Department of Psychiatry, Johns Hopkins School of Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD (IEL); Johns Hopkins Bloomberg School of Public Health, The Johns Hopkins Berman Institute of Bioethics, Baltimore, MD (MSG).
J Addict Med. 2020 Jul/Aug;14(4):e1-e3. doi: 10.1097/ADM.0000000000000678.
: The COVID-19 health crisis joined, rather than supplanted, the opioid crisis as the most acutely pressing threats to US public health. In the setting of COVID-19, opioid use disorder treatment paradigms are being disrupted, including the fact that methadone clinics are scrambling to give "take-home" doses where they would typically not. The rapid transition away from in-person examination, dosing and group therapy in an era of social isolation calls for adjustments to clinical practice, including emphasizing patient-provider communication, favoring new inductees on buprenorphine and leveraging technology to optimize safety of medication treatment.
: 新冠疫情的健康危机与阿片类药物危机同时出现,而非取代后者,成为对美国公众健康最紧迫的威胁。在新冠疫情背景下,阿片类药物使用障碍的治疗模式受到了干扰,包括美沙酮诊所正在争分夺秒地提供“居家”剂量,而这在平时是不会发生的。在社交隔离的时代,迅速从面对面检查、给药和小组治疗过渡,要求对临床实践进行调整,包括强调医患沟通、优先考虑丁丙诺啡的新使用者,并利用技术优化药物治疗的安全性。