Action, Not Rhetoric, Needed to Reverse the Opioid Overdose Epidemic
Corey Davis1, Traci Green1, Leo Beletsky1
1Corey Davis, J.D., M.S.P.H., is with the Network for Public Health Law and the Brody School of Medicine, East Carolina University. Traci Green, Ph.D., Ms.C., is with the Department of Emergency Medicine, Boston University School of Medicine and the Department of Emergency Medicine and Epidemiology, The Warren Alpert School of Medicine of Brown University and Rhode Island Hospital. Leo Beletsky, J.D., M.P.H., is with the School of Law and College of Health Sciences, Northeastern University and the Division of Global Public Health, UC San Diego School of Medicine.
Americans with addiction face stigma and lack access to care. A coordinated, evidence-based public health approach is needed to reduce overdose deaths and improve treatment access.
Area of Science:
- Public Health
- Addiction Medicine
- Health Equity
Background:
- The disease of addiction continues to affect many Americans, yet they often face significant stigma and criminalization.
- Barriers to evidence-based care persist, hindering effective treatment and recovery efforts.
- Overdose deaths remain a critical public health crisis requiring a more effective and equitable response.
Purpose of the Study:
- To present evidence-based and promising practices for improving the public health response to addiction.
- To advocate for a coordinated, equity-focused, and well-funded approach to problematic drug use.
- To highlight strategies for enhancing clinical decision-making and treatment access.
Main Methods:
- Review of current evidence-based and promising practices in addiction treatment and public health.
- Analysis of systemic barriers to care, including stigma and criminalization.
- Exploration of innovative public health and law enforcement strategies.
Main Results:
- Current responses to addiction are often inadequate, characterized by stigma and criminalization rather than evidence-based care.
- Improved clinical decision-making and non-judgmental treatment access are crucial for better outcomes.
- Comprehensive public health approaches and revised law enforcement interactions can mitigate harm.
Conclusions:
- A paradigm shift towards evidence-based, equity-focused strategies is essential to address the addiction crisis.
- Investing in comprehensive public health initiatives and reforming law enforcement interactions are key components of an effective response.
- Reducing overdose deaths necessitates a coordinated and well-funded national strategy prioritizing accessible, non-stigmatizing care.
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