By John A. Renner, Petros Levounis
"The guide of Office-Based Buprenorphine therapy of Opioid Dependence" will function a competent advisor for the addition of buprenorphine remedy into latest psychiatric practices and different basic care settings. the aptitude to enhance the lives of sufferers with the disorder of opioid dependancy is excellent, and this ebook deals concrete and functional suggestion for coping with sufferers in an office-based surroundings. unique working towards psychiatrists, internists, and different scientific specialists and researchers give a contribution their services with buprenorphine to this quantity. It covers the subject material completely - from the heritage of opioid abuse and review standards for power sufferers to scientific administration and psychiatric comorbidity. This guide presents the instruments and instructions essential to support prone domesticate a healing atmosphere for treating opioid dependancy that minimizes challenge behaviors and optimizes remedy results. The logistical necessities for constructing a winning office-based therapy software are supplied intimately. Case vignettes, charts, and tables make the subject material simply available for readers starting from scholars to well-established practitioners.
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Extra resources for Handbook of Office-based Buprenorphine Treatment of Opioid Dependence
Practitioner 5:327–331, 1870 Ball JC, Ross A: The Effectiveness of Methadone Maintenance Treatment: Patients, Programs, Services, and Outcome. New York, Springer-Verlag, 1991 Compton WM, Thomas YF, Stinson FS, et al: Prevalence, correlates, disability, and comorbidity of DSM-IV drug abuse and dependence in the United States: results from the national epidemiologic survey on alcohol and related conditions. Arch Gen Psychiatry 64:566–576, 2007 Dole VP, Nyswander M: A medical treatment for diacetylmorphine (heroin) addiction: a clinical trial with methadone hydrochloride.
2 million new initiates to marijuana use (Substance Abuse and Mental Health Services Administration 2009b). Of note is the decline in new initiates of OxyContin abuse from 615,000 in 2004 to 478,000 in 2008 (Substance Abuse and Mental Health Services Administration 2009b). 2 years (Substance Abuse and Mental Health Services Administration 2008). This new group of drug abusers tends to be younger, better educated, and less antisocial than the typical heroin addict (Table 1–1). They initially use the drug orally or snort it, and are much less likely to use drugs intravenously.
The implementation of this new paradigm required efforts to train and support physicians (Gordon et al. 2008). Implementing the New Paradigm PHYSICIAN TRAINING Between November 1, 2001, and January 1, 2009, approximately 20,000 physicians (Table 2–1) received training in the treatment of opioid dependence from one of the five medical societies that are named in DATA 2000 as capable of providing this type of training. These trainings were provided in a face-to-face format, via the Internet, or on CD-ROM.