Authors
Harrington, Amy L.Document Type
PresentationPublication Date
2017-10-05Keywords
Substance Use DisorderHarm Reduction
SUD
Medication Assisted Treatment
Addiction
Co-morbid disorders
Mental Health
Public Health and Addiction
Substance Abuse
Opioid
Vivitrol
Buprenorphine
Methadone
Naloxone
Narcan
Chemicals and Drugs
Community Health
Community Health and Preventive Medicine
Library and Information Science
Medical Pharmacology
Medicine and Health Sciences
Mental and Social Health
Mental Disorders
Psychiatric and Mental Health
Public Health
Substance Abuse and Addiction
Metadata
Show full item recordAbstract
Harm reduction is a public health strategy that was developed initially for adults with substance use disorder for whom abstinence was not feasible. Harm reduction approaches have been effective in reducing morbidity and mortality in some adult populations. In this presentation "Treating Opioid Use Disorder and Co-Occuring Disorders" by Amy L. Harrington, MD, learn the specifics of what the term "harm reduction" means as it is applied in various settings. When a treatment plan is considered for a patient, it is important to understand if other medical conditions also exist in addition to the substance use disorder. How do co-morbid conditions affect treatment for substance use disorder? Understand why a "one size fits all" treatment strategy may not be successful. Learning Objectives: Harm Reduction, Medication Assisted Treatment, and Considering Co-morbid Disorders When Deciding Treatment Learn about the philosophy of harm reduction as it relates to substance use disorders Learn about harm reduction strategies used to minimize secondary harm from opioid use Learn about how co-morbid disorders can affect substance use treatmentDOI
10.13028/564b-8x24Permanent Link to this Item
http://hdl.handle.net/20.500.14038/37519Notes
Part of a series of webinars on topics related to substance use disorders.
Related Resources
National Library of Medicine Opiate Addiction and Treatment Portal
Related Resources
//youtu.be/Aqk-b37s64IRights
Video: Standard YouTube Licenseae974a485f413a2113503eed53cd6c53
10.13028/564b-8x24
Scopus Count
Collections
Related items
Showing items related by title, author, creator and subject.
-
Dual diagnosis in primary care. Detecting and treating both the addiction and mental illnessZiedonis, Douglas M.; Brady, Kathleen (1997-07-01)The initial phase of treatment includes engaging the patient in a discussion about the doctor's concerns and providing patients with information about the problems as well as the possibility of change. Treatment of dual disorders often requires a heightened awareness of the consequences of the problem and the development of a realistic plan for change. The treatment plan must attempt to evaluate and treat the addiction and the psychiatric and medical illnesses.
-
ADHD with comorbid oppositional defiant disorder or conduct disorder: discrete or nondistinct disruptive behavior disordersConnor, Daniel F.; Doerfler, Leonard A. (2008-09-01)OBJECTIVE: In children with ADHD who have comorbid disruptive behavior diagnoses distinctions between oppositional defiant disorder (ODD) and conduct disorder (CD) remain unclear. The authors investigate differences between ODD and CD in a large clinical sample of children with ADHD. METHOD: Consecutively referred and systematically assessed male children and adolescents with either ADHD (n = 65), ADHD with ODD (n = 85), or ADHD with CD (n = 50) were compared using structured diagnostic interviews and parent, teacher, and clinician rating scales. RESULTS: In children with ADHD, significant differences emerged between ODD and CD in the domains of delinquency, overt aggression, and ADHD symptom severity; ADHD with CD was most severe, followed by ADHD with ODD, and ADHD had the least severe symptoms. Distinctions between ADHD with CD and the other two groups were found for parenting, treatment history, and school variables. CONCLUSION: Within the limits of a cross-sectional methodology, results support clinically meaningful distinctions between ODD and CD in children with ADHD.
-
Childhood trauma and psychiatric disorders as correlates of school dropout in a national sample of young adultsPorche, Michelle V.; Fortuna, Lisa R.; Lin, Julia; Alegria, Margarita (2011-05-01)The effect of childhood trauma, psychiatric diagnoses, and mental health services on school dropout among U.S.-born and immigrant youth is examined using data from the Collaborative Psychiatric Epidemiology Surveys, a nationally representative probability sample of African Americans, Afro-Caribbeans, Asians, Latinos, and non-Latino Whites, including 2,532 young adults, aged 21-29. The dropout prevalence rate was 16% overall, with variation by childhood trauma, childhood psychiatric diagnosis, race/ethnicity, and nativity. Childhood substance and conduct disorders mediated the relation between trauma and school dropout. Likelihood of dropout was decreased for Asians, and increased for African Americans and Latinos, compared to non-Latino Whites as a function of psychiatric disorders and trauma. Timing of U.S. immigration during adolescence increased risk of dropout.