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Child Adolesc Psychiatr Clin N Am. 2016 Jul;25(3):473-87. doi: 10.1016/j.chc.2016.03.002. Epub 2016 Apr 9.

Opioid Use Disorders.

Author information

1
Mountain Manor Treatment Center, Baltimore, MD, USA.
2
Mountain Manor Treatment Center, Baltimore, MD, USA; Department of Pediatrics, Johns Hopkins University, Baltimore, MD, USA.
3
Mountain Manor Treatment Center, Baltimore, MD, USA; Department of Psychiatry, Johns Hopkins University, Baltimore, MD, USA. Electronic address: mjfishman@comcast.net.

Abstract

Opioid use and addiction in adolescents and young adults is a health problem of epidemic proportions, with devastating consequences for youth and their families. Opioid overdose is a life-threatening emergency that should be treated with naloxone, and respiratory support if necessary. Overdose should always be an opportunity to initiate addiction treatment. Detoxification is often a necessary, but never sufficient, component of treatment for OUDs. Treatment for OUDs is effective but treatment capacity is alarmingly limited and under-developed. Emerging consensus supports the incorporation of relapse prevention medications such as buprenorphine and extended release naltrexone into comprehensive psychosocial treatment including counseling and family involvement.

KEYWORDS:

Heroin; Injection; Opioid use disorder; Opioids; Overdose; Prescription opioids; Withdrawal

PMID:
27338968
PMCID:
PMC4920977
DOI:
10.1016/j.chc.2016.03.002
[Indexed for MEDLINE]
Free PMC Article

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