The Drug Addiction Treatment Act Of 2000

1001 WordsNov 2, 20165 Pages
To begin, opioid abuse and addiction have increased in frequency in the United States over the past 20 years.4 In 2009, an estimated 5.3 million persons used opioid medications nonmedically within the past month, 200000 used heroin, and approximately 9.6% of African Americans used an illicit drug.4 Racial and ethnic minorities experience disparities in availability and access to mental health care, including substance use disorders.4,7 Primary care practitioners are often called upon to differentiate between appropriate, medically indicated opioid use in pain management vs inappropriate abuse or addiction.4 Racial and ethnic minority populations tend to favor primary care treatment settings over specialty mental health settings.5,6 Recent therapeutic advances allow patients requiring specialized treatment for opioid abuse and addiction to be managed in primary care settings.4 The Drug Addiction Treatment Act of 2000 enables qualified physicians with readily available short-term training to treat opioid-dependent patients with buprenorphine in an office-based setting, potentially making primary care physicians active partners in the diagnosis and treatment of opioid use disorders.4,11 Moreover, opioid drugs are potent modulators of many physiological and psychological processes. When given acutely, they can elicit the signature responses of euphoria and analgesia that societies have coveted for centuries.1 Repeated, or chronic, use of opioids induces adaptive or allostatic
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