Blog RSS https://www.vumc.org/nas/ en Opioid Use Disorder Documented at Delivery Hospitalization — United States, 1999–2014 https://www.vumc.org/nas/nas-and-opioid-policy-news/opioid-use-disorder-documented-delivery-hospitalization-united-states <span class="field field--name-title field--type-string field--label-hidden">Opioid Use Disorder Documented at Delivery Hospitalization — United States, 1999–2014</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Tue, 08/14/2018 - 14:35</span> <a href="/nas/blog-post-rss/196" class="feed-icon" title="Subscribe to Opioid Use Disorder Documented at Delivery Hospitalization — United States, 1999–2014"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Sarah C. Haight, Jean Y. Ko, Van T. Tong, Michele K. Bohm, William M. Callaghan</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Opioid use by pregnant women represents a significant public health concern given the association of opioid exposure and adverse maternal and neonatal outcomes, including preterm labor, stillbirth, neonatal abstinence syndrome, and maternal mortality (1,2). State-level actions are critical to curbing the opioid epidemic through programs and policies to reduce use of prescription opioids and illegal opioids including heroin and illicitly manufactured fentanyl, both of which contribute to the epidemic (3). Hospital discharge data from the 1999–2014 Healthcare Cost and Utilization Project (HCUP) were analyzed to describe U.S. national and state-specific trends in opioid use disorder documented at delivery hospitalization. Nationally, the prevalence of opioid use disorder more than quadrupled during 1999–2014 (from 1.5 per 1,000 delivery hospitalizations to 6.5; p&lt;0.05).</p>&#13; &#13; <p>Read more here: <a href="https://www.cdc.gov/mmwr/volumes/67/wr/mm6731a1.htm?s_cid=mm6731a1_w">https://www.cdc.gov/mmwr/volumes/67/wr/mm6731a1.htm?s_cid=mm6731a1_w</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Tue, 14 Aug 2018 19:35:26 +0000 Visitor 196 at https://www.vumc.org/nas First lady visits Children’s Hospital to learn about VUMC’s opioid approach https://www.vumc.org/nas/nas-and-opioid-policy-news/first-lady-visits-childrens-hospital-learn-about-vumcs-opioid-approach <span class="field field--name-title field--type-string field--label-hidden">First lady visits Children’s Hospital to learn about VUMC’s opioid approach</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Tue, 08/14/2018 - 13:17</span> <a href="/nas/blog-post-rss/195" class="feed-icon" title="Subscribe to First lady visits Children’s Hospital to learn about VUMC’s opioid approach"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Christina Echegaray</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>First lady Melania Trump visited Monroe Carell Jr. Children’s Hospital at Vanderbilt Tuesday to learn firsthand about Team Hope, Vanderbilt’s multidisciplinary team focused on helping infants born with neonatal abstinence syndrome (NAS) as well as their families.</p>&#13; &#13; <p>Trump’s stop in Nashville was part of her Be Best campaign, which launched in May and focuses on children in their individual paths, stressing their social, emotional and physical health. The campaign’s three main pillars focus on well-being, social media use and opioid abuse.</p>&#13; &#13; <p>The first lady participated in a roundtable discussion on neonatal abstinence syndrome with members of Team Hope, listening to the prenatal and postnatal care initiatives put in place to best help pregnant women addicted to opioids and their newborn infants.</p>&#13; &#13; <p>Read more here: <a href="http://news.vumc.org/2018/07/26/first-lady-visits-childrens-hospital-to-learn-about-vumcs-opioid-approach/">http://news.vumc.org/2018/07/26/first-lady-visits-childrens-hospital-to-learn-about-vumcs-opioid-approach/</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Tue, 14 Aug 2018 18:17:08 +0000 Visitor 195 at https://www.vumc.org/nas Integrated, multidisciplinary approach key to opioid fight: panel https://www.vumc.org/nas/nas-and-opioid-policy-news/integrated-multidisciplinary-approach-key-opioid-fight-panel <span class="field field--name-title field--type-string field--label-hidden">Integrated, multidisciplinary approach key to opioid fight: panel</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Tue, 08/14/2018 - 13:11</span> <a href="/nas/blog-post-rss/194" class="feed-icon" title="Subscribe to Integrated, multidisciplinary approach key to opioid fight: panel"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Bill Snyder</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>No single approach will end the epidemic of fatal overdoses caused by addiction to opioid painkillers and heroin that is ravaging this country, the U.S. Assistant Secretary for Health, Adm. Brett Giroir, MD, warned Tuesday during a panel discussion in a packed lecture hall at Vanderbilt University Medical Center.