Oct19 A3-Public Health_Addiction Flashcards
substance use disorder in DSM-V
cluster of cognitive, behavioral and phgy sx indicating that the individual continues using the substance despite significant substance-related problems
characterized by underlying change in brain circuits that may persist beyond detoxification
(imp) 4 pillars of actions (response) to drug-related harms
- prevention
- enforcement
- treatment
- harm reduction
harm reduction def
any program or policy designed to reduce drug-related harm without requiring the cessation of drug use
-interventions may target individual, family, community, society
examples of harm reduction
- education and outreach
- health and social services referral
- low thereshold support services
- law enforcement policies and protocols
- injection equipment distribution programs
- substitution therapies (methadone, suboxone, etc.)
- supervised drug consumption facilities
- street drug testing and early warning systems
important harm reduction method in MTL
access to clean materials for injection. at the centres, have:
- sterile materials for injection (syringes, stericups, water, alcohol swabs)
- other prevention equip
- recovery of used syringes
- info, counseling, referral
- interprofessional care
syringe program for reducing harm is what (opioid injection)
-needle and syringe programs (NSP):
reduce HIV transmission
reduce self-reported injecting behaviours
+ less injection with used syringe
safer spaces (supervised injection facilities) effects
- reduces injecting risk behavior
- mitigates drug related harms and reach most marginalized injecting drug users
MTL plan to reduce overdose
access to naloxone
- intranasal admin of naloxone to prevent opioid overdose is likely beneficial in preventing overdose deaths
- naloxone training and prescription is likely beneficial in preventing overdose deaths
