Substance Use Disorders and COVID-19: Multi-Faceted Problems Which Require Multi-Pronged Solutions

@article{Jemberie2020SubstanceUD,
  title={Substance Use Disorders and COVID-19: Multi-Faceted Problems Which Require Multi-Pronged Solutions},
  author={Wossenseged Birhane Jemberie and Jennifer Stewart Williams and Malin Eriksson and Ann-Sofie Gr{\"o}nlund and Nawi Ng and Marcus Blom Nilsson and Mojgan Padyab and Kelsey C. Priest and Mikael Sandlund and Fredrik Snellman and Dennis McCarty and Lena M. Lundgren},
  journal={Frontiers in Psychiatry},
  year={2020},
  volume={11}
}
COVID-19 shocked health and economic systems leaving millions of people without employment and safety nets. The pandemic disproportionately affects people with substance use disorders (SUDs) due to the collision between SUDs and COVID-19. Comorbidities and risk environments for SUDs are likely risk factors for COVID-19. The pandemic, in turn, diminishes resources that people with SUD need for their recovery and well-being. This article presents an interdisciplinary and international perspective… 

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References

SHOWING 1-10 OF 125 REFERENCES

COVID-19 and Substance Use Disorders: Recommendations to a Comprehensive Healthcare Response. An International Society of Addiction Medicine Practice and Policy Interest Group Position Paper

An international group of experts on addiction medicine, infectious diseases, and disaster psychiatry explore the possible raised concerns in this issue and provide recommendations to manage the comorbidity of COVID-19 and Substance Use Disorder (SUD).

Collision of the COVID-19 and Addiction Epidemics

  • N. Volkow
  • Psychology, Medicine
    Annals of Internal Medicine
  • 2020
The risks of the collision of the COVID-19 and addiction epidemics are described, which could put at risk those who have opioid use disorder and methamphetamine use disorder.

Understanding why patients with substance use disorders leave the hospital against medical advice: A qualitative study

The findings shed light on the reasons patients with SUD are discharged from the hospital AMA, an event that is associated with increased thirty-day mortality and hospital re-admission, and support the need for inpatient addiction treatment, particularly for management of withdrawal and co-occurring pain.

How Is Telemedicine Being Used In Opioid And Other Substance Use Disorder Treatment?

Despite a rapid increase in tele-SUD over the study period, low use rates overall are found, particularly relative to the growth in telemental health.

The intersectional risk environment of people who use drugs.

Binge alcohol and substance use across birth cohorts and the global financial crisis in the United States

Millennials have been especially affected by socioeconomic changes associated with the GFC as reflected by their heightened vulnerability and increased use of binge alcohol and other substances compared to preceding generations.

Complicated Alcohol Withdrawal—An Unintended Consequence of COVID-19 Lockdown

An unintended consequence of the COVID-19-related lockdown in India was serious illness in some patients with alcohol use disorders.

COVID-19 disease emergency operational instructions for Mental Health Departments issued by the Italian Society of Epidemiological Psychiatry

These instructions, first published online on 16 March 2020 in their original Italian version, provide a detailed description of actions proposed by the Italian Society of Epidemiological Psychiatry, addressed to Italian Mental Health Departments during the current COVID-19 pandemic.

EPA guidance on mental health and economic crises in Europe

The impact on mental health in Europe of the economic downturn and the measures that may be taken to respond to it are identified and evidence-based tables and recommendations were developed through an expert consensus process.
...