</p>&#13; &#13; <p>“There is no silver bullet but there’s a lot of silver buckshot,” Giroir said. “Really integrated, multidisciplinary, holistic kinds of approaches are critically important. We thought we could cure pain by giving a pill. You can’t cure addiction by giving a pill either.”</p>&#13; &#13; <p>Read more here: <a href="http://news.vumc.org/2018/07/26/integrated-multidisciplinary-approach-key-to-opioid-fight-panel/">http://news.vumc.org/2018/07/26/integrated-multidisciplinary-approach-key-to-opioid-fight-panel/</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Tue, 14 Aug 2018 18:11:37 +0000 Visitor 194 at https://www.vumc.org/nas Team Hope program’s mission is to enhance care for newborns with NAS https://www.vumc.org/nas/nas-and-opioid-policy-news/team-hope-programs-mission-enhance-care-newborns-nas <span class="field field--name-title field--type-string field--label-hidden">Team Hope program’s mission is to enhance care for newborns with NAS</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Tue, 08/14/2018 - 12:27</span> <a href="/nas/blog-post-rss/193" class="feed-icon" title="Subscribe to Team Hope program’s mission is to enhance care for newborns with NAS"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Christina Echegaray</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>A collaborative program across units at Vanderbilt University Medical Center and Monroe Carell Jr. Children’s Hospital at Vanderbilt is changing the way nurses and doctors care for newborns diagnosed with drug withdrawal symptoms at birth, also known as neonatal abstinence syndrome (NAS).</p>&#13; &#13; <p>The program, called Team Hope, is funded with a grant from the Memorial Foundation and support from VUMC and Children’s Hospital leadership. The interdisciplinary team is comprised of health care specialists from the Newborn Nursery, the Neonatal Intensive Care Unit and the acute care unit at Children’s Hospital along with Child Life, social workers and lactation consultants.</p>&#13; &#13; <p>Their mission: to improve the care of the opioid-exposed mother-baby dyad through multifaceted, family-centered approach. The team seeks to keep mothers and babies together after birth and move them out of an intensive care setting when possible.</p>&#13; &#13; <p> </p>&#13; &#13; <p>Read more here: <a href="http://news.vumc.org/2018/07/26/team-hope-programs-mission-is-to-enhance-care-for-newborns-with-nas/">http://news.vumc.org/2018/07/26/team-hope-programs-mission-is-to-enhance-care-for-newborns-with-nas/</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Tue, 14 Aug 2018 17:27:00 +0000 Visitor 193 at https://www.vumc.org/nas Early discharge of NAS infants prolongs treatment https://www.vumc.org/nas/nas-and-opioid-policy-news/early-discharge-nas-infants-prolongs-treatment <span class="field field--name-title field--type-string field--label-hidden">Early discharge of NAS infants prolongs treatment</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 06/08/2018 - 11:23</span> <a href="/nas/blog-post-rss/192" class="feed-icon" title="Subscribe to Early discharge of NAS infants prolongs treatment"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Christina Echegaray</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Infants who are diagnosed with drug withdrawal after birth who are treated with medication as outpatients at home are treated three times longer than infants treated solely as inpatients, according to a new Vanderbilt study.</p>&#13; &#13; <p>Neonatal abstinence syndrome (NAS) is a drug withdrawal syndrome that occurs shortly after birth, and can occur when an infant is exposed to an opioid during the pregnancy.</p>&#13; &#13; <p>The study, “Outpatient Pharmacotherapy for Neonatal Abstinence Syndrome,” also found that the infants with NAS treated as outpatients were more likely than their inpatient counterparts to have more repeat visits to the emergency room in the six months post-discharge. The findings were published in The Journal of Pediatrics.