A Dissemination and Implementation Science Approach to the Epidemic of Opioid Use Disorder in the United States

Purpose of Review This review aims to (1) conceptualize the complexity of the opioid use disorder epidemic using a conceptual model grounded in the disease continuum and corresponding levels of prevention and (2) summarize a select set of interventions for the prevention and treatment of opioid use...

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Bibliographic Details
Published in:Current HIV/AIDS reports 2018-10, Vol.15 (5), p.359-370
Main Authors: Mathis, Stephanie M., Hagemeier, Nicholas, Hagaman, Angela, Dreyzehner, John, Pack, Robert P.
Format: Article
Language:English
Subjects:
Addictions
Disease prevention
Drug addiction
Epidemics
Epidemics - prevention & control
Humans
Implementation Science
Medicine
Medicine & Public Health
Models, Theoretical
Narcotics
Opioid-Related Disorders - epidemiology
Opioid-Related Disorders - mortality
Opioid-Related Disorders - prevention & control
Opioids
Primary Prevention - methods
Public health
Public Health - methods
Section Editor
The Global Epidemic (SH Vermund
Topical Collection on The Global Epidemic
United States - epidemiology
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Summary:Purpose of Review This review aims to (1) conceptualize the complexity of the opioid use disorder epidemic using a conceptual model grounded in the disease continuum and corresponding levels of prevention and (2) summarize a select set of interventions for the prevention and treatment of opioid use disorder. Recent Findings Epidemiologic data indicate non-medical prescription and illicit opioid use have reached unprecedented levels, fueling an opioid use disorder epidemic in the USA. A problem of this magnitude is rooted in multiple supply- and demand-side drivers, the combined effect of which outweighs current prevention and treatment efforts. Multiple primary, secondary, and tertiary prevention interventions, both evidence-informed and evidence-based, are available to address each point along the disease continuum—non-use, initiation, dependence, addiction, and death. Summary If interventions grounded in the best available evidence are disseminated and implemented across the disease continuum in a coordinated and collaborative manner, public health systems could be increasingly effective in responding to the epidemic.
ISSN:1548-3568
1548-3576
DOI:10.1007/s11904-018-0409-9