Prescription Drug Issues In The Department Of Veterans Affairs

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Substance Use Disorders in the U.S. Armed Forces

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309260558
Total Pages : 350 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Substance Use Disorders in the U.S. Armed Forces by : Institute of Medicine

Download or read book Substance Use Disorders in the U.S. Armed Forces written by Institute of Medicine and published by National Academies Press. This book was released on 2013-03-21 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: Problems stemming from the misuse and abuse of alcohol and other drugs are by no means a new phenomenon, although the face of the issues has changed in recent years. National trends indicate substantial increases in the abuse of prescription medications. These increases are particularly prominent within the military, a population that also continues to experience long-standing issues with alcohol abuse. The problem of substance abuse within the military has come under new scrutiny in the context of the two concurrent wars in which the United States has been engaged during the past decade-in Afghanistan (Operation Enduring Freedom) and Iraq (Operation Iraqi Freedom and Operation New Dawn). Increasing rates of alcohol and other drug misuse adversely affect military readiness, family readiness, and safety, thereby posing a significant public health problem for the Department of Defense (DoD). To better understand this problem, DoD requested that the Institute of Medicine (IOM) assess the adequacy of current protocols in place across DoD and the different branches of the military pertaining to the prevention, screening, diagnosis, and treatment of substance use disorders (SUDs). Substance Use Disorders in the U.S. Armed Forces reviews the IOM's task of assessing access to SUD care for service members, members of the National Guard and Reserves, and military dependents, as well as the education and credentialing of SUD care providers, and offers specific recommendations to DoD on where and how improvements in these areas could be made.

Pain Management and the Opioid Epidemic

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309459575
Total Pages : 483 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Pain Management and the Opioid Epidemic by : National Academies of Sciences, Engineering, and Medicine

Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

VA health care overview

Author : United States. Department of Veterans Affairs
Publisher :
ISBN 13 :
Total Pages : 22 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis VA health care overview by : United States. Department of Veterans Affairs

Download or read book VA health care overview written by United States. Department of Veterans Affairs and published by . This book was released on 2004 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Evaluation of the Department of Veterans Affairs Mental Health Services

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309466601
Total Pages : 467 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Evaluation of the Department of Veterans Affairs Mental Health Services by : National Academies of Sciences, Engineering, and Medicine

Download or read book Evaluation of the Department of Veterans Affairs Mental Health Services written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-03-29 with total page 467 pages. Available in PDF, EPUB and Kindle. Book excerpt: Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.

Medications for Opioid Use Disorder Save Lives

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309486483
Total Pages : 175 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Medications for Opioid Use Disorder Save Lives by : National Academies of Sciences, Engineering, and Medicine

Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.

Combating Tobacco Use in Military and Veteran Populations

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309146844
Total Pages : 381 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Combating Tobacco Use in Military and Veteran Populations by : Institute of Medicine

Download or read book Combating Tobacco Use in Military and Veteran Populations written by Institute of Medicine and published by National Academies Press. This book was released on 2009-10-21 with total page 381 pages. Available in PDF, EPUB and Kindle. Book excerpt: The health and economic costs of tobacco use in military and veteran populations are high. In 2007, the Department of Veterans Affairs (VA) and the Department of Defense (DoD) requested that the Institute of Medicine (IOM) make recommendations on how to reduce tobacco initiation and encourage cessation in both military and veteran populations. In its 2009 report, Combating Tobacco in Military and Veteran Populations, the authoring committee concludes that to prevent tobacco initiation and encourage cessation, both DoD and VA should implement comprehensive tobacco-control programs.

