From a leading addiction expert, a desperately needed medical guide to understanding, treating, and finally defeating opioid use disorder Drug overdoses are now the leading cause of death for Americans under the age of 50, claiming more lives than the AIDs epidemic did at its peak. Opioid abuse accounts for two-thirds of these overdoses, with over 100 Americans dying from opioid overdoses every day. Now Overcoming Opioid Addiction provides a comprehensive medical guide for opioid use disorder (OUD) sufferers, their loved ones, clinicians, and other professionals. Here is expertly presented, urgently needed information and guidance, including: Why treating OUD is unlike treating any other form of drug dependency The science that underlies addiction to opioids, and a clear analysis of why this epidemic has become so deadly The different stages and effective methods of treatment, including detoxification vs. maintenance medications, as well as behavioral therapies How to deal with relapses and how to thrive despite OUD Plus a chapter tailored to families with crucial, potentially life-saving information, such as how to select the best treatment program, manage medications, and reverse an overdose.

This text will provide readers with a thorough review of the complex condition of chronic pain and addictions. The book was originally commissioned due to the need in the field for more literature on the topic. This concise pocket book will review epidemiology, clinical features, diagnosis, and medical management of both chronic pain and addiction. Busy healthcare professionals will benefit from this text, which will not only cover the foundation of the management of both conditions and together, but discuss up-to-date national and international treatment guidelines, upcoming therapies and REMS.

"These guidelines were produced by the World Health Organization (WHO), Department of Mental Health and Substance Abuse, in collaboration with the United Nations Office on Drugs and Crime (UNODC) a Guidelines Development Group of technical experts, and in consultation with the International Narcotics Control Board (INCB) secretariat and other WHO departments. WHO also wishes to acknowledge the financial contribution of UNODC and the Joint United Nations Programme on HIV/AIDS (UNAIDS) to this project. " - p. iv

For the first time reports on methadone and heroin maintenance treatment with respect to clinical practice, research, methodological aspects, neuroscience and psychotherapy are brought together in this volume. They arise from a conference held in November 2001 in Basel. The Swiss approach of a highly structured outpatient treatment using methadone, heroin, morphine etc. to keep patients in treatment is discussed. Data of follow-up after heroin-assisted treatment is shown. Also a critical discussion of the history of treatment modalities and its scientific evaluation is presented. Further important topics such as brain imaging, opioid withdrawal, risks of treatment, and basic neurochemical research are presented. The issue concludes with the narrative experience of a practicing psychotherapist. This topical and outstanding overview gives psychiatrists, psychologists and psychotherapists, neuroscientists, physicians as well as decision makers in public health, politicians, counselors and social workers an excellent insight into stimulating and scientific research.

The book begins with a public health/epidemiologic examination of the situation, with a systematic view of the problem based on classic (infectious disease) epidemiologic principles applied to this behavioral health issue. This application is expanded to take into account the fact that unlike most epidemics in our species’ history, a unique factor that must be accounted for in any public health analysis is that the host (opioid-dependent/misusing patient) is generally not under sufficiently strong motivation to avoid the disease. The introduction concludes with a survey of recent containment approaches, categorized epidemiologically by target (agent, vector, host.) The remainder of the book is organized according to this framework, addressing agent, vector/transmission and host, respectively. Sections Three and Four comprise the major focus of the book, and are dedicated primarily to practical education for primary care providers in preventing opioid use disorder, and overcoming it after the fact.

The Clinical Manual for Treatment of Alcoholism and Addictions provides a concise overview of addiction treatment issues relevant to physicians, nurses, psychologists, social workers, alcohol and drug counselors, and rehabilitation therapists who are involved in the care of patients with substance use disorders. Drawing from their extensive experience in treating addictions in both inpatient and outpatient settings, the authors have assembled a wealth of clinical information condensed into one easy-to-read guide. The manual Presents an overview of the genetics, biological markers, and pathophysiology of addiction. Covers specific addictive substances in detail -- including epidemiology, presentation, and diagnosis. Highlights underlying issues related to each substance and includes sections on polysubstance abuse and psychiatric comorbidity. Touches on various evaluation and assessment tools Reviews psychosocial and pharmacological treatment modalities. Throughout the book, complex material is made accessible through the generous use of tables and charts, and key points summarize the important take-away points for each chapter In addition, the manual offers extensive coverage of many different aspects of addiction psychiatry: Specific patient populations, such as children and adolescents, seniors, mentally and physically handicapped persons, the chronically ill, and the homeless Various treatment settings, such as general hospitals, outpatient medical settings, and emergency departments Behavioral addictions, such as pathological gambling, kleptomania, and compulsive buying Violence, crime, and suicidal behavior With their vast impact on our culture and society, substance use disorders may well become one of the main challenges for psychiatry in the twenty-first century. Effective approaches to substance use disorders require treatment combinations tailored specifically to each individual. The Clinical Manual for Treatment of Alcoholism and Addictions is an invaluable tool for informing clinicians about the wide array of treatment options available to help their patients who struggle with substance abuse problems.

Access the latest information available in the challenging area of HIV/AIDS management with Sande's HIV/AIDS Medicine, 2nd Edition. Authored by a veritable "who's who" of current global experts in the field, this medical reference book will provide you with all the practical, indispensable guidance you'll need to offer your patients the best possible care. - Access reliable, up-to-the-minute guidance that addresses the realities of HIV/AIDS management in your geographical region, thanks to contributions from a global cast of renowned expert clinicians and researchers. - Locate the clinically actionable information you need quickly with an organization that mirrors the current state of the AIDS epidemic and the different needs of Western vs. developing-world patients and clinicians. - Diagnose AIDS manifestations confidently by comparing them to full-color clinical images. - Improve patient outcomes with the latest findings on the management of AIDS as a chronic illness. - Efficiently review essential data through numerous at-a-glance tables. - Get the most relevant information available on pediatric HIV and AIDS issues; anti-retroviral drugs, including integrase inhibitors; and the use of second- and third-line anti-retroviral drugs in resource-poor settings. - Stay current on the latest actionable information, such as using antiretroviral therapy in patients with tuberculosis and drug-resistant tuberculosis; antiretroviral therapy; immune reconstitution inflammatory syndromes (IRIS); and implementation of the HPV vaccine.

Integrated care incorporates behavioral and physical health services into primary care and specialty medical environments. Integrated care models are patient-centered; delivered by teams of medical professionals, utilize care coordination, and a population-based approach. This book is practical, office-based, and comfortably accessible to students, residents, faculty, and all mental health professionals, primary care and medical specialists. We examine and recommend applying collaborative care and other existing models of integrated care based on existing literature. When there is no literature supporting a specific approach, our experts offer their ideas and take an aspirational approach about how to manage and treat specific behavioral disorder or problems We assume the use of integrated team staffing including a primary care or specialist provider(s), front desk staff, medical assistant(s), nurse(s), nurse practitioners, behavioral health specialist(s), health coaches, consulting psychiatrist, and care coordinator(s)/manager(s).