</p>&#13; &#13; <p>Read more here: <a href="https://news.vanderbilt.edu/2018/05/17/early-discharge-of-nas-infants-prolongs-treatment/?utm_source=feedburner&amp;utm_medium=email&amp;utm_campaign=Feed:+vumc-news+(Vanderbilt+University+Medical+Center+News)">https://news.vanderbilt.edu/2018/05/17/early-discharge-of-nas-infants-prolongs-treatment/?utm_source=feedburner&amp;utm_medium=email&amp;utm_campaign=Feed:+vumc-news+(Vanderbilt+University+Medical+Center+News)</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 08 Jun 2018 16:23:00 +0000 Visitor 192 at https://www.vumc.org/nas Origins of an Epidemic: Purdue Pharma Knew Its Opioids Were Widely Abused https://www.vumc.org/nas/nas-and-opioid-policy-news/origins-epidemic-purdue-pharma-knew-its-opioids-were-widely-abused <span class="field field--name-title field--type-string field--label-hidden">Origins of an Epidemic: Purdue Pharma Knew Its Opioids Were Widely Abused</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 06/08/2018 - 11:18</span> <a href="/nas/blog-post-rss/191" class="feed-icon" title="Subscribe to Origins of an Epidemic: Purdue Pharma Knew Its Opioids Were Widely Abused"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Barry Meier</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Purdue Pharma, the company that planted the seeds of the opioid epidemic through its aggressive marketing of OxyContin, has long claimed it was unaware of the powerful opioid painkiller’s growing abuse until years after it went on the market.</p>&#13; &#13; <p>But a copy of a confidential Justice Department report shows that federal prosecutors investigating the company found that Purdue Pharma knew about “significant” abuse of OxyContin in the first years after the drug’s introduction in 1996 and concealed that information.</p>&#13; &#13; <p>Read more here: <a href="https://www.nytimes.com/2018/05/29/health/purdue-opioids-oxycontin.html">https://www.nytimes.com/2018/05/29/health/purdue-opioids-oxycontin.html</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 08 Jun 2018 16:18:33 +0000 Visitor 191 at https://www.vumc.org/nas Policing and the Opioid Crisis: Standards of Care https://www.vumc.org/nas/nas-and-opioid-policy-news/policing-and-opioid-crisis-standards-care <span class="field field--name-title field--type-string field--label-hidden">Policing and the Opioid Crisis: Standards of Care</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 06/08/2018 - 11:15</span> <a href="/nas/blog-post-rss/190" class="feed-icon" title="Subscribe to Policing and the Opioid Crisis: Standards of Care"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item"> Bloomberg American Health Initiative</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>In 2016, 64,000 Americans died of drug overdose – about two thirds of them linked to opioids. Overdose deaths have risen fivefold since 1999, and the crisis has evolved over the years, with prescription opioids giving way to heroin and illicit fentanyl as the primary drivers of the epidemic.</p>&#13; &#13; <p>Law enforcement officers are on the front lines of addressing this nationwide crisis. They are often the first to arrive on the scene of an overdose. They encounter and respond to the consequences of addiction every day. They see the toll the crisis is taking on communities, and they have a critical role to play in influencing how communities address it.</p>&#13; &#13; <p>Read more here: <a href="http://americanhealth.jhu.edu/article/policing-and-opioid-crisis-standards-care">http://americanhealth.jhu.edu/article/policing-and-opioid-crisis-standards-care</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 08 Jun 2018 16:15:08 +0000 Visitor 190 at https://www.vumc.org/nas Missing Out on Childhood in Rural America https://www.vumc.org/nas/nas-and-opioid-policy-news/missing-out-childhood-rural-america <span class="field field--name-title field--type-string field--label-hidden">Missing Out on Childhood in Rural America</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 06/08/2018 - 11:11</span> <a href="/nas/blog-post-rss/189" class="feed-icon" title="Subscribe to Missing Out on Childhood in Rural America"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Mark Shriver</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>A lack of resources, higher teen pregnancy rates and the opioid crisis combine with other factors to rob rural children of their childhoods.