Prescription Drug Issues in the Department of Veterans Affairs

Author : United States. Congress. Senate. Committee on Veterans' Affairs
Publisher :
ISBN 13 :
Total Pages : 80 pages
Book Rating : 4.:/5 (327 download)

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Book Synopsis Prescription Drug Issues in the Department of Veterans Affairs by : United States. Congress. Senate. Committee on Veterans' Affairs

Download or read book Prescription Drug Issues in the Department of Veterans Affairs written by United States. Congress. Senate. Committee on Veterans' Affairs and published by . This book was released on 2002 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:

An Approach to Evaluate the Effects of Concomitant Prescribing of Opioids and Benzodiazepines on Veteran Deaths and Suicides

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309495997
Total Pages : 111 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis An Approach to Evaluate the Effects of Concomitant Prescribing of Opioids and Benzodiazepines on Veteran Deaths and Suicides by : National Academies of Sciences, Engineering, and Medicine

Download or read book An Approach to Evaluate the Effects of Concomitant Prescribing of Opioids and Benzodiazepines on Veteran Deaths and Suicides written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-10-16 with total page 111 pages. Available in PDF, EPUB and Kindle. Book excerpt: Opioid prescriptions for acute and chronic pain increased dramatically from the late 1990s into the current decade in both the civilian and the Department of Veterans Affairs and Department of Defense treatment environments. Similarly, prescriptions for benzodiazepines also increased significantly for anxiety and insomnia. Combinations of opioid and benzodiazepines have proven fatal when taken concurrently, with research demonstrating this phenomenon for nearly 40 years. This issue is exacerbated within the veteran population because of higher rates of pain, anxiety and other related health issues due to military life. An evaluation of the relationship between opioid and benzodiazepine medication practices at the VA is necessary to improve treatment for mental health and combat-related trauma for veterans. An Approach to Evaluate the Effects of Concomitant Prescribing of Opioids and Benzodiazepines on Veteran Deaths and Suicides investigates the effects of opioid initiation and tapering strategies in the presence of benzodiazepines in veterans. This report explores neurobiology and the principles of addiction and tolerance, in addition to the current use of opioids and benzodiazepines for treating pain and anxiety in both the veteran and general population. It also provides a protocol to evaluate the relationship between opioid and benzodiazepine medication practices. This framework is a critical foundation for further research to improve concomitant opioid and benzodiazepine medication practices for veterans and the general population.

Mental Health, Inc.

Author : Art Levine
Publisher : Abrams
ISBN 13 : 1468315315
Total Pages : 310 pages
Book Rating : 4.4/5 (683 download)

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Book Synopsis Mental Health, Inc. by : Art Levine

Download or read book Mental Health, Inc. written by Art Levine and published by Abrams. This book was released on 2017-08-15 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: The mental health system in America is hardly the front-burner issue it should be, despite lip service about reform after each new tragic mass killing. Yet every American should care deeply about fixing a system a presidential commission reported was in “shambles.” By some measures, 20 percent of Americans have some sort of mental health condition, including the most vulnerable among us—veterans, children, the elderly, prisoners, the homeless.With Mental Health, Inc., award-winning investigative journalist Art Levine delivers a Shock Doctrine-style exposé of the failures of our out of control, profit-driven mental health system, with a special emphasis on dangerous residential treatment facilities and the failures of the pharmaceutical industry, including the overdrugging of children with antipsychotics and the disastrous maltreatment of veterans with PTSD by the scandal-wracked VA.Levine provides compelling narrative portraits of victims who needlessly died and some mentally ill people who won unexpected victories in their lives by getting smart, personalized help from “pyschosocial” programs that incorporate safe and appropriate prescribing, along with therapy and social support. He contrasts their stories with corrupt Big Pharma executives and researchers who created fraudulent marketing schemes. Levine also tells the dramatic David vs. Goliath stories of a few brave reformers, including Harvard-trained psychiatrist and researcher Dr. Stefan Kruszewski, who has acted as a whistleblower in several major cases, leading to important federal and state settlements; in addition, the book spotlights pioneering clinicians challenging outmoded, drug-and-sedate practices that leave 90 percent of people with serious mental illness too disabled to work.By taking a comprehensive look at mental health abuses and dangerous, ineffective practices as well as pointing toward solutions for creating a system for effective, proven and compassionate care, Art Levine’s essential Mental Health, Inc. is a call to action for politicians and citizens alike—needed now more than ever.

