Medication-Assisted Treatment For Opioid Addiction in Opioid Treatment Programs{purestevil}release

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Medication-Assisted Treatment For Opioid Addiction in Opioid Treatment Programs{purestevil}release









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 About the book:





Treatment Improvement Protocols (TIPs), developed by the Center for Substance Abuse Treatment (CSAT), part of the
Substance Abuse and Mental Health Services Administration (SAMHSA), within the U.S. Department of Health and Human
Services (DHHS), are best-practice guidelines for the treatment of substance use disorders. CSAT draws on the experience
and knowledge of clinical, research, and administrative experts to produce the TIPs, which are distributed to facilities
and individuals across the country. The audience for the TIPs is expanding beyond public and private treatment
facilities to include practitioners in mental health, criminal justice, primary care, and other health care and social
service settings.



Contents: 



■Chapter 1 Introduction [ Purpose of This TIP ~ Key Definitions ~ Audience for This TIP ~ A Decade of Change ~
Remaining Challenges ~ The Future of MAT ]

■Chapter 2 History of Medication-Assisted Treatment for Opioid Addiction [ Emergence of Opioid Addiction as a
Significant Problem and the Roots of Controversy ~ Origins of Opioid Maintenance Therapy ~ Regulatory History ]

■Chapter 3 Pharmacology of Medications Used To Treat Opioid Addiction [ Pharmacology and Pharmacotherapy ~
Dosage Forms ~ Efficacy ~ Side Effects ~ Interactions With Other Therapeutic Medications ~ Safety ]

■Chapter 4 Initial Screening, Admission Procedures, and Assessment Techniques [ Initial Screening ~ Admission
Procedures and Initial Evaluation ~ Medical Assessment ~ Induction Assessment ~ Comprehensive Assessment ~ Appendix 4-A.
Example of Standard Consent to Opioid Maintenance Treatment ]

■Chapter 5 Clinical Pharmacotherapy [ Contraindications to Opioid Pharmacotherapy ~ Stages of Pharmacotherapy
~ Medically Supervised Withdrawal ~ Take-Home Medications ~ Office-Based Opioid Therapy ]

■Chapter 6 PatientñTreatment Matching: [ Types of Services and Levels of Care ~ Steps in
PatientñTreatment Matching ~ Patients With Special Needs ~ Treatment Planning ]

■Chapter 7 Phases of Treatment [ Rationale for a Phased-Treatment Approach and Duration ~ Phases of MAT ~
Transition Between Treatment Phases in MAT ~ Readmission to the OTP ]

■Chapter 8 Approaches to Providing Comprehensive Care and Maximizing Patient Retention [ Core Services ~
Retaining Patients in MAT ~ Counseling and Case Management, Behavioral Treatments, and Psychotherapy ~ Benefits of
Family Involvement ~ Integrative Approaches ~ Relapse Prevention ~ Referral to Social Services ~ Involuntary Discharge
From MAT ~ Patient Advocacy ]

■Chapter 9 Drug Testing as a Tool [ Purposes of Drug Testing in OTPs ~ Benefits and Limitations of Drug Tests
~ Drug-Testing Components and Methods ~ Development of Written Procedures ~ Other Considerations in Drug-Testing
Procedures ~ Interpreting and Using Drug Test Results ~ Reliability, Validity, and Accuracy of Drug Test Results ]

■Chapter 10 Associated Medical Problems in Patients Who Are Opioid Addicted [ Integrated Versus Referral
Services ~ Routine Testing and Followup for Medical Problems ~ Acute, Life-Threatening Infections ~ Infectious Diseases
~ Patients With Disabilities ~ Pain Management ~ Hospitalization of Patients in MAT ~ General Medical Conditions and MAT
]

■Chapter 11 Treatment of Multiple Substance Use [ Prevalence of Multiple Substance Use in MAT ~ Common Drug
Combinations Used by Patients in MAT ~ Effects of Other Substance Use ~ Management of Multiple Substance Use in MAT ~
Inpatient Detoxification and Short-Term Stabilization ]

■Chapter 12 Treatment of Co-Occurring Disorders [ Prevalence of Co-Occurring Disorders ~ Motivation for
Treatment and Co-Occurring Disorders ~ Etiology of Co-Occurring Disorders ~ Screening for Co-Occurring Disorders ~
Making and Confirming a Psychiatric Diagnosis ~ Prognosis for Patients With Co-Occurring Disorders ~ Treatment Issues ~
Appendix 12-A. Internet Resources for Accessing Psychiatric Instruments ]

■Chapter 13 Medication-Assisted Treatment for Opioid Addiction During Pregnancy [ Acceptance of Methadone
Maintenance as the Standard of Care ~ Diagnosing Opioid Addiction in Pregnant Patients ~ Medical and Obstetrical
Concerns and Complications ~ Methadone Dosage and Management ~ Postpartum Treatment of Mothers in MAT ~ Breast-Feeding ~
Effects on Neonatal Outcome ~ Use of Buprenorphine During Pregnancy ~ Importance of Integrated, Comprehensive Services ~
Nutrition Assessment, Counseling, and Assistance ]

■Chapter 14 Administrative Considerations [ Staffing ~ Medication Diversion Control Plans ~ The Community
Effort ~ OTPs and National Community Education Initiatives ~ Evaluating Program and Staff Performance ~ Appendix A
Bibliography ~ Appendix B Abbreviations and Acronyms ~ Appendix C Glossary ~ Appendix D Ethical Considerations in MAT ~
Fundamental Ethical Principles ~ Ethics in Practice ~ Ethics: Conclusion ~ Appendix E Resource Panel ~ Appendix F Field
Reviewers ~ Index ~ CSAT TIPs and Publications Based on TIPs ]

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