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Focus

Volume 17, Issue 2

The Changing Landscape of Substance Use Disorders

April 2019

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From the Guest Editor

April 2019

Progress and Future: Meeting the Needs of the Nation’s Substance Use Crisis

Justine W. Welsh, M.D.,
Joji Suzuki, M.D.

Page:87
Published Online:11 April 2019

https://doi.org/10.1176/appi.focus.20190002

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Review

CME

April 2019

Treatment for Substance Use Disorder With Co-Occurring Mental Illness

Muhammad N. Iqbal, M.D.,
Charles J. Levin, B.A.,
Frances R. Levin, M.D.

Pages:88–97
Published Online:11 April 2019

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

Abstract
Full text
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CME

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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 ...

Clinical Synthesis

CME

April 2019

Cannabis and the Current State of Treatment for Cannabis Use Disorder

Arthur Robin Williams, M.D., MBE, and
Kevin P. Hill, M.D., M.H.S.

Pages:98–103
Published Online:11 April 2019

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

Abstract
Full text
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CME

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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.

CME

April 2019

Novel Formulations of Buprenorphine for Treatment of Opioid Use Disorder

Richard N. Rosenthal, M.D.

Pages:104–109
Published Online:11 April 2019

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

Abstract
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CME

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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 ...

CME

April 2019

Assessment and Management of Endocarditis Among People Who Inject Drugs in the General Hospital Setting

Joji Suzuki, M.D.

Pages:110–116
Published Online:11 April 2019

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

Abstract
Full text
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CME

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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.

CME

April 2019

Substance Use Among College Students

Justine W. Welsh, M.D.,
Yujia Shentu, M.S.,
Dana B. Sarvey, M.D.

Pages:117–127
Published Online:11 April 2019

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

Abstract
Full text
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CME

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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 ...

CME

April 2019

Psychiatry and the Opioid Overdose Crisis

Bertha K. Madras, Ph.D., and
Hilary Connery, M.D., Ph.D.

Pages:128–133
Published Online:11 April 2019

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

Abstract
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CME

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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 ...

21st-Century Psychiatrist

April 2019

Counteracting the Effect of Stigma on Education for Substance Use Disorders

John A. Renner, M.D.

Pages:134–140
Published Online:11 April 2019

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

Abstract
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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 ...

Ask the Expert

April 2019

Management of Adolescent Substance Use Disorders, With an Emphasis on Cannabis Use Disorders

Jeffery N. Wilkins, M.D.

Pages:141–142
Published Online:11 April 2019

https://doi.org/10.1176/appi.focus.20190006

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Ethics Commentary

April 2019

Substance Use Among Older Adults: Ethical Issues

Chinyere I. Ogbonna, M.D., M.P.H., and
Anna Lembke, M.D.

Pages:143–147
Published Online:11 April 2019

https://doi.org/10.1176/appi.focus.20180041

First Page
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Communication Commentary

April 2019

Additive Benefit in Addiction Treatment: Human and Technology-Based Patient Engagement

Dorothy E. Stubbe, M.D.

Pages:148–151
Published Online:11 April 2019

https://doi.org/10.1176/appi.focus.20190001

First Page
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Bibliography

April 2019

The Changing Landscape of Substance Use Disorders

Pages:152–153
Published Online:11 April 2019

https://doi.org/10.1176/appi.focus.17201

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Abstracts

April 2019

The Changing Landscape of Substance Use Disorders

Pages:154–157
Published Online:11 April 2019

https://doi.org/10.1176/appi.focus.17207

First Page
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Influential Publications

April 2019

The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder

Victor I. Reus, M.D.,
Laura J. Fochtmann, M.D., M.B.I.,
Oscar Bukstein, M.D., M.P.H.,
A. Evan Eyler, M.D., M.P.H.,
Donald M. Hilty, M.D.,
Marcela Horvitz-Lennon, M.D., M.P.H.,
Jane Mahoney, Ph.D., R.N., PMHCNS-B.C.,
Jagoda Pasic, M.D., Ph.D.,
Michael Weaver, M.D.,
Cheryl D. Wills, M.D.,
Jack McIntyre, M.D., (Consultant),
Jeremy Kidd, M.D., (Consultant),
Joel Yager, M.D., (Systematic Review),
Seung-Hee Hong (Systematic Review)

Pages:158–162
Published Online:11 April 2019

https://doi.org/10.1176/appi.focus.17205

Abstract
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(Reprinted with permission from Am J Psychiatry 2018; 175:86–90)

April 2019

Psychosocial and Pharmacological Interventions for the Treatment of Cannabis Use Disorder

Pamela Sabioni,
Bernard Le Foll

Pages:163–168
Published Online:11 April 2019

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

Abstract
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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 ...

April 2019

Cannabis Addiction and the Brain: a Review

Amna Zehra,
Jamie Burns,
Christopher Kure Liu,
Peter Manza,
Corinde E. Wiers,
Nora D. Volkow,
Gene-Jack Wang

Pages:169–182
Published Online:11 April 2019

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

Abstract
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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 ...

April 2019

The Role of Behavioral Interventions in Buprenorphine Maintenance Treatment: A Review

Kathleen M. Carroll, Ph.D.,
Roger D. Weiss, M.D.

Pages:183–192
Published Online:11 April 2019

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

Abstract
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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, ...

April 2019

Addiction and Suicide: A Review

Christine Yuodelis-Flores, M.D.,
Richard K. Ries, M.D.

Pages:193–199
Published Online:11 April 2019

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

Abstract
Full text
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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 ...

Take the Spring 2019 Focus CME quiz: The Changing Landscape of Substance Use Disorders

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