Abstract
Opioid use disorder (OUD) is a complex condition requiring a multifaceted treatment approach. As such, a variety of different models, both pharmacologic and non-pharmacologic, have been proposed and ultimately implemented as part of standard clinical practice over the past several decades, each providing a specific focus and expected therapeutic outcome. This chapter will take a closer look at such clinical approaches in their respective historical contexts, highlighting both their similarities and differences, while emphasizing the ongoing evolution of clinical approaches to an alarming and ever-changing public health crisis.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Avery J, Barnhill J. Co-occurring mental illness and substance use disorders: a guide to diagnosis and treatment. Arlington: American Psychiatric Publishing; 2017.
Center for Behavioral Health Statistics and Quality. Key substance use and mental health indicators in the United States: results from the 2015 national survey on drug use and health. NoSMA 16-4984, NSDUH Ser H-51. 2016;7(1):877–726.
Friedman PD, McCullough D, Saitz R. Screening and intervention for illicit drug abuse: a national survey of primary care physicians and psychiatrists. Arch Intern Med. 2001;161:248–51.
Finney JW, Moos RH, Wilbourne PL. Effects of treatment setting, duration, and amount on patient outcomes. In: Ries RK, Miller SC, Saitz R, Fiellin DA, editors. American Society of Addiction Medicine The ASAM principles of addiction medicine. 5th ed. Philadelphia: Wolters Kluwer Health and Lippincott Williams & Wilkins; 2014.
Galanter M, Kleber HD. The American psychiatric publishing textbook of substance abuse treatment. 4th ed. Washington D.C: American Psychiatric Publishing; 2008.
Geller G, Levine DM, Mamon JA, et al. Knowledge, attitudes, and reported practices of medical students and house staff regarding the diagnosis and treatment of alcoholism. JAMA. 1989;262(21):3115–20.
Gryczynski J, Schwartz RP, O’Grady KE, et al. Understanding patterns of high-cost health care use across different substance user groups. Health Aff (Millwood). 2016;35(1):12–9.
Herron AJ, Brennan TK. The ASAM essentials of addiction medicine. 2nd ed. Philadelphia: Wolters Kluwer; 2015.
Humphreys K. Avoiding globalisation of the prescription opioid epidemic. Lancet. 2017;390:437–9.
Ianucci R, Sanders K, Greenfield S. A 4-year curriculum on substance use disorders for psychiatry residents. Acad Psychiatry. 2009;33(1):60–6.
Koob GF, Vokow ND. Neurocircuitry of addiction. Neuropsychopharmacology. 2010;35:217–38.
Miller NS, Sheppard LM, Colenda CC, et al. Why physicians are unprepared to treat patients who have alcohol- and drug-related disorders. Acad Med. 2001;76:410–8.
Polydorou S, Gunderson EW, Levin FR. Training physicians to treat substance use disorders. Curr Psychiatry Rep. 2008;10(5):399–404.
Renner JA, Levounis P, LaRose AT. Office-based Buprenorphine treatment of opioid use disorder. 2nd ed. Arlington: American Psychiatric Association Publishing; 2018.
Ruiz P, Strain S. Substance abuse: a comprehensive textbook. 5th ed. Philadelphia: Wolters-Kluwer; 2011.
Samet JH, Friedmann P, Saitz R. Benefits of linking primary medical care and substance abuse services: patient, provider, and society perspectives. Arch Intern Med. 2001;161(1):85–91.
Van Boekel LC, Brouwers EPM, Van Weeghel J, et al. Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review. Drug Alcohol Depend. 2013;131(1–3):23–35.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Bravoco, J. (2019). Response to the Opioid Epidemic: Current Treatment Models in the United States. In: Avery, J., Kast, K. (eds) The Opioid Epidemic and the Therapeutic Community Model. Springer, Cham. https://doi.org/10.1007/978-3-030-26273-0_5
Download citation
DOI: https://doi.org/10.1007/978-3-030-26273-0_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-26272-3
Online ISBN: 978-3-030-26273-0
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)