</p>&#13; &#13; <p>Children growing up in rural areas are more affected than their urban peers in five "childhood ending" events. As our report notes, infant mortality in rural counties was 20 percent higher than in large urban communities. Child food insecurity is more pervasive in poor and rural areas. Four out of 5 "low education" counties in the U.S. are rural. Injury death rates are significantly higher in rural America. And the rural-urban gap related to adolescent birth is shocking: In 2015, teen birth rates in rural areas were more than 60 percent higher than in urban areas, and that gap has doubled in the last decade, despite the lower number of teen pregnancies across America overall.</p>&#13; &#13; <p>Read more here: <a href="https://www.usnews.com/news/healthiest-communities/articles/2018-06-01/missing-out-on-childhood-in-rural-america">https://www.usnews.com/news/healthiest-communities/articles/2018-06-01/missing-out-on-childhood-in-rural-america</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 08 Jun 2018 16:11:14 +0000 Visitor 189 at https://www.vumc.org/nas From Stolen Pills to the U.S. Public Health Service: My Story of Recovery https://www.vumc.org/nas/nas-and-opioid-policy-news/stolen-pills-us-public-health-service-my-story-recovery <span class="field field--name-title field--type-string field--label-hidden">From Stolen Pills to the U.S. Public Health Service: My Story of Recovery</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 06/08/2018 - 11:06</span> <a href="/nas/blog-post-rss/188" class="feed-icon" title="Subscribe to From Stolen Pills to the U.S. Public Health Service: My Story of Recovery"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Christopher Jones</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>I’m a captain in the Commissioned Corps of the U.S. Public Health Service. I hold a position of responsibility at HHS working on the nation’s opioids crisis and serious mental illness initiatives — and I’ve been in recovery from addiction for more than 16 years.</p>&#13; &#13; <p>It’s not easy to open my life story to the public, but I want to share it in hopes of showing others struggling with addiction that recovery is possible. I want to fight the stigma of addiction that has kept so many hidden and made it difficult for them to seek the help they need.</p>&#13; &#13; <p>Read more here: <a href="https://www.hhs.gov/blog/2018/06/04/my-story-of-recovery.html?utm_source=TWITTER&amp;utm_medium=TWITTER&amp;utm_content=100000265261321&amp;utm_campaign=Engagement&amp;linkId=100000002676786">https://www.hhs.gov/blog/2018/06/04/my-story-of-recovery.html?utm_source=TWITTER&amp;utm_medium=TWITTER&amp;utm_content=100000265261321&amp;utm_campaign=Engagement&amp;linkId=100000002676786</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 08 Jun 2018 16:06:39 +0000 Visitor 188 at https://www.vumc.org/nas Why it’s not ‘enabling’ to make drug use safer https://www.vumc.org/nas/nas-and-opioid-policy-news/why-its-not-enabling-make-drug-use-safer <span class="field field--name-title field--type-string field--label-hidden">Why it’s not ‘enabling’ to make drug use safer</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 06/08/2018 - 10:54</span> <a href="/nas/blog-post-rss/187" class="feed-icon" title="Subscribe to Why it’s not ‘enabling’ to make drug use safer"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Maia Szalavitz</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>In the face of an unabating overdose crisis that has already killed more than a half-million people, San Francisco, Philadelphia and Seattle have announced plans to do what was once unthinkable: open centers where people can inject illegal drugs under medical supervision. Many other cities are also debating so-called safe infection facilities (SIFs) — but unfortunately, a common misconception about addiction stands in the way.</p>&#13; &#13; <p>Read more here: <a href="https://www.washingtonpost.com/news/posteverything/wp/2018/03/13/why-its-not-enabling-to-make-drug-use-safer/?noredirect=on&amp;utm_term=.69e0800a548c">https://www.washingtonpost.com/news/posteverything/wp/2018/03/13/why-its-not-enabling-to-make-drug-use-safer/?noredirect=on&amp;utm_term=.69e0800a548c</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 08 Jun 2018 15:54:25 +0000 Visitor 187 at https://www.vumc.org/nas Children of the Opioid Epidemic https://www.vumc.org/nas/nas-and-opioid-policy-news/children-opioid-epidemic <span class="field field--name-title field--type-string field--label-hidden">Children of the Opioid Epidemic</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 05/11/2018 - 15:20</span> <a href="/nas/blog-post-rss/175" class="feed-icon" title="Subscribe to Children of the Opioid Epidemic"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">JENNIFER EGAN</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>t was not until her third month of feeling unwell, in the fall of 2016, that Alicia thought to take an at-home pregnancy test. Until then, she assumed her fatigue and nausea were withdrawal symptoms from the Percocets she’d been dependent upon since the year before. “When some days you don’t get enough, you could definitely throw up or wake up feeling sick,” she told me. “It was easily confused with morning sickness.”