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Focus

  • Volume 17
  • Number 2
  • April 2019

From the Guest Editor

Review

Publication date: 01 April 2019

Pages88–97

Substance use disorders are overrepresented among individuals with mental illness, and diagnosis and treatment of co-occurring disorders can be challenging. This review describes the epidemiology and treatment of co-occurring disorders, with a focus on ...

https://doi.org/10.1176/appi.focus.20180042

Clinical Synthesis

Publication date: 01 April 2019

Pages98–103

The authors provide an overview of pharmacological and psychosocial behavioral treatments for patients with cannabis use disorder, emphasizing aspects of clinical management unique to this patient population.

https://doi.org/10.1176/appi.focus.20180038

Publication date: 01 April 2019

Pages104–109

Novel buprenorphine delivery systems—two depot formulations and a long-acting, matchstick-sized implant—have demonstrated efficacy in the treatment of opioid use disorder while reducing the risk of medication nonadherence, diversion, and accidental ...

https://doi.org/10.1176/appi.focus.20180043

Publication date: 01 April 2019

Pages110–116

This article examines the long-term outcomes of endocarditis in patients who inject drugs; issues that arise during hospitalization; and management of opioid use disorder, acute pain, and ongoing outpatient treatment.

https://doi.org/10.1176/appi.focus.20180040

Publication date: 01 April 2019

Pages117–127

Substance use among college students is associated with negative outcomes, and several risk factors, such as academic and peer pressure, are specific to this population. This article describes specific challenges and approaches to treatment for this ...

https://doi.org/10.1176/appi.focus.20180037

Publication date: 01 April 2019

Pages128–133

A report from the President’s Commission on Combating Drug Addiction and the Opioid Crisis calls for addiction treatment that addresses all mental health needs. Specialists in addiction medicine and addiction psychiatry are best positioned to develop and ...

https://doi.org/10.1176/appi.focus.20190003

21st-Century Psychiatrist

Publication date: 01 April 2019

Pages134–140

The national failure to adequately respond to the opioid epidemic has exposed major deficits in the U.S. health care education system. Treatment services are inadequate; clinicians are ill prepared and uninformed about existing effective treatments; and ...

https://doi.org/10.1176/appi.focus.20180039

Ask the Expert

Ethics Commentary

Communication Commentary

Bibliography

Abstracts

Influential Publications

Publication date: 01 April 2019

Pages163–168

Cannabis use has been continuously increasing, and cannabis use disorder (CUD) has become a public health issue. Some psychosocial interventions have demonstrated the ability to reduce cannabis use; however, there are no pharmacotherapies approved for the ...

https://doi.org/10.1176/appi.focus.17202

Publication date: 01 April 2019

Pages169–182

Cannabis is the most commonly used substance of abuse in the United States after alcohol and tobacco. With a recent increase in the rates of cannabis use disorder (CUD) and a decrease in the perceived risk of cannabis use, it is imperative to assess the ...

https://doi.org/10.1176/appi.focus.17204

Publication date: 01 April 2019

Pages183–192

Objective: Although counseling is a required part of office-based buprenorphine treatment of opioid use disorders, the nature of what constitutes appropriate counseling is unclear and controversial. The authors review the literature on the role, nature, ...

https://doi.org/10.1176/appi.focus.17206

Publication date: 01 April 2019

Pages193–199

Background: Addiction specialists frequently find themselves faced with suicidal behavior in their addictions patients. Although many addiction treatment programs will not accept clients with recent suicidal behavior, up to 40% of patients seeking ...

https://doi.org/10.1176/appi.focus.17203

Past Issues

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