In less than six years, the number of fatal overdoses in the United States that involve synthetic opioids has increased tenfold. Where are synthetic opioids concentrated? And to what extent is the problem spreading?
Supervised consumption sites (SCS) operate in more than 10 countries. We review the higher-quality SCS literature and discuss the evidence through the lens of three types of decision makers and from three intellectual perspectives.
In this article, we examined characteristics of adolescents who reported DUI and RWID in the past year using a baseline survey and then assessed associations between baseline reports of DUI and RWID with reports of alcohol and marijuana use and consequences 6 months later.
In addition to violence, contraband, and compromised staff members, correctional institutions are facing newer security threats like computer hacks, synthetic drugs, cell phones, and drones. An expert workshop identified high-priority needs for countering these threats.
An overview of testimony by Bryce Pardo presented before the House Committee on Homeland Security, Subcommittee on Intelligence and Counterterrorism and Subcommittee on Border Security, Facilitation, and Operations, on July 25, 2019.
The drivers behind U.S. overdose deaths have changed in the last ten years. Today's problem largely comes from illicitly manufactured synthetic opioid powders, particularly fentanyl, much of which comes from China. Congress and executive agencies will need to look beyond available drug policy tools when considering responses.
An expert panel of law enforcement leaders identified challenges facing law enforcement today, and their priorities are presented in this report. Panel members discussed needs for innovation that, if pursued, might help resolve those challenges.
To realize the gains envisioned by recent legislation, the Administration and Congress should prioritize additional funding to modernize our child welfare system to meet the unique needs of families affected by substance misuse.
This issue spotlights a strategy to reduce roadway deaths to zero; a school principal initiative that yielded positive results for schools and students; and a data-driven effort to enhance equity in a major U.S. city.
Among young adults in Los Angeles County, living near more MMDs is positively associated with more frequent use of marijuana within the past month and greater expectations of marijuana's positive benefits.
Young adults who live in neighborhoods with more medical marijuana dispensaries use marijuana more frequently than their peers and have more-positive views about the drug. The associations were strongest among young adults who lived near dispensaries that had storefront signs.
Analyzing the potential effects of the broad range of perceived discrimination (PD) experiences, including both overt PD and racial microaggressions, among urban American Indian/Alaska Native adolescents on health outcomes offers a unique opportunity to further our understanding of these health disparities.
LGB opioid disparities varied significantly by sexual identity &gender. All LGB subgroups had elevated lifetime pain reliever misuse. Bisexual women uniquely had elevated OUD rates and lifetime injection heroin use.
Chronic pain is prevalent among Veterans in general, but especially among younger Veterans, including participants in Operation Enduring Freedom, Operation Iraqi Freedom and Operation New Dawn. Musculoskeletal pain is the most common type of chronic pain. This pain also often co-occurs with conditions such as anxiety, depression, post-traumatic stress disorder, and substance abuse.
This article addresses the use of a variety of nonherbal CIH therapies among any large patient population having chronic pain by exploring the frequency and predictors of CIH therapy use among a national population of VHA users with chronic musculoskeletal pain.
Given China's recent decision to ban the unauthorized manufacture of fentanyl, authorities there appear to recognize a growing problem. But China cannot solve the U.S. opioid problem. The United States could do more to reduce demand for opioids as well as drug users' exposure to these powerful drugs.
Although many states have passed some type of law affecting naloxone availability, only laws allowing direct dispensing by pharmacists appear to be useful. Communities in which access to naloxone is improved should prepare for increases in nonfatal overdoses and link these individuals to effective treatment.
Strict policies traditionally embraced by Asian nations to discourage illicit drug use are beginning to change, with a few nations adopting alternative approaches while other nations are taking an even harder line against drugs.