J Psychiatr Pract. 2020 Jan;26(1):71-75. doi: 10.1097/PRA.0000000000000446.
The United States is currently experiencing an opioid epidemic, as drug overdose deaths have become a leading cause of death. According to the Centers for Disease Control, in 2017, opioids were responsible for 47,000 deaths, which involved both illicit and prescription opioids. A multifaceted public health approach that utilizes public health authorities, health care providers, local hospitals, and affected communities is required to effectively reduce opioid-related morbidity and mortality. The authors of this paper developed an inpatient program on the dual-diagnosis unit at Gracie Square Psychiatric Hospital in New York to target the opioid crisis. The purpose of this program was to train patients and their families on how to respond to an opioid overdose and administer naloxone spray. The paper describes the implementation of this program.
美国目前正经历阿片类药物泛滥的问题,药物过量已成为主要死因。根据疾病控制与预防中心的数据,2017 年,阿片类药物导致 4.7 万人死亡,涉及非法和处方类阿片类药物。需要采取多方面的公共卫生措施,利用公共卫生部门、医疗服务提供者、当地医院和受影响的社区,才能有效降低阿片类相关发病率和死亡率。本文作者在纽约格雷斯广场精神病院的双诊断病房制定了一项住院计划,以应对阿片类药物危机。该计划的目的是培训患者及其家属如何应对阿片类药物过量,并使用纳洛酮喷雾。本文描述了该计划的实施情况。