Top

International Journal of Mental Health and Addiction

Published in:

01-10-2019 | Original Article

Systemic Issues in the Opioid Epidemic: Supporting the Individual, Family, and Community

Authors: Kristin A. Vincenzes, Beth McMahon, Jennifer Lange, Kellie Forziat-Pytel

Published in: International Journal of Mental Health and Addiction | Issue 5/2019

Abstract

The opioid epidemic is a national issue in the USA (The White House’s Office of Press Secretary 2016). Researchers interviewed 16 participants focusing on the strengths, weaknesses, opportunities, and threats they personally experienced while either recovering from an opioid addiction or experiencing the loss of a loved one due to opioid usage. This article focuses on the research study’s multi-systemic impacts and discusses implications via a systems approach to prevention and intervention.

Available only for authorised users

Arthur, M. W., & Blitz, C. (2000). Bridging the gap between science and practice in drug abuse prevention through needs assessment and strategic community planning. Journal of Community Psychology, 28(3), 241–255.CrossRef

Ashrafioun, L., Dambra, C., & Blondell, R. (2011). Parental prescription opioid abuse and the impact on children. American Journal of Drug & Alcohol Abuse, 37(6), 532–536.CrossRef

Baldwin, S. A., Christian, S., Berkeljon, A., & Shadish, W. R. (2012). The effects of family therapies for adolescent delinquency and substance abuse: A meta-analysis. Journal of Marital and Family Therapy, 38(1), 281–304. https://doi.org/10.1111/j.1752-0606.2011.00248.x.CrossRefPubMed

Belenko, S. (2006). Assessing released inmates for substance-abuse-related service needs. Crime and Delinquency, 52, 94–113.CrossRef

Burke, D. S. (2016). Forecasting the opioid epidemic. Science, 354(6312), 529–529. https://doi.org/10.1126/science.aal2943.CrossRefPubMed

Centers for Disease Control and Prevention [CDC]. (2015). Emergency Preparedness and response: Increases in fentanyl drug confiscations and fentanyl-related overdose fatalities. Retrieved from http://emergency.cdc.gov/han/han00384.asp

Centers for Disease Control and Prevention [CDC]. (2016). Injury prevention and control: Opioid overdose. Retrieved from http://www.cdc.gov/drugoverdose/index.html

Cottler, L. B., Hui, H., Smallwood, B. A., Anthony, J. C., Li-Tzy, W., & Eaton, W. W. (2016). Nonmedical opioid pain relievers and all-cause mortality: a 27-year follow-up from the epidemiologic catchment area study. American Journal of Public Health, 106(3), 509–516. https://doi.org/10.2105/AJPH.2015.302961.CrossRefPubMedPubMedCentral

Darke, S. (2014). Opioid overdose and the power of old myths: What we thought we knew, what we do know and why it matters. Drug & Alcohol Review, 33(2), 109–114. https://doi.org/10.1111/dar.12108\.CrossRef

Disley, E., Mulcahy, A., Pardal, M., Rubin J., & Ruggeri, K. (2013). Development of a framework to estimate the cost of opioid dependence. Retrieved from http://www.rand.org/content/dam/rand/pubs/research_reports/RR400/RR406/RAND_RR406.pdf

Frenk, S. M., Porter, K. S., & Paulozzi, L. J. (2015). Prescription opioid analgesic use among adults: United States, 1999-2012. NCHS Data Brief, 189, 1–8 Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/25714043.

Frerichs, L., Hassmiller Lich, K., Dave, G., & Corbie-Smith, G. (2016). Integrating systems science and community-based participatory research to achieve health equity. American Journal of Public Health, 106(2), 215–222. https://doi.org/10.2105/AJPH.2015.302944.CrossRefPubMedPubMedCentral

Lander, L., Howsare, J., & Byrne, M. (2013). The impact of substance use disorders on families and children: From theory to practice. Social Work in Public Health, 28(3–4), 194–205. https://doi.org/10.1080/19371918.2013.759005.CrossRefPubMedPubMedCentral

Lewis, A., Holmes, N., Watkins, B., & Mathers, D. (2015). Children impacted by parental substance abuse: An evaluation of the supporting kids and their environment program. Journal of Child and Family Studies, 24(8), 2398–2406. https://doi.org/10.1007/s10826-014-0043-0.CrossRef

Longo, D. L., Volkow, N. D., Koob, G. F., & McLellan, A. T. (2016). Neurobiologic advances from the brain disease model of addiction. New England Journal of Medicine 374(4), 363–371.