Rethinking Substance Abuse

Author : William R. Miller
Publisher : Guilford Press
ISBN 13 : 1606236997
Total Pages : 337 pages
Book Rating : 4.6/5 (62 download)

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Book Synopsis Rethinking Substance Abuse by : William R. Miller

Download or read book Rethinking Substance Abuse written by William R. Miller and published by Guilford Press. This book was released on 2011-08-18 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: While knowledge on substance abuse and addictions is expanding rapidly, clinical practice still lags behind. This book brings together leading experts to describe what treatment and prevention would look like if it were based on the best science available. The volume incorporates developmental, neurobiological, genetic, behavioral, and social–environmental perspectives. Tightly edited chapters summarize current thinking on the nature and causes of alcohol and other drug problems; discuss what works at the individual, family, and societal levels; and offer robust principles for developing more effective treatments and services.

Improving the Quality of Health Care for Mental and Substance-Use Conditions

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309133661
Total Pages : 528 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Improving the Quality of Health Care for Mental and Substance-Use Conditions by : Institute of Medicine

Download or read book Improving the Quality of Health Care for Mental and Substance-Use Conditions written by Institute of Medicine and published by National Academies Press. This book was released on 2006-03-29 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

Oxford Handbook of Clinical Pharmacy

Author : Phil Wiffen
Publisher : Oxford University Press, USA
ISBN 13 : 0199603642
Total Pages : 696 pages
Book Rating : 4.1/5 (996 download)

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Book Synopsis Oxford Handbook of Clinical Pharmacy by : Phil Wiffen

Download or read book Oxford Handbook of Clinical Pharmacy written by Phil Wiffen and published by Oxford University Press, USA. This book was released on 2012-01-26 with total page 696 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook is the definitive quick reference guide to clinical pharmacy, providing practising and student pharmacists with a wealth of practical information.

The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder

Author : American Psychiatric Association
Publisher : American Psychiatric Pub
ISBN 13 : 0890426821
Total Pages : 226 pages
Book Rating : 4.8/5 (94 download)

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Book Synopsis The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder by : American Psychiatric Association

Download or read book The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder written by American Psychiatric Association and published by American Psychiatric Pub. This book was released on 2018-01-11 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: Alcohol use disorder (AUD) is a major public health problem in the United States. The estimated 12-month and lifetime prevalence values for AUD are 13.9% and 29.1%, respectively, with approximately half of individuals with lifetime AUD having a severe disorder. AUD and its sequelae also account for significant excess mortality and cost the United States more than $200 billion annually. Despite its high prevalence and numerous negative consequences, AUD remains undertreated. In fact, fewer than 1 in 10 individuals in the United States with a 12-month diagnosis of AUD receive any treatment. Nevertheless, effective and evidence-based interventions are available, and treatment is associated with reductions in the risk of relapse and AUD-associated mortality. The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder seeks to reduce these substantial psychosocial and public health consequences of AUD for millions of affected individuals. The guideline focuses specifically on evidence-based pharmacological treatments for AUD in outpatient settings and includes additional information on assessment and treatment planning, which are an integral part of using pharmacotherapy to treat AUD. In addition to reviewing the available evidence on the use of AUD pharmacotherapy, the guideline offers clear, concise, and actionable recommendation statements, each of which is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms. The guideline provides guidance on implementing these recommendations into clinical practice, with the goal of improving quality of care and treatment outcomes of AUD.

