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A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers

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Harm Reduction and Substance Use in Adolescents.

Laurel B Witt¹, Johanna Greenberg², Rebecca E Cantone³

¹Department of Family & Community Medicine, University of Kansas School of Medicine, 3901 Rainbow Boulevard, MS, 4010, Kansas City, KS 66160, USA.

|October 24, 2024

Summary

Adolescent substance use and overdose deaths are high. Primary care settings can provide vital harm reduction strategies and medications for opioid use disorder, but access is currently insufficient.

Keywords:

Addiction Adolescent Harm reduction Medication-assisted treatment Medications for opioid use disorder Substance use Substance use disorder Young adult

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Area of Science:

Public Health
Adolescent Medicine
Substance Use Disorders

Background:

Adolescents face high rates of substance use and overdose deaths.
Primary care settings are frequently accessed by at-risk adolescents.
Current access to harm reduction and treatment is inadequate.

Purpose of the Study:

To highlight the need for improved harm reduction strategies for adolescents.
To emphasize the role of primary care in delivering these interventions.
To discuss evidence-based harm reduction, including medications for opioid use disorder.

Main Methods:

Literature review of harm reduction strategies.
Analysis of primary care's role in adolescent substance use treatment.
Discussion of medication access for opioid use disorder.

Main Results:

Primary care is an underutilized setting for adolescent substance use harm reduction.
Evidence-based strategies, including medications for opioid use disorder, are available.
Adolescents most at risk for overdose regularly visit primary care.

Conclusions:

Primary care settings are crucial for delivering harm reduction to adolescents.
Increased access to medications for opioid use disorder and other harm reduction strategies is urgently needed.
Addressing adolescent substance use in primary care can reduce overdose deaths.