AOCOPM 2023 Midyear Educational Conference-259668

259668 - Article 20

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The document provides an overview of the AOCOPM 2023 Midyear Educational Conference focused on Opioid Use Disorder (OUD) and its public health challenges, conducted by Benjamin Grin, MD, MPH. It outlines key issues, treatment options, and public health strategies related to OUD.

<strong>Epidemiology and Diagnosis:</strong>

The conference discusses the changing dynamics of the opioid epidemic, emphasizing the increasing role of heroin and fentanyl. Opioid-related mortality is notably high, with a specific focus on Missouri, where drug overdoses are a leading cause of death among young adults, predominantly involving opioids. The session differentiates between substance use and addiction, highlighting the diagnostic criteria for OUD, including the 3 C's: loss of control, continued use despite consequences, and craving.

<strong>Treatment Options:</strong>

Treatment for OUD includes detox, behavioral therapies, and medications like buprenorphine, methadone, and naltrexone. Buprenorphine is highlighted for its safety profile and effectiveness in managing withdrawal and reducing cravings. The conference also reviews policy changes that have eased the prescribing regulations for such medications, aiming to improve access.

<strong>Harm Reduction and Public Health Approaches:</strong>

Harm reduction strategies such as naloxone distribution and syringe service programs are advocated to prevent overdose and infection. The session emphasizes the importance of reducing stigma around OUD and employing a public health-oriented approach. This involves expanding treatment access, supporting harm reduction initiatives, addressing social determinants of health, and decreasing stigma at various levels.

<strong>Challenges and Recommendations:</strong>

The conference identifies critical barriers like the scarcity of addiction specialists and policy obstacles that hinder effective OUD treatment. It underscores the need for systemic changes in treating OUD, advocating for low-barrier access to medications and removing stigmatizing terminology in clinical practices.

Overall, the conference provides comprehensive insights into evidence-based strategies and public health policies needed to address the opioid crisis effectively.

Keywords

Opioid Use Disorder

AOCOPM 2023

public health

opioid epidemic

heroin and fentanyl

treatment options

harm reduction

buprenorphine

naloxone distribution

addiction specialists