Substance Use Disorders ( Sud )

According to the SAMHSA (2010) report on the national survey on drug use and health almost 22.5 million people are reported to be associated with substance abuse disorder (SAMHSA, 2010). This illness was found to be very common in all age groups, both sex, and seniors. There are several effects on these individuals and their families. Many people who suffer from substance abuse disorders fail to acknowledge these serious consequences. First of all, no response of pain relief can be seen with smaller doses of pain medications, as their bodies are used to high levels of various substances at the same time. Nurses become frustrated when they try to treat and help these patients with pain. Sometimes it is difficult to think about ethical principles when nurses have to deal with such patients with pain and suffering.

If you watch the news it should come as no surprise that drug abuse and overdoses have increased dramatically in the United States. According to the National Institute on Drug Abuse, as many as 36 million people abuse opioids throughout the world with 2.1 million in the U.S. who currently suffer from opioid abuse disorders (National Institute on Drug Abuse, 2014). These astonishing numbers are only marginalized when comparing them to opioid related deaths in the United States. With an increase of 137 percent since 2000, deaths from drug overdoses now occur 1.5 times more often than deaths from motor vehicle accidents (Rudd Aleshire, Zibbell & Gladden, 2016). The opioid epidemic in the

Abuse and SUD can be separated by categories. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), define substance use disorders that are mild, moderate, or severe. It is within these levels that certain criteria’s are meet Substance use disorders occur when the recurrent use of alcohol and/or drugs causes clinically and functionally significant impairment, such as health problems, disability, and failure to meet major responsibilities at work, school, or home (“Substance use disorder”, 2015). Other determining factors that define substance use disorder in the DSM-5 manual is the impaired control, social impairment,

March 23, 2010 is a significant date for the United States. Following a long and controversial political and legislative process President Obama signed the Patient Protection and Affordable Care Act (PPACA) into law. This pushed for the most significant changes to the United States health care system since Medicare and Medicaid back in 1965. The main stance of the act is to offer affordable benefits for all people including those who cant afford it. The Affordable Care Act includes a series of reforms that positively expand on the existing system of employer-sponsored insurance (ESI). It creates new requirements for individuals, employers, health care providers, and insurance companies (French, 2016). The ACA includes multiple strategies to target different populations and increase insurance coverage. It has offered many changes to medical benefits, treatments, as well as the quality of life. Specifically under the ACA, benefits for those who are struggling with a substance use disorder are mandated. One of those expansions in the ACA is the Mental Health Parity and Addiction Equity Act (Advanced Recovery, 2016). This act ensures that insurance companies offer coverage for mental health disorders and treatment. A brief yet significant statement in the ACA states those with substance use disorders will be classified as suffering from a mental health disorder. The coverage for those who have struggled with an addiction allows for understanding on how

America is in the midst of yet another drug-related epidemic only this time it is the worst opioid overdose epidemic the world has seen since the late 1990’s. According to the Center for Disease Control and Prevention (CDC 2016), “since 1999, the number of overdose deaths involving opioids has quadrupled.” Opioids (including prescription opioids and heroin) killed more than 33,000 people in 2015, more than any year on record. (Rudd, Seth, David, School, 2015). With overdoses from heroin, prescription drugs, and opioid pain relievers surpassing car accidents as the leading cause of injury-related death in America, it became clear that swift and comprehensive legislation was needed for treatment, recovery support and prevention education in communities

There are many differing viewpoints in the United States when dealing with drug policy. Within the political arena, drug policy is a platform that many politicians base their entire campaigns upon, thus showing its importance to our society in general. Some of these modes within which drug policy is studied are in terms of harm reduction, and supply reduction. When studying the harmful effects of drugs, we must first to attempt to determine if drug abuse harms on an individual level of if it is a major cause of many societal problems that we face today. In drawing a preliminary conclusion to this question we are then able to outline the avenues of approach in dealing

“Evidence combined with the growing recognition that physical, mental, substance abuse and social challenges are interrelated-has led to calls to integrate behavioral health care into primary care services.” (Klein & Hostetter, 2014, p. 9) Behavioral health and substance abuse treatment in the primary care office is rare and in some cases non-existent. This is mostly due to no or little financial incentive or administrative advantages to integrating these services within the primary care office. Dr. Roger Kathol, M.D. president of the Cartesian Solutions Inc., believes the biggest obstacle in integrating mental health and substance abuse treatment into the primary care office is low payment from payers. Payers use separate provider networks,

