Reflecting a comprehensive VA effort to improve pain management, in 2007 fewer veterans received high doses of opioids and more veterans received non-opioid pain therapies, naloxone, and treatment for substance use disorders.
Abundant supply of opioids was one of the major causes of the opioid crisis. Broader supply-side policies that consider the full market, if coupled with effective treatment, are likely to be effective and resistant to substitution effects.
Outpatient guidelines can help hospitalists evaluate inpatients on long-term opioid therapy, but more work is needed to help providers make decisions for inpatients that balance effective pain treatment and opioid risk reduction.
Among Medicaid recipients, high-risk prescribing of opioids occurred in 39.4% of episodes. Four characteristics -- older age, rural county of residence, white race, and major depression diagnosis -- were associated with higher rates of all types of high-risk prescribing.
Recent strategies to combat the opioid epidemic have had some success. But much more research is needed to understand their effectiveness. For pressing funding decisions, policymakers should focus on tactics that address both prescription opioid and heroin use.
This report presents the framework of an analytic tool that can help the military predict future trends in PDM based on current demographics of active-duty service members and rates of injury and prescribing of prescription drugs.
Many American physicians who prescribe buprenorphine to treat individuals addicted to opioids are prescribing substantially below the patient limits allowed by law. More than 20 percent of waivered physicians treated only three or fewer patients.
Opioid overdoses were the greatest cause of accidental death in America in 2014. A panel discussion at RAND addressed the epidemic, including societal attitudes toward pain and addiction, poor understanding of the mechanics of addiction itself, economic drivers, legal responses, and treatment approaches.
Guidance on how to prevent or treat the misuse of prescription drugs in the U.S. Department of Defense and Veterans Administration is similar to directives outside the military system, and tends to focus on opioids.
This pilot study will assess whether coupling social network visualizations with motivational interviewing can help Housing First participants transition away from homelessness and high-risk behaviors, such as substance use and risky sexual activity.
RAND research, analysis, and expertise provide context for many of the issues discussed in President Barack Obama's final State of the Union address, including the threat of ISIS, global climate change, and bringing peace to Syria.
Increasing the number of physicians who can prescribe buprenorphine for opioid abuse and supporting their ability to treat more patients may be the fastest approach to enhancing capacity for treatment, particularly in less populated counties.