Addiction Medicine Fellowship, Department of Medicine, The Warren Alpert Medical School of Brown University; Division of General Internal Medicine, Rhode Island Hospital, Providence, RI.
Addiction Medicine Fellowship, Department of Medicine, The Warren Alpert Medical School of Brown University; Addiction Medicine Consult Service, Rhode Island Hospital, Providence, RI.
R I Med J (2013). 2022 Apr 1;105(3):24-27.
Expanding addiction treatment services in Rhode Island has never been more urgent. Today, we face colliding syndemics of COVID-19, preventable drug overdoses, and HIV, with another year of record overdoses. While the treatment of substance use disorder (SUD) is an essential component of general medical care, numerous barriers prevent broader treatment access for patients in Rhode Island. Buprenorphine and methadone therapy have restrictions that are not applied to other areas in medicine, including for more dangerous medications. In this piece, we highlight existing barriers to care, applaud current progress being made in our state, and provide recommendations for next steps to turn the tide of this deadly epidemic. We hope that these proposed changes will help develop a robust treatment landscape for all patients with SUD in Rhode Island.
扩大罗德岛的成瘾治疗服务从来没有像现在这样紧迫。今天，我们面临着 COVID-19、可预防的药物过量和艾滋病毒的同时爆发，而过量用药的记录又持续了一年。虽然物质使用障碍（SUD）的治疗是一般医疗保健的重要组成部分，但众多障碍阻止了罗德岛患者更广泛地获得治疗。丁丙诺啡和美沙酮疗法有一些限制，这些限制不适用于医学的其他领域，包括更危险的药物。在这篇文章中，我们强调了现有的护理障碍，赞扬了我们州目前正在取得的进展，并为下一步行动提供了建议，以扭转这场致命流行病的局面。我们希望这些拟议的改变将有助于为罗德岛所有 SUD 患者建立一个强大的治疗环境。