</p>&#13; &#13; <p>Alicia, who asked that I use her nickname to protect her privacy, was 26 at the time, living with her boyfriend in a tiny apartment just outside Providence, R.I. From the start of their relationship, she had been inspired by his seriousness; he had a job in I.T. that paid $20 an hour. Unlike some of her previous boyfriends, this one wore collared shirts to work and did not use drugs. He had a gangly earnestness that was endearing. “He grew up as a good boy,” Alicia told me. “He did what was right, and he was smart. I wish I could have been like that.”</p>&#13; &#13; <p>Read more here: <a href="https://www.nytimes.com/2018/05/09/magazine/children-of-the-opioid-epidemic.html?smid=tw-share">https://www.nytimes.com/2018/05/09/magazine/children-of-the-opioid-epidemic.html?smid=tw-share</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 11 May 2018 20:20:47 +0000 Visitor 175 at https://www.vumc.org/nas We really do have a solution to the opioid epidemic — and one state is showing it works https://www.vumc.org/nas/nas-and-opioid-policy-news/we-really-do-have-solution-opioid-epidemic-and-one-state-showing-it <span class="field field--name-title field--type-string field--label-hidden">We really do have a solution to the opioid epidemic — and one state is showing it works</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 05/11/2018 - 13:07</span> <a href="/nas/blog-post-rss/174" class="feed-icon" title="Subscribe to We really do have a solution to the opioid epidemic — and one state is showing it works"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">German Lopez</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Addiction treatment providers are notoriously underpaid by health insurers across the US. That leads to big shortages in supply, because it makes it very difficult to start a sustainable addiction treatment facility. What Virginia did was use the big health plan it has control over — Medicaid, which covers low-income people — to boost reimbursement rates to addiction treatment providers.</p>&#13; &#13; <p>The state started the program, the Addiction and Recovery Treatment Services (ARTS), in April 2017. Although ARTS is still fairly new, independent evaluations from researchers at Virginia Commonwealth University (VCU) have already found some promising results.</p>&#13; &#13; <p>After the program went into effect, the percent of Medicaid members with an opioid use disorder who received treatment went up by 29 percent from April to December 2017 compared to the same period the previous year. At the same time, emergency department visits related to opioid use disorders went down by 31 percent. That was more than double the 15 percent reduction in emergency department use among all state Medicaid members during the same time frame.</p>&#13; &#13; <p>Read more here: <a href="https://www.vox.com/policy-and-politics/2018/5/10/17256572/opioid-epidemic-virginia-medicaid-expansion-arts">https://www.vox.com/policy-and-politics/2018/5/10/17256572/opioid-epidemic-virginia-medicaid-expansion-arts</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 11 May 2018 18:07:32 +0000 Visitor 174 at https://www.vumc.org/nas Surgeon general says opioid addiction harming U.S. economy https://www.vumc.org/nas/nas-and-opioid-policy-news/surgeon-general-says-opioid-addiction-harming-us-economy <span class="field field--name-title field--type-string field--label-hidden">Surgeon general says opioid addiction harming U.S. economy</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 05/11/2018 - 12:58</span> <a href="/nas/blog-post-rss/173" class="feed-icon" title="Subscribe to Surgeon general says opioid addiction harming U.S. economy"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>U.S. Surgeon General Jerome Adams believes the problem of opioid addiction is not only affecting the nation’s health, but the economy and our security as well.