I read a news article on Medscape which talks about increasing access to mental health care. The rule require provisions of the Mental Health Parity and Addiction Equity Act of 2008 to apply to the majority of Medicaid plans and the Children’s Health Insurance Program (CHIP) (Brooks, 2015). The act ensures that mental health and substance use disorder benefits are no more restrictive than medical and surgical services (Brooks, 2015). I strongly believe that individuals deserve access to quality mental health services and substance use disorder services. In addition, improving quality and access to care will impacts the health of our nation. The proposed rule ensures that all beneficiaries who receive services through a managed care plan or

Drug abuse and addiction remain large and persistent problems. Nationally, addiction and abuse of all substances costs the economy an estimated $600 billion dollars annually. Indeed, over the past decade, illicit drug use appears to be steady or rising (2011 National Survey on Drug Use and Health; DHHS). From this we see that prescription and non-prescription opioid use is particularly problematic. For example, prescription pain reliever misuse has remained consistently high for most of the last decade and makes up the largest portion of misuse of prescription drugs (Figure 1). In addition people who report using heroin within the last year has increased by over 50% since 2001 (Figure 2).

In the United States, the rise in both illicit drug and alcohol abuse is continuing at an alarming rate. In 2009 alone, the United States saw 23.5 million people over the age of 12 needing treatment for drug or alcohol abuse (National Institute of Drug Abuse, 2011). Per the Drug Enforcement Administration, in the same year (2009), almost 32,000 arrests on drug related charges were carried out (Drug Enforcement Administration, 2015). Even with the threat of prison time, and most federal prisons being filled with inmates on drug and alcohol related charges, 46.4% in 2016 the use and abuse of these substances is still on the rise (Federal Bureau of Prisons, 2016). Because of this, and the seemingly ineffective incarceration system, the call for

This article is about the cost of prescription opioid being abused, dependent on and being misused by individuals in the United States. The authors believed that the cost of prescription opioid abuse has become a burden for the United States as a society. Furthermore, the authors believe that the realms of health care, criminal justice and lost workplace productivity are faced with the most challenges of the burden caused by opioid abuse (Birnbaum, White, Schiller, Waldman, Cleveland, & Roland, 2011). The authors assumed to lessen the economic burden of prescription opioid abuse, there is a continuous need of effort from academic researchers, industry, health care providers, and government to implement appropriate actions (Birnbaum, White et

In and around most large cities in America, the rising substance abuse epidemic has brought about a renewed interested in determining the root cause of substance abuse, the effects of substance abuse on individuals and societies, and the substance abuse treatment modalities that achieve the best outcomes. In reviewing the current research on substance abuse there seems to be no one clear cause of substance abuse disorders, although there is strong evidence that a number of life circumstances may predispose an individual to a substance abuse disorder, as well as a number of protective factors that may reduce an individual’s risk of developing a substance abuse disorder. One important risk factor that is commonly associated with substance

Substance abuse and addiction have become a social problem that afflicts millions of individuals and disrupts the lives of their families and friends. Just one example reveals the extent of the problem: in the United States each year, more women and men die of smoking related lung cancer than of colon, breast and prostate cancers combined (Kola & Kruszynski, 2010). In addition to the personal impact of so much illness and early death, there are dire social costs: huge expenses for medical and social services; millions of hours lost in the workplace; elevated rates of crime associated with illicit drugs; and scores of children who are damaged by their parents’ substance abuse behavior (Lee, 2010). This paper will look at

It’s easy to lose track of the chaos that happens in the world on a day to day basis when your main priority is deciding what to eat for lunch tomorrow, or even dreading your next shift; yet we can turn on the news and hear about the most recent overdose and not even blink an eye. The blatant disregard for drug addicts today is at an ultimate high. In the past two years alone, more people have died from opiate addiction than they have in the entire Vietnam War. The fact that drug users are seen as lower class members of society as only aided in the increase of addiction and death, killing more Americans than HIV/AIDS did at its peak. Though the epidemic did not occur overnight, it has recently become one of America’s biggest health confrontations. Although there is no absolute solution, in order to decelerate the prevailing wave of usage and overdose/death, decriminalization in correlation to government funded programs could give ease to the definition of the word “epidemic”.

Drug abuse is a major public health issue that impacts society both directly and indirectly; every person, every community is somehow affected by drug abuse and addiction and this economic burden is not exclusive to those who use substance, it inevitably impacts those who don 't. Drugs impact our society in various ways including but not limited to lost earnings, health care expenditures, costs associated with crime, accidents, and deaths. The use of licit or illicit drugs long term, causes millions of deaths and costs billions for medical care and substance abuse rehabilitation and the effects of drug abuse extend beyond users, spilling over into the society at large, imposing increasing