The Opioid Crisis

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Apr 3, 2024

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The Opioid Crisis The Opioid Crisis by: Bri Davis by: Bri Davis
Opioid Misuse Opioid Misuse is one of the important environmental and social concerns that has a significant influence on health policy. A nationwide public health catastrophe has resulted from the abuse and addiction to opioids, which include prescription medications and illicit substances like heroin. This problem is strongly related to health policy, opioid drug prescription, distribution, and monitoring are heavily influenced by health regulations. Campaigns and activities aimed at educating people about the risks associated with opioid addiction and usage can be supported by health policy. The public, patients, and healthcare providers may all be the focus of these initiatives. According to an article the Drug Enforcement Administration, “(the DEA) among other agencies and organizations, also tries to reduce the supply of prescription opioids by facilitating the return of unused medications through drug take-back programs. Typically, these are ad hoc or occasional events that allow individuals with unused medications to bring them in to be disposed of properly (Evidence on Strategies for Addressing the Opioid Epidemic, 2017) .”
Stakeholders Healthcare providers Patients Third-party payors Law enforcement & government regulators Pharmaceutical industry The media All have a stake in seeing pain treated and addiction and overdose avoided. Stakeholders like pharmaceutical companies, physicians, and healthcare providers bear responsibility in the U.S. opioid crisis due to the aggressive marketing and overprescribing of opioid drugs. They should step- up efforts in promoting responsible practices, enhancing transparency, and providing support to treatment and recovery services. National health institutes have implemented initiatives to mitigate the crisis such as improved access to treatment and public health monitoring.
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Targeted Population 79% of those who overdose on opioids are white 10% are black 8% are Hispanic For years, providers are more cautious in prescribing opioids to non-whites oppose to other races out of being bias and prejudices that “non-Whites were more likely to abuse or sell drugs (Salmond & Allread, 2019).” This being a prime example of “white privilege” led to Whites being more likely to get prescription opioids. This created the subsequent rise in opioid use, addiction, and overdose in the White population. In the past several years however, the rate of overdose death for Blacks has been rising as the pattern of the epidemic shifts from being primarily about opioid pain killers and more about heroin and fentanyl.
Females’ vs Males Overdosed 1999-2021
Federal Implementation Plan Progress can only be achieved if the federally funded programs and Medicaid by Congress provide financial support. It is only evident among the states that have adopted the Affordable Care Act, is an essential lever for increasing resources for opioid disorder treatment; hence, more states should employ the same. Although the expansion of the Medicaid, insurance coverage and other private insurance need to cover a more comprehensive array of treatment, eradicate barriers to effective medication, and support long term recovery options. “These measures allow flexibility to the patients in terms of affordability of treatment and access to drugs (Jones et al., 2018).”
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Implementatio n Plan To reduce overprescription and diversion, policy changes might concentrate on tighter prescribing criteria, tracking the distribution of opioids, and regulating pain treatment clinics. Access to treatments for addiction treatment is determined by health policy. Reducing the effects of opioid addiction and increasing access to evidence-based therapy, such medication-assisted treatment (MAT), can be accomplished through legislative reforms.
Strategies According to the Health People 2030 objectives, "More than 20 million people in the United States have a substance use disorder, and most of them don’t get the treatment they need (Addiction - Healthy People 2030 | health.gov, n.d.)." One of the objectives I found to be relatable to my community would be addiction. There are millions of people in the United States that are addicted to something, whether it’s a drug, alcohol or something else to cause a feeling to escape the normal function of the body. Within my community, it’s everywhere and there are children that are subjected to it because of the lack of care in this town. It’s a priority of mine to help those that are suffering from addiction to get the right help. Strategies to help prevent substance abuse is the key to reducing this disorder. For example, this generation has made opioids increase in demand because of the ease to access from a doctor for pain. If non-opioid pain management would be offered, it may help prevent opioid use disorder. Also, interventions are a great way to help people with substance use disorders. This creates a safe space for those that may not be comfortable talking to their friend or family about their problem. They’re able to get treatment and help prevent future health problems and even death.
Opioid Facts Pharmaceutical companies made promises that opioid pain medication would not make a patient form an addiction therefore in the late 1990’s health care providers started prescribing them at a high rate. By the increased prescribing of opioid medication led to widespread abuse of prescription and non-prescription opioid before the medical personal were aware that these medications were indeed highly addictive. In 2016 opioid overdoses accounted for more than 42,000 deaths more than any other year on record. 40% of these overdoses were from abuse of prescription opioid medications. The opioid crisis has had devastating consequences with the increased abuse of opioid medications and overdosing. It has also had an effect on newborn babies having withdrawals syndrome due to the abuse of opioid by expecting mothers. The HHS announced a five-point strategy to combat opioid crisis when they declared a public health emergency in 2017. In 2017, more than 47,000 Americans died as a result of an opioid overdose, including prescription opioids, heroin, and illicitly manufactured fentanyl, a powerful synthetic opioid. The Centers for Disease Control and Prevention estimates that the total "economic burden" of prescription opioid misuse alone in the United States is $78.5 billion a year, including the costs of healthcare, lost productivity, addiction treatment, and criminal justice involvement
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Where Are We Now ? “President Trump took measures to combat the opioid crisis by signing the SUPPORT for Patients and Communities Act, H.R. 6 was presented in the House of Representatives by the Energy and Commerce Committee Chairman Greg Walden (Thompson, 2019).” This policy commemorates many accomplishments after its implementation. “For one, H.R. 6 includes various new programs that include access to numerous health providers such as counseling and behavioral health providers (MacConomy, 2018).” H.R. 6 requires Medicaid programs to assist with costs that accompany medication-assisted treatment. Another accomplishment that stemmed from this policy includes the requirement of each state to have drug utilization safety audits in place for when an individual refills a prescription. Though this policy has many accomplishments, there are still some grey areas or things missing.
Conclusion The United States is in the middle of the opioid crisis and will only reduce with interventions from the health sector, socio-economic sector, and the state in general. Therefore, to curb an opioid epidemic variety of strategies must be put in place, and some adjustment has to be done the existing policies. These policies require the integration of both the public health and health care sectors. The effort across these sectors is essential in decreasing the opioid prescribing and related disorder. To implement pain management treatment would include offering non-opioid therapies to reduce the prevalence of opioid dependency.
Resources Addiction - Healthy People 2030 | health.gov. (n.d.). https://health.gov/healthypeople/objectives-and-data/browse- objectives/addiction Evidence on Strategies for Addressing the Opioid Epidemic. (2017, July 13). Pain Management and the Opioid Epidemic - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK458653/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6519712/#:~:text=Demographics%20of%20the%20Opioid%20Crisis &text=Death%20rates%20increased%20for%20all,%E2%80%9354%20(34.5)%20years. Jones, M. R., Viswanath, O., Peck, J., Kaye, A. D., Gill, J. S., & Simopoulos, T. T. (2018). ABrief History of the Opioid Epidemic and Strategies for Pain Medicine.Pain andTherapy,7(1), 13-21. doi:10.1007/s40122-018- 0097-6 Salmond, S., & Allread, V. (2019, April 5). A Population Health Approach to America’s Opioid Epidemic. PubMed Central (PMC). https://doi.org/10.1097/NOR.0000000000000521
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