</p>&#13; &#13; <p>“The facts are that seven out of 10 of our young people between the ages of 18 and 24 are ineligible to serve in the military because of poor health or the inability to pass a physical,” Adams said Wednesday during a forum in Sugar Grove that focused on drug addiction. “Employers continue to tell us they can’t find enough workers to fill their positions because they can’t pass the drug tests, so the problems in this country are not just affecting our health.”</p>&#13; &#13; <p>Read more here: <a href="http://www.chicagotribune.com/suburbs/aurora-beacon-news/news/ct-abn-surgeon-general-st-0503-story.html">http://www.chicagotribune.com/suburbs/aurora-beacon-news/news/ct-abn-surgeon-general-st-0503-story.html</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 11 May 2018 17:58:13 +0000 Visitor 173 at https://www.vumc.org/nas WV pediatrician proposes new treatment, approach for decreasing number of drug-dependent newborns https://www.vumc.org/nas/nas-and-opioid-policy-news/wv-pediatrician-proposes-new-treatment-approach-decreasing-number-drug <span class="field field--name-title field--type-string field--label-hidden">WV pediatrician proposes new treatment, approach for decreasing number of drug-dependent newborns</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 05/11/2018 - 08:53</span> <a href="/nas/blog-post-rss/172" class="feed-icon" title="Subscribe to WV pediatrician proposes new treatment, approach for decreasing number of drug-dependent newborns"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">TAKE CARE STAFF</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>West Virginia has been one of the hardest-hit states in the opioid epidemic, especially when it comes to neonatal abstinence syndrome -- a condition where addicted mothers give birth to drug-exposed babies.</p>&#13; &#13; <p>"Take Care" spoke with Dr. Sean Loudin, pediatrician and neonatologist at Cabell Huntington Hospital in West Virginia and assistant professor at the Joan C. Edwards School of Medicine at Marshall University, regarding his research and efforts surrounding treating this growing problem.</p>&#13; &#13; <p>Loudin, who is also the medical director of Lily’s Place, the first neonatal abstinence syndrome center in the U.S., said for as long as women have misused substances, babies have been born with drug dependency. However, he said this problem has recently increased significantly in the state.</p>&#13; &#13; <p>According to Loudin, recent estimates have shown that about 5.2 percent of babies born in West Virginia have neonatal abstinence syndrome.</p>&#13; &#13; <p>Read more here: <a href="http://wrvo.org/post/wv-pediatrician-proposes-new-treatment-approach-decreasing-number-drug-dependent-newborns">http://wrvo.org/post/wv-pediatrician-proposes-new-treatment-approach-decreasing-number-drug-dependent-newborns</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 11 May 2018 13:53:43 +0000 Visitor 172 at https://www.vumc.org/nas Blue Cross and Blue Shield discourages using opioids as primary pain treatment https://www.vumc.org/nas/nas-and-opioid-policy-news/blue-cross-and-blue-shield-discourages-using-opioids-primary-pain <span class="field field--name-title field--type-string field--label-hidden">Blue Cross and Blue Shield discourages using opioids as primary pain treatment</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Fri, 05/11/2018 - 08:37</span> <a href="/nas/blog-post-rss/171" class="feed-icon" title="Subscribe to Blue Cross and Blue Shield discourages using opioids as primary pain treatment"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Alex Kacik </div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>The Blue Cross and Blue Shield Association has adopted a new standard that opioids should not be the first or second treatment options to manage pain, mirroring guidelines set by the Centers for Disease Control and Prevention.In most cases, ibuprofen and acetaminophen can treat pain more effectively than opioids, said Dr. Trent Haywood, chief medical officer for the Blues association, which has about 106 million members.It's not an absolute decree. In many cases, particularly related to cancer treatment or end-of-life care, opioids may be the best remedy, said Haywood, adding that the association will aid physicians in making the best clinical decision."The opioids are half as effective but two to four times more harmful," he said. </p>&#13; &#13; <p>Read more here: <a