CLARK Prescription Drug Abuse - Misuse Neurobiology Epidemiology EBPs

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“Advancing Access to Addiction Medications” This 2013 ASAM-commissioned report found that Medicaid agencies in only 28 states cover all 3 FDA approved medications; and that private insurers & Medicaid state agencies often impose rigid, scientifically indefensible limitations on medically necessary substance abuse treatment. 70
“Advancing Access to Addiction Medications” As PEW noted in its coverage of this report: • “You wouldn’t deprive a diabetic of insulin”, and you “wouldn’t hold back a statin from a patient with high cholesterol.” • While we are working to reduce prescription drug misuse, abuse, & diversion, we must ensure that people with a legitimate medical need for these drugs can afford them and can access them without barriers, impediments, or constraints. 71
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Prescription Drug Abuse & Misuse: N
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Secretary Kathleen Sebelius U.S. De
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Prescription Drugs Abuse & Misuse:
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Topics Neurobiology Epidemiology EB
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Addiction is a Chronic Brain Diseas
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Movement Motivation Dopamine Addict
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Slide courtesy of NIDA 14
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Dopamine & Exogenous Opioids: Hyper
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Other Neurotransmitter Systems Scie
Page 20 and 21: Opioid Binding Sites Adapted from N
Page 22 and 23: One Size Does Not Fit All: Addictio
Page 24 and 25: Topics Neurobiology Epidemiology Tr
Page 26 and 27: Past Month Nonmedical Use of Types
Page 28 and 29: Source Where Pain Relievers Were Ob
Page 30 and 31: Past Month and Past Year Heroin Use
Page 32 and 33: Past Year Initiates of Specific Ill
Page 34 and 35: Substances for Which Most Recent Tr
Page 36 and 37: Percentage of ED visits involving n
Page 38 and 39: Opioid Related Emergency Department
Page 40 and 41: Topics Neurobiology Epidemiology EB
Page 42 and 43: ROSC: A Way to Better Health for Al
Page 44 and 45: ROSC Framework Provides a coordinat
Page 46 and 47: One Size Does Not Fit All: Evidence
Page 48 and 49: Medication Assisted Treatment MAT i
Page 50 and 51: EBP: Rehabilitation & Therapeutic M
Page 52 and 53: EB Treatment is Complicated: Interd
Page 54 and 55: EBP Opioid Overdose Toolkit Over 23
Page 56 and 57: EBP Treatment Protocols and KAP Key
Page 58 and 59: EBP Consensus Guidelines (in proces
Page 60 and 61: EBP Literature Reviews September 20
Page 62 and 63: EBP: SBIRT’s Return-on-Investment
Page 64 and 65: SAMHSA Block Grants (Dollars in Tho
Page 66 and 67: Implementation of National Action P
Page 68 and 69: Key Takeaways of National Action Pl
Page 72: THANK YOU! Westley.Clark@samhsa.hhs
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CLARK Prescription Drug Abuse - Misuse Neurobiology Epidemiology EBPs

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