Lounsbury, D., Hirsch, G., Vega, C., & Schwartz, C. (2014). Understanding social forces involved in diabetes outcomes: a systems science approach to quality-of-life research. Quality of Life Research, 23(3), 959–969. https://doi.org/10.1007/s11136-013-0532-4.CrossRefPubMed

Mabry, P. L., Marcus, S. E., Clark, P. I., Leischow, S. J., & Méndez, D. (2010). Systems science: A revolution in public health policy research. American Journal of Public Health, 100(7), 1161–1163. https://doi.org/10.2105/AJPH.2010.198176.CrossRefPubMedPubMedCentral

Matheson, J. L., & Lukic, L. (2011). Family treatment of adolescents and young adults recovering from substance abuse. Journal of Family Psychotherapy, 22(3), 232–246. https://doi.org/10.1080/08975353.2011.602620.CrossRef

McNeil, S. S., Herschberger, J. K., & Nedela, M. N. (2013). Low-income families with potential adolescent gang involvement: A structural community family therapy integration model. American Journal of Family Therapy, 41(2), 110–120. https://doi.org/10.1080/01926187.2011.649110.CrossRef

Meyer, R., Patel, A. M., Rattana, S. K., Quock, T. P., & Mody, S. H. (2014). Prescription opioid abuse: A literature review of the clinical and economic burden in the United States. Population Health Management, 17(6), 372–387. https://doi.org/10.1089/pop.2013.0098.CrossRefPubMedPubMedCentral

Minuchin, P. (1985). Families and individual development: Provocations from the field of family therapy. Child Development, 2, 289.CrossRef

Moore, B. C., Easton, C. J., & McMahon, T. J. (2011). Drug abuse and intimate partner violence: A comparative study of opioid-dependent fathers. American Journal of Orthopsychiatry, 81(2), 218–227. https://doi.org/10.1111/j.1939-0025.2011.01091.x.CrossRefPubMed

National Institute on Drug Abuse [NIDA]. (2017a). Heroin. Retrieved from https://www.drugabuse.gov/publications/drugfacts/heroin

National Institute on Drug Abuse [NIDA]. (2017b). Overdose death rates. Retrieved from https://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates

Nixon, G. (2012). Transforming the addicted person’s counterfeit quest for wholeness through three stages of recovery: a Wilber transpersonal spectrum of development clinical perspective. International Journal of Mental Health Addiction, 10, 407–427. https://doi.org/10.1007/s11469-011-9365-y.CrossRef

Pennsylvania Board of Pardons (2017). Board of Pardons FAQ. Retrieved from http://www.bop.pa.gov/application-process/Pages/Frequently-Asked-Questions.aspx

Pennsylvania Department of Health & Pennsylvania Department of Drug and Alcohol Programs (2017). Pennsylvania Prescription Drug Monitoring Program (PDMP) system user and stakeholder training: Referral to treatment for substance use disorder related to opioid use. Retrieved from https://www.health.pa.gov/topics/Documents/Programs/PDMP/5-PDMP_Referral-Guide_F.pdf

Phillips, L. A. (2010). Substance abuse and prison recidivism: Themes from qualitative interviews. Journal of Addictions and Offender Counseling, 31, 10–24.CrossRef

Rudd, R., Aleshire, N., Zibbell, J., & Gladden, M. (2016). Increases in drug and opioid overdose deaths – United States, 2000-2014. Morbidity and Mortality Weekly Report January 1, 2016, 64(50), 1378–1382.