href="http://www.modernhealthcare.com/article/20180329/TRANSFORMATION03/180329896?utm_source=modernhealthcare&amp;utm_medium=email&amp;utm_content=20180329-TRANSFORMATION03-180329896&amp;utm_campaign=dose">http://www.modernhealthcare.com/article/20180329/TRANSFORMATION03/180329896?utm_source=modernhealthcare&amp;utm_medium=email&amp;utm_content=20180329-TRANSFORMATION03-180329896&amp;utm_campaign=dose</a></p>&#13; &#13; <p> </p>&#13; &#13; <p> </p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Fri, 11 May 2018 13:37:00 +0000 Visitor 171 at https://www.vumc.org/nas An Opioid Crisis Foretold https://www.vumc.org/nas/nas-and-opioid-policy-news/opioid-crisis-foretold <span class="field field--name-title field--type-string field--label-hidden">An Opioid Crisis Foretold</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Mon, 04/23/2018 - 16:14</span> <a href="/nas/blog-post-rss/170" class="feed-icon" title="Subscribe to An Opioid Crisis Foretold"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">The Editorial Board</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Today’s opioid crisis is already the deadliest drug epidemic in American history. Opioid overdoses killed more than 45,000 people in the 12 months that ended in September, according to the Centers for Disease Control and Prevention. The epidemic is now responsible for nearly as many American deaths per year as AIDS was at the peak of that crisis.</p>&#13; &#13; <p>Read more here: <a href="https://www.nytimes.com/2018/04/21/opinion/an-opioid-crisis-foretold.html">https://www.nytimes.com/2018/04/21/opinion/an-opioid-crisis-foretold.html</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Mon, 23 Apr 2018 21:14:09 +0000 Visitor 170 at https://www.vumc.org/nas In the throes of an opioid crisis, prescriptions fell dramatically last year https://www.vumc.org/nas/nas-and-opioid-policy-news/throes-opioid-crisis-prescriptions-fell-dramatically-last-year <span class="field field--name-title field--type-string field--label-hidden">In the throes of an opioid crisis, prescriptions fell dramatically last year</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Mon, 04/23/2018 - 16:01</span> <a href="/nas/blog-post-rss/169" class="feed-icon" title="Subscribe to In the throes of an opioid crisis, prescriptions fell dramatically last year"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item"> ED SILVERMAN</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>The U.S. may be gripped by an opioid crisis, but a new report suggests the various measures undertaken to fight the scourge is having an effect — fewer prescriptions were written for the addictive painkillers.</p>&#13; &#13; <p>To wit, opioid prescriptions declined by 10.2 percent in 2017 and prescriptions for the highest doses fell by 16.1 percent last year, and 33.1 percent since January 2016. Moreover, on average, prescription opioid volume has decreased every year over the past five years in all 50 states, according to data from the IQVIA Institute for Human Data Science, which is part of the IQVIA market research firm.</p>&#13; &#13; <p>At the same time, IQVIA found, there appears to be a corresponding increase in new treatment starts for so-called medication-assisted therapies for opioid use dependence, nearly doubling from 44,000 to 82,000 per month. These are medications that help temper cravings, although they may not completely stop addiction.</p>&#13; &#13; <p>Read more here: <a href="https://www.statnews.com/pharmalot/2018/04/19/opioid-crisis-prescriptions/">https://www.statnews.com/pharmalot/2018/04/19/opioid-crisis-prescriptions/</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Mon, 23 Apr 2018 21:01:12 +0000 Visitor 169 at https://www.vumc.org/nas How France Cut Heroin Overdoses by 79 Percent in 4 Years https://www.vumc.org/nas/nas-and-opioid-policy-news/how-france-cut-heroin-overdoses-79-percent-4-years <span class="field field--name-title field--type-string field--label-hidden">How France Cut Heroin Overdoses by 79 Percent in 4 Years</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Mon, 04/23/2018 - 15:46</span> <a href="/nas/blog-post-rss/168" class="feed-icon" title="Subscribe to How France Cut Heroin Overdoses by 79 Percent in 4 Years"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">OLGA KHAZAN </div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>In 1995, France made it so any doctor could prescribe buprenorphine without any special licensing or training. Buprenorphine, a first-line treatment for opioid addiction, is a medication that reduces cravings for opioids without becoming addictive itself.