid Overdose Crisis.
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DOI：
10.1176/appi.focus.20190003
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发表时间：
2019-04-01
期刊：
影响因子：
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通讯作者：
Connery, Hilary
中科院分区：
文献类型：
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作者：
Madras, Bertha K;Connery, Hilary
美国疾病控制和预防中心连续第三年报告说，美国的预期寿命出现了前所未有的下降，这主要是由于药物过量死亡和自杀。药物过量继续上升，目前估计2017年有70，237人死亡。现代阿片类药物危机的根本原因很复杂，至少可追溯到30个因素。一个主要的推动力是医疗保健系统。对医生的压力，诉诸阿片类药物管理慢性疼痛导致一个国家充斥着处方阿片类药物。2017年，唐纳德·J·特朗普总统采取了前所未有的行动，他签署了一项行政命令，成立了总统打击吸毒成瘾和阿片类药物危机委员会，负责制定扭转危机的指导方针。总统委员会报告的56项建议基于预防、治疗、救援、恢复支持、研究、改进数据分析和问责制的先进战略。该报告以治疗服务和康复之家的质量为重点，呼吁实施高标准的治疗护理。成瘾医学和成瘾精神病学专家最有能力开发和实施高质量的护理。
For the third year in a row, the Centers for Disease Control and Prevention reported an unprecedented decline in life expectancy for the United States, a decline attributable mainly to drug overdose deaths and suicides. Drug overdoses have continued to rise and are now estimated to account for 70,237 deaths in 2017. The root causes of the modern opioid crisis are complex and traceable to at least 30 factors. A prime driver has been the health care system. Pressure on medical practitioners to resort to opioids for managing chronic pain led to a nation awash with prescription opioids. In 2017, an unprecedented action was taken by President Donald J. Trump as he signed an executive order establishing the President's Commission on Combating Drug Addiction and the Opioid Crisis, tasked with producing guidance on reversing the crisis. The 56 recommendations of the President's Commission report were grounded in advanced strategies for prevention, treatment, rescue, recovery support, research, improved data analytics, and accountability. With a focus on the quality of treatment services and recovery homes, the report calls for implementing high standards of care for treatment. Specialists in addiction medicine and addiction psychiatry are best positioned to develop and implement high-quality care.