Title Opportunities to improve opioid use disorder and infectious disease services : integrating responses to a dual epidemic / Committee on the Examination of the Integration of Opioid and Infectious Disease Prevention Efforts in Select Programs, Board on Population Health and Public Health Practice, Health and Medicine Division, National Academies of Sciences, Engineering, and Medicine

Published Washington, DC : National Academies Press, [2020]

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Description 1 online resource (1 PDF file (xiv, 201 pages)) : illustrations Series Consensus study report Consensus study report. Contents Intro -- TITLE PAGE -- COPYRIGHT PAGE -- TABLE OF CONTENTS -- PREFACE -- SUMMARY -- 1 INTRODUCTION -- Charge to the Committee and Study Process -- The Committee's Approach -- Organization of the Report -- 2 SCOPE OF THE PROBLEM -- The Interplay Between Opioid Use Disorder and Infectious Diseases -- National Response to HIV and the Ryan White Care Act -- National Opioid Policy and Strategy -- Dissociation of Substance Use Treatment from Primary Care and Infectious Disease Treatment -- 3 BARRIERS TO INTEGRATION -- Prior Authorization Policies -- Data Waiver Requirement Lack of Data Integration and Sharing -- Inadequate Workforce and Training -- Stigma -- Payment and Financing Limitations -- Same-Day Billing Restrictions -- Limits on Harm-Reduction Services -- Disconnect Between the Health and Criminal Justice Systems -- REFERENCES -- APPENDIXES -- A Case Studies of Select Programs -- B Public Meeting Agendas -- C Committee Biographical Sketches Summary Opioid use and infectious diseases are intertwined epidemics. Despite the fact that the United States is more than two decades into the opioid crisis -- the cause of tens of thousands of deaths every year on its own -- the health system has not sufficiently addressed the morbidity and mortality of drug use coupled with infectious diseases. This is at least in part due to traditional models of substance use disorder care wherein substance use disorder treatment is delivered independently of other medical care, thereby inhibiting the delivery of comprehensive care. As a result, the United States is experiencing a drastic increase in infectious diseases that spread with drug use. Opportunities to Improve Opioid Use Disorder and Infectious Disease Services examines current efforts to integrate care and describes barriers, such as inadequate workforce and training; lack of data integration and sharing; and stigma among people who use drugs and have also been diagnosed with an infectious disease. The conclusions and recommendations of this report will help to promote patient-centered, integrated programs to address this dual epidemic Analysis Medical Policy Public Health Political Science Medical Bibliography Includes bibliographical references Notes This activity was supported by a contract between the National Academy of Sciences and the Department of Health and Human Services. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project Online resource; title from PDF title page (viewed June 15, 2020) Subject Substance abuse -- Treatment. Drug abuse -- Treatment. Drug addiction -- Treatment. Opioid abuse -- Treatment Communicable diseases -- Diagnosis. Comorbidity. Integrated delivery of health care. Opioid-Related Disorders -- epidemiology Communicable Diseases -- epidemiology Comorbidity Preventive Health Services Delivery of Health Care, Integrated Integrated delivery of health care Comorbidity Communicable diseases -- Diagnosis Drug abuse -- Treatment Drug addiction -- Treatment Opioid abuse -- Treatment Substance abuse -- Treatment United States Form Electronic book ISBN 0309663474 9780309663472

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