</p>&#13; &#13; <p>With the change in policy, the majority of buprenorphine prescribers in France became primary-care doctors, rather than addiction specialists or psychiatrists. Suddenly, about 10 times as many addicted patients began receiving medication-assisted treatment, and half the country’s heroin users were being treated. Within four years, overdose deaths had declined by 79 percent.</p>&#13; &#13; <p>Read more here: <a href="https://www.theatlantic.com/health/archive/2018/04/how-france-reduced-heroin-overdoses-by-79-in-four-years/558023/">https://www.theatlantic.com/health/archive/2018/04/how-france-reduced-heroin-overdoses-by-79-in-four-years/558023/</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Mon, 23 Apr 2018 20:46:41 +0000 Visitor 168 at https://www.vumc.org/nas Children of the opioid crisis: one born every 15 minutes with drug withdrawal https://www.vumc.org/nas/nas-and-opioid-policy-news/children-opioid-crisis-one-born-every-15-minutes-drug-withdrawal <span class="field field--name-title field--type-string field--label-hidden">Children of the opioid crisis: one born every 15 minutes with drug withdrawal</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Mon, 04/23/2018 - 15:41</span> <a href="/nas/blog-post-rss/167" class="feed-icon" title="Subscribe to Children of the opioid crisis: one born every 15 minutes with drug withdrawal"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Jack Graham</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>America’s opioid crisis is claiming the lives of more than 115 people every day, with a total economic burden on the nation of around $78.5bn per year.</p>&#13; &#13; <p>Some of the lesser-known victims of this epidemic are new-born children. Thousands of infants are experiencing opioid withdrawal – neonatal abstinence syndrome (NAS) – which may lead to premature birth, seizures and even birth defects.</p>&#13; &#13; <p>One of the doctors on the frontline is Dr Stephen Patrick, a neonatologist at Vanderbilt University Medical Center, which treats infants with various complications, conducts research on new treatments and works to shape local and national policy.</p>&#13; &#13; <p>Read more here, at Apolitical (<a href="https://apolitical.co/">https://apolitical.co/</a>): <a href="https://apolitical.co/solution_article/the-young-victims-of-the-opioid-crisis-15-born-every-minute-with-drug-withdrawal/">https://apolitical.co/solution_article/the-young-victims-of-the-opioid-crisis-15-born-every-minute-with-drug-withdrawal/</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Mon, 23 Apr 2018 20:41:51 +0000 Visitor 167 at https://www.vumc.org/nas Why America’s Black Mothers and Babies Are in a Life-or-Death Crisis https://www.vumc.org/nas/nas-and-opioid-policy-news/why-americas-black-mothers-and-babies-are-life-or-death-crisis <span class="field field--name-title field--type-string field--label-hidden">Why America’s Black Mothers and Babies Are in a Life-or-Death Crisis</span> <span class="field field--name-uid field--type-entity-reference field--label-hidden"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Visitor</span></span> <span class="field field--name-created field--type-created field--label-hidden">Mon, 04/23/2018 - 14:50</span> <a href="/nas/blog-post-rss/166" class="feed-icon" title="Subscribe to Why America’s Black Mothers and Babies Are in a Life-or-Death Crisis"> RSS: <i class="fa fa-rss-square"></i> </a> <div class="field field--name-field-barista-posts-author field--type-string field--label-hidden field__item">Linda Villarosa</div> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Black infants in America are now more than twice as likely to die as white infants — 11.3 per 1,000 black babies, compared with 4.9 per 1,000 white babies, according to the most recent government data — a racial disparity that is actually wider than in 1850, 15 years before the end of slavery, when most black women were considered chattel. In one year, that racial gap adds up to more than 4,000 lost black babies. Education and income offer little protection. In fact, a black woman with an advanced degree is more likely to lose her baby than a white woman with less than an eighth-grade education.</p>&#13; &#13; <p>Read more here: <a href="https://mobile.nytimes.com/2018/04/11/magazine/black-mothers-babies-death-maternal-mortality.html">https://mobile.nytimes.com/2018/04/11/magazine/black-mothers-babies-death-maternal-mortality.html</a></p>&#13; </div> <div class="field field--name-field-lockdown-auth field--type-string field--label-above"> <div class="field__label">Lockdown Auth</div> <div class="field__item">1</div> </div> Mon, 23 Apr 2018 19:50:47 +0000 Visitor 166 at https://www.vumc.org/nas