Behavioral Couples Therapy for Alcoholism and Drug Abuse

Author : Timothy J. O'Farrell
Publisher : Guilford Press
ISBN 13 : 1462507069
Total Pages : 450 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Behavioral Couples Therapy for Alcoholism and Drug Abuse by : Timothy J. O'Farrell

Download or read book Behavioral Couples Therapy for Alcoholism and Drug Abuse written by Timothy J. O'Farrell and published by Guilford Press. This book was released on 2012-03-12 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: This eminently practical guide presents an empirically supported approach for treating people with substance abuse problems and their spouses or domestic partners. Behavioral couples therapy (BCT) explicitly focuses on both substance use and relationship issues, and is readily compatible with 12-step approaches. In a convenient large-size format, the book provides all the materials needed to introduce BCT; implement a recovery contract to support abstinence; work with clients to increase positive activities, improve communication, and reduce relapse risks; and deal with special treatment challenges. Appendices include a session-by-session treatment manual and 70 reproducible checklists, forms, and client education posters.

Mental Health Practice in a Digital World

Author : Naakesh A. Dewan
Publisher : Springer
ISBN 13 : 3319141090
Total Pages : 235 pages
Book Rating : 4.3/5 (191 download)

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Book Synopsis Mental Health Practice in a Digital World by : Naakesh A. Dewan

Download or read book Mental Health Practice in a Digital World written by Naakesh A. Dewan and published by Springer. This book was released on 2015-03-04 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of the Mental Health Practice in a Digital World: A Clinicians Guide book is to prepare clinicians to understand, critically evaluate, and embrace well-designed and validated technologies that have the potential of transforming the access, affordability, and accountability of mental healthcare. The reader will become aware of the practical applications of technology in mental health as well as research supporting information technology tools, policy debates. Each chapter contains either examples or scenarios that are relevant to the current practice of mental health care. Policy makers, application developers, scientists, and executives that have lead or supported the use of technologies in real world practice are chapter authors. The goal for this book is to be the key resource for current and future mental health clinicians in the U.S. and around the world to become familiar with technology innovations and how they impact and improve clinical practice.

VA Opioid Prescription Policy, Practice, and Procedures

Author : United States. Congress. Senate. Committee on Veterans' Affairs
Publisher :
ISBN 13 :
Total Pages : 109 pages
Book Rating : 4.:/5 (21 download)

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Book Synopsis VA Opioid Prescription Policy, Practice, and Procedures by : United States. Congress. Senate. Committee on Veterans' Affairs

Download or read book VA Opioid Prescription Policy, Practice, and Procedures written by United States. Congress. Senate. Committee on Veterans' Affairs and published by . This book was released on 2016 with total page 109 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Treatment Improvement Protocol (TIP) 63: Medications for Opioid Use Disorder

Author : Substance Abuse Mental Health Services Administration/SAMHSA (U.S.)
Publisher : Government Printing Office
ISBN 13 : 0160943752
Total Pages : 398 pages
Book Rating : 4.1/5 (69 download)

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Book Synopsis Treatment Improvement Protocol (TIP) 63: Medications for Opioid Use Disorder by : Substance Abuse Mental Health Services Administration/SAMHSA (U.S.)

Download or read book Treatment Improvement Protocol (TIP) 63: Medications for Opioid Use Disorder written by Substance Abuse Mental Health Services Administration/SAMHSA (U.S.) and published by Government Printing Office. This book was released on 2018-06-05 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Treatment Improvement Protocol (TIP) reviews the use of the three Food and Drug Administration (FDA)-approved medications used to treat opioid use disorder (OUD)—methadone, naltrexone, and buprenorphine—and provides guidance for healthcare professionals and addiction treatment providers on appropriate prescribing practices for these medications and effective strategies for supporting the patients utilizing medication for the treatment of OUD. The goal of treatment for opioid addiction or OUD is remission of the disorder leading to lasting recovery. Recovery is a process of change through which individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential. This TIP also educates patients, families, and the general public about how OUD medications work and the benefits they offer. Related products: Medication-Assisted Treatment of Opioid Use Disorder: Pocket Guide A Shared Burden: The Military and Civilian Consequences of Army Pain Management Since 2001 Click our Alcoholism, Smoking & Substance Abuse collection to find more resources on this topic.