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Inventory Resources and Risks for Recovery
Published in Sandra Rasmussen, Developing Competencies for Recovery, 2023
In the heyday of addiction treatment, recovering men and women provided counseling for individuals in the throes of active addiction. Training and education became required for counselors with state and national certification and licensing to follow. Today, people earn undergraduate and graduate degrees in addiction studies. Addiction medicine is a recognized specialty. Yet, one wonders if professionalization and the business of addiction have diminished the emphasis on recovery and contributed to the high incidence of relapse.
Cannabis, a Bio-Spiritual Remedy for Addiction
Published in Betty Wedman-St Louis, Cannabis as Medicine, 2019
Joseph J. Morgan, Kenneth Blum
The American Society of Addiction Medicine (ASAM) defines addiction as “A primary, chronic disease of brain reward, motivation, memory, and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors. Addiction is characterized by an inability to consistently abstain, impairment in behavioral control, craving, diminished recognition of significant problems with one’s behaviors and interpersonal relationships, and a dysfunctional emotional response. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death.” [1]
DSM 5 SUD Criterion 4 Cravings
Published in Joan Ifland, Marianne T. Marcus, Harry G. Preuss, Processed Food Addiction: Foundations, Assessment, and Recovery, 2017
Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Addiction affects neurotransmission and interactions within reward structures of the brain … such that motivational hierarchies are altered and addictive behaviors … supplant healthy, self-care related behaviors. Addiction also affects neurotransmission … such that the memory of previous exposures to rewards (such as food, sex, alcohol and other drugs) leads to a biological and behavioral response to external cues, in turn triggering craving and/or engagement in addictive behaviors. (American Society of Addiction Medicine, 2011)
Exploring how hospitalization can alter hepatitis c virus treatment prioritization and trajectories in people who use drugs: A qualitative analysis
Published in Substance Abuse, 2022
Ximena A. Levander, Taylor A. Vega, Andrew Seaman, P. Todd Korthuis, Honora Englander
While effective HCV treatments exist, gaps in the HCV care continuum persist for PWUD.16 Barriers to screening and treatment endure, as many PWUD avoid traditional outpatient care settings, limiting opportunities for HCV treatment engagement.17–20 As rates of substance use-related hospitalizations rise, increasingly, hospitalization can serve as a “touchpoint” to engage PWUD.21–25 Some hospital systems have implemented inpatient addiction medicine consult services (AMCS) to better care for hospitalized patients with addiction.26–28 These consult services effectively utilize hospitalization in addressing addiction.29,30 Given the significant disease burden of HCV in PWUD, this study aimed to describe patient experiences of how hospitalization and AMCS care affects motivations and readiness for HCV treatment.
Exploring the Long-term 12-Step Collegiate Recovery Experiences of Emerging Adults: An Interpretive Phenomenological Analysis
Published in Alcoholism Treatment Quarterly, 2022
Thomas G. Kimball, Nicole D. Hune, Sterling T. Shumway, Spencer D. Bradshaw
Addiction is a chronic brain disease that alters neural pathways and impairs executive control and decision-making (American Society of Addiction Medicine American Society of Addiction Medicine (ASAM), 2019; Morrill & Axelrath, 2019). Characterized by compulsive use and physical cravings, addiction is also complicated by biological, environmental, and psychological impairments (American Society of Addiction Medicine (ASAM), 2019). In 2019, 20.4 million people aged 12 or older had a substance use disorder (SUD) in the past year (Substance Abuse and Mental Health Services Administration Substance Abuse and Mental Health Services Administration (SAMHSA), 2020). Severe SUDs, used interchangeably with addiction, are especially prevalent among emerging adults in college (Johnston, O’Malley, Bachman, & Schulenberg, 2009; SAMHSA, 2013). According to the National Institute on Alcohol Abuse and Alcoholism (2020), p. 20% of college students (18–22 years of age) met criteria for alcohol use disorder (AUD) within the past year, while over 14% of college students met criteria for SUDs (SAMHSA, 2019ab). Fortunately, many emerging adults have found a pathway out of addiction, as approximately 600,000 college students identified as being in recovery (Brown, Ashford, Heller, Whitney, & Kimball, 2018; SAMHSA, 2019b; Vest, Timko, Kelly, & Humphreys, 2021).
Epidemiology of infective endocarditis: novel aspects in the twenty-first century
Published in Expert Review of Cardiovascular Therapy, 2022
Verda Arshad, Khawaja M. Talha, Larry M. Baddour
IE is of great concern in PWID as it is affecting young patients with increased chances of IE relapse and worsening survival rates. Primary prevention of IE/PWID achieved by addressing the ongoing opioid epidemic is an important area of focus. Novel strategies are needed to reverse the epidemic, which has continued despite massive efforts to control it from federal, state, and public health efforts. Long-term strategies should include policy changes and accelerated research into alternative therapies for pain control [113]. A focus on improved rehabilitation programs with trained addiction medicine specialists in both urban and rural areas is critical. Secondary prevention using the aforementioned multidisciplinary ‘Endocarditis Team’ with emphasis on addiction medicine is also critical to prevent recurrence and improve outcomes of IE in PWID.