Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-26T21:50:09.818Z Has data issue: false hasContentIssue false

15 - Proactive Measures To Prevent Opioid Addiction

from Part IV - Recovery

Published online by Cambridge University Press:  07 October 2023

Ethan O. Bryson  and
Christine E. Boxhorn
Ethan O. Bryson
Affiliation:
Icahn School of Medicine at Mount Sinai, New York
Christine E. Boxhorn
Affiliation:
Medical College of Wisconsin, Milwaukee
Get access

Summary

Our response to the opioid epidemic has been reactionary, however preventing future addiction saves lives and money. Methods to prevent opioid misuse and addiction are frequently placed in one of three categories: universal, selective, or indicated. Universal prevention addresses an entire group of people without respect to any factors that might predispose someone to addiction. Most school-based curricula and education for prescribers fall under this category. Selective interventions are geared towards a subset of a population indentified as a higher risk for opioid use disorder, for example programs developed for children who have experienced traumatic events. Finally, indicated prevention focuses on individuals who are already using opioids but do not yet meet criteria for a clinical diagnosis of opioid use disorder. No matter the type, all strategies have the potential to postiively impact individuals and communities through reduced rates of addiction, overdose, and death.

Keywords

preventionuniversal preventionselective preventionindicated preventionUnpluggedPlaySmartOperation PreventionCommunities that Careprescriptionprescribing practicesPrescription Drug Monitoring ProgramPDMPpainimportationSUPPORT Act of 2018Project Lazarusadverse childhood eventsrisk factorsprotective factorsPreventureGood Behavior GameCombating Opioid Overdose Through Community-Level InterventionLine Up Live UpHousing Firsttreatment as preventionMOUDwar on drugs
Type
Chapter
Information
The Opioid Epidemic
Origins, Current State and Potential Solutions
 , pp. 192 - 203
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

References and Further Reading

Brody, GH, Kogan, SM, Chen, Y, McBride Murry, V (2008). Long-term effects of the Strong African American Families Program on youths’ conduct problems. Journal of Adolescent Health 43: 474–481.CrossRefGoogle ScholarPubMed
Champion, KE, Newton, NC, Teeson, M (2021). Prevention of substance use disorders. In Textbook of Substance Use Disorder Treatment, 6th ed. Washington, DC: APA Publishing, ch. 35.Google Scholar
Dowell, D, Ragan, KR, Jones, CM, Baldwin, GT, Chou, R (2022). CDC Clinical Practice Guideline for prescribing opioids for pain – United States, 2022. Morbidity and Mortality Weekly Report 71: 1–95. www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm#B1_down.Google ScholarPubMed
Drug Policy Alliance (2022). A history of the Drug War. https://drugpolicy.org/issues/brief-history-drug-war.Google Scholar
Gaetz, S (2014). Can housing first work for youth? European Journal of Homelessness 8(2): 159–175.Google Scholar
Hodge, JG, Gostin, LO (2019). Guiding industry settlements of opioid litigation. American Journal of Drug and Alcohol Abuse 45(5): 432–437.Google Scholar
Kellam, SG., Mackenzie, ACL, Brown, CH, et al. (2011). The Good Behavior Game and the future of prevention and treatment. Addiction Science & Clinical Practice 6(1): 73–84.Google Scholar
Klimas, J, Gorfinkel, L, Fairbairn, N, et al. (2019). Strategies to identify patient risks of prescription opioid addiction when initiative opioids for pain. JAMA Network Open 2(5): e193365.Google Scholar
Lee, N (2021). America has spent over a trillion dollars fighting the war on drugs; 50 years later, drug use in the U.S. is climbing again. www.cnbc.com/2021/06/17/the-us-has-spent-over-a-trillion-dollars-fighting-war-on-drugs.html.Google Scholar
Lipari, RN, Hughes, A (2017). How people obtain the prescription pain relievers they misuse. www.samhsa.gov/data/sites/default/files/report_2686/ShortReport-2686.html.Google Scholar
Livingston, CJ, Berenji, M, Titus, TM, et al. (2022). American College of Preventive Medicine: Addressing the opioid epidemic through a prevention framework. American Journal of Preventive Medicine 63(3): 454–465.CrossRefGoogle ScholarPubMed
Nelson, LF, Weitzman, ER, Levy, S (2021). Prevention of substance use disorders. Medical Clinics of North America http://harmsprogram.ca/ 106(1): 153–168.CrossRefGoogle Scholar
Salwan, AJ, Hagemeier, NE, Harirforoosh, S (2018). Abuse-deterrent opioid formulations: A key ingredient in the recipe to prevent opioid disasters? Clinical Drug Investigation 38: 573–577.Google Scholar
SAMHSA (2015). Module 3: primary prevention and the six strategies. www.samhsa.gov/grants/block-grants/sabg/primary-prevention-course.Google Scholar
SAMHSA (2019). Substance Misuse Prevention for Young Adults. Rockville, MD: National Mental Health and Substance Use Policy Laboratory. Substance Abuse and Mental Health Services Administration.Google Scholar
Thornton, C (2022). The U.S. had led the War on Drugs abroad for decades, and it’s been a staggering failure. New York Times, September 7. www.nytimes.com/2022/09/07/opinion/colombia-drug-war-us.htmlGoogle Scholar
United Nations Office on Drugs and Crime (2018). International Standards on Drug Use Prevention, 2nd ed. Vienna; United Nations Office on Drugs and Crime.Google Scholar
United States Department of Health and Human Services (HHS), Office of the Surgeon General (2016). Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health. Washington, DC: HHS.Google Scholar
US Library of Congress (2017–2018). Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act. H.R. 6., 115th Congress (2017–2018). www.congress.gov/bill/115th-congress/house-bill/6.Google Scholar
US Preventive Services Task Force (2020). Screening for unhealthy drug use: US Preventive Services Task Force recommendation statement. JAMA 323(22): 2301–2309.Google Scholar
Washington State Institute for Public Policy (2019). Benefit–cost results. www.wsipp.wa.gov/BenefitCost?topicId=9.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×