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Stigma Said to Slow Opioid Treatment and Prevention Efforts

Stigma Said to Slow Opioid Treatment and Prevention Efforts

New research finds that efforts to reverse the nation’s opioid epidemic are hampered by a variety of factors including reluctance by the American health care system to use medications such as methadone to treat opioid use disorder.

Oregon investigators said that although more than one-third of the American population used prescription opioids as of 2015, a persistent stigma hampers effective care.

With an estimated 60,000 drug overdose deaths in 2016 alone, researchers emphasize the need for the American health care system to embrace medications to treat opioid use disorder, provide addiction treatment in primary care clinics, and develop non-addictive alternatives for chronic pain.

“Opioid prevention and treatment efforts in the United States remain constrained and consequently stigmatized by a legacy of federal restrictions, an unwillingness to acknowledge idiopathic addiction, and a lack of science-based interventions for chronic pain,” the authors write.

Co-authors include Dennis McCarty, Ph.D., a professor of public health in the OHSU-Portland State University School of Public Health; Kelsey Priest, M.P.H., an M.D./Ph.D. student in the OHSU School of Medicine and OHSU-PSU School of Public Health; and Todd Korthuis, M.D., M.P.H.; an associate professor of medicine (general internal medicine and geriatrics) in the OHSU School of Medicine.

The article will appear online in the forthcoming volume of the Annual Review of Public Health.

The review traced the treatment of opioid use disorder in the United States dating back to the 1930s, with particular focus beginning with the widespread prescribed use of opioids to address symptoms of chronic pain in the 1990s.

“The lessons learned in the first two decades of the new century have been hard learned and painful,” they wrote.

“Systems of prevention and care need to embrace evidence-based therapies and require integrated primary and specialty care to better serve patients struggling with opioid use disorder.”

Source: Oregon Health & Science University

Stigma Said to Slow Opioid Treatment and Prevention Efforts

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2018). Stigma Said to Slow Opioid Treatment and Prevention Efforts. Psych Central. Retrieved on September 28, 2020, from
Scientifically Reviewed
Last updated: 8 Aug 2018 (Originally: 11 Jan 2018)
Last reviewed: By a member of our scientific advisory board on 8 Aug 2018
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