Spas, J., Ramsey, S., Paiva, A. L., & Stein, L. (2012). All might have won, but not all have the prize: Optimal treatment for substance abuse among adolescents with conduct problems. Substance Abuse: Research & Treatment, 6, 141–155. https://doi.org/10.4137/SART.S10389.CrossRef

Substance Abuse and Mental Health Services Administration [SAMHSA]. (2013). Drug abuse warning network, 2011: National estimates of drug-related emergency department visits. Retrieved from https://www.samhsa.gov/data/sites/default/files/DAWN2k11ED/DAWN2k11ED/DAWN2k11ED.pdf

Substance Abuse and Mental Health Services Administration [SAMHSA]. (2016). About emergency department data. Retrieved from https://www.samhsa.gov/data/emergency-department-data-dawn/about

Tanner-Smith, E. E., Wilson, S. J., & Lipsey, M. W. (2013). The comparative effectiveness of outpatient treatment for adolescent substance abuse: A meta-analysis. Journal of Substance Abuse Treatment, 44(2), 145–158.CrossRef

The American Psychiatric Association. (2013). The diagnostic statistical manual for mental disorders (5th ed.). Washington, D.C.: The American Psychiatric Association.CrossRef

The Council of Southeast Pennsylvania (2017). Certified recovery specialist (CRS) training program. Retrieved from https://www.councilsepa.org/programs/professional-trainings/certified-recovery-specialist-training-program/.

The White House, Office of the Press Secretary. (2016). Fact sheet: Obama administration announces prescription opioid and heroin epidemic awareness week [Press release]. Retrieved from https://obamawhitehouse.archives.gov/the-press-office/2016/09/19/fact-sheet-obama-administration-announces-prescription-opioid-and-heroin

U.S. Department of Health and Human Services [HHS]. (2015a). Opioids: The prescription drug and heroin overdose epidemic. Retrieved from http://www.hhs.gov/opioids

U.S. Department of Health and Human Services [HHS]. (2015b). Opioid abuse in the U.S. and HHS actions to address opioid-drug related overdoses and deaths. Retrieved from https://aspe.hhs.gov/sites/default/files/pdf/107956/ib_OpioidInitiative.pdf

U.S. Department of Justice, Drug Enforcement Administration [DEA]. (2015). Analysis of drug-related overdose deaths in Pennsylvania, 2014 (DEA Intelligence Report DEA-PHL-DIR-010-16). Retrieved from http://www.dea.gov/divisions/phi/2015/phi111715_attach.pdf

U.S. Department of Justice, Drug Enforcement Administration [DEA]. (2016). Carfentanil: A dangerous new factor in the U.S. opioid crisis [Officer safety alert]. Retrieved from https://www.dea.gov/divisions/hq/2016/hq092216_attach.pdf

Wilkerson, R. G., Kim, H. K., Windsor, T. A., & Mareiniss, D. P. (2016). The opioid epidemic in the United States. Emergency Medicine Clinics of North America, 34(2), e1–e23. https://doi.org/10.1016/j.emc.2015.11.002.CrossRefPubMed

Zibbell, J., Iqbal, K., Patel, R., Suryaprasad, A., Sanders, K., Moore-Moravian, L., et al. (2015). Morbidity and mortality weekly report: Increases in hepatitis C virus infection related to injection drug use among persons aged ≤ 30 years—Kentucky, Tennessee, Virgina, and West Virginia, 2006-2012. Morbidity and Mortality Weekly Report, 64(17), 453–458.PubMedPubMedCentral

Title: Systemic Issues in the Opioid Epidemic: Supporting the Individual, Family, and Community
Authors: Kristin A. Vincenzes
Beth McMahon
Jennifer Lange
Kellie Forziat-Pytel
Publication date: 01-10-2019
Publisher: Springer US
Published in: International Journal of Mental Health and Addiction / Issue 5/2019
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-018-0041-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Systemic Issues in the Opioid Epidemic: Supporting the Individual, Family, and Community

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 5/2019

Tobacco Use in South African Emergency Centre Patients: Opportunities for Intervention

Sharing, Group-Buying, Social Supply, Offline and Online Dealers: how Users in a Sample from Six European Countries Procure New Psychoactive Substances (NPS)

Diagnostic Prevalence of Common Psychiatric Comorbidities of Alcohol Use Disorders in India: a Systematic Review

Patterns of Online Activities and Related Psychosocial Factors in Adolescence: a Latent Class Analysis

Gender Differences in the Association Between Cyberbullying Victimization and Perpetration: The Role of Anger Rumination and Traditional Bullying Experiences

Association of Substance Use Patterns with Psychiatric Disorders in Homeless Persons with Psychiatric Disorders in Vancouver