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1. Identifying and Testing Strategies for Management of Opioid Use and Misuse in Older Adults in Primary Care Practices: Opioid and Pain Management Tools and Resources (pdf file)
   integrationacademy.ahrq.gov/sites/default/files/2021-04/Table_of_Opioid_and_Pain_Management_Tools_and_Resources.pdf
   January 01, 2021 - x91687 Who Needs Opioids? … x91687 https://www.apa.org/monitor/2019/06/cover-opioids-needs https://www.apa.org/monitor/2019/06/cover-opioids-needs … /products/opioids-older-adults/protocol https://effectivehealthcare.ahrq.gov/products/opioids-older-adults … /wp-content/uploads/Opioids-and-fall-risks-graphic-.pdf Opioids and Pain Management Tool and Resources … , risk assessment and monitoring, starting opioids, continuing opioids, and stopping opioids.

2. State of Opioid Use, Misuse, and Opioid Use Disorder among Older Adults (pdf file)
   integrationacademy.ahrq.gov/sites/default/files/2021-04/State_of_Opioid_Use_Among_Older_Adults.pdf
   January 01, 2021 - .* For example, high daily dosages, long-term use of opioids, obtaining prescriptions from multiple … providers, and co-prescribing of benzodiazepines and opioids can increase the risk of harm. 14,814 … Further, misuse of opioids among older adults 65 and older is increasing. … Opioids in Medicare Part D: Concerns about extreme use and questionable prescribing. … Accessed 9/1/2020. 5 Concurrent Use of Opioids and Benzodiazepines in a Medicare Part D Population

3. AHRQ Older Adult Opioid Initiative | The Academy
   integrationacademy.ahrq.gov/about/initiatives/older-adult-opioid-initiative
   July 01, 2024 - Initiatives AHRQ Older Adult Opioid Initiative The Opioids … use in younger and middle-aged adults, older adults have also been affected by the widespread use of opioids … The number of older adults who reported misusing opioids almost tripled from 2012 to 2019 1, 2 , and … Both patients and providers have struggled to adapt to new guidelines advocating judicious use of opioids … Products and Resources Opioids in Older Adults Compendium

4. Literature Collection | The Academy
   integrationacademy.ahrq.gov/products/literature-collection
   January 01, 2025 - Homish Year: 2018 Publication Place: Netherlands Topic(s): Opioids & Substance Use See topic collection … Visser Year: 2023 Topic(s): Opioids & Substance Use See topic collection Reference Links: View … Whelan Year: 2024 Topic(s): Opioids & Substance Use See topic collection , Healthcare Disparities … Marsch Year: 2014 Topic(s): Opioids & Substance Use See topic collection Export Citation: Download … O Donovan Year: 2022 Topic(s): Education & Workforce See topic collection , Opioids & Substance

5. Opioid Use Disorder News—October 2017 Update | The Academy
   integrationacademy.ahrq.gov/news-and-events/news/opioid-use-disorder-news-october-2017-update
   October 31, 2017 - Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing (link is external … beneficiaries, highlighting practices of “doctor shopping,” beneficiaries receiving extreme amounts of opioids … (link is external) Wide Variation and Overprescription of Opioids After Elective Surgery (link is external … It finds that most patients were overprescribed opioids and that significant prescribing variation exists … Government to take to prevent opioid addiction and overdoses and to treat people who currently abuse opioids

6. Introduction to Medication-Assisted Treatment | The Academy
   integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/introduction-medication-assisted-treatment
   February 01, 2025 - About 2.1 million people had an OUD in 2017. 3 Prescription opioids, heroin, and other synthetic opioids … This medication prevents the rewarding effects and euphoria from any other opioids in the brain. … Because it is an opioid antagonist, starting this medication requires abstinence from all opioids to … SAMHSA provides additional guidance on how to talk to patients about opioids . … Educate patients on the safe storage and disposal of prescription opioids.

7. Chronic Pain | The Academy
   integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/chronic-pain
   January 01, 2019 - Adjust the Treatment Plan Individuals with chronic non-cancer pain treated with opioids are at … can work for acute pain. 9 Patients cannot receive opioids if they are taking naltrexone: As an opioid … antagonist, naltrexone blocks the effects of opioids. … Resources Prescribing Opioids for Pain Treating Chronic Pain … It updates the CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016.

8. AHRQ Opioid Initiative | The Academy
   integrationacademy.ahrq.gov/about/initiatives/opioid
   June 01, 2022 - In 2015, an average of more than 90 people died each day from opioid overdose. 1 The misuse of opioids

9. Mitigating Overdose Risk | The Academy
   integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/mitigating-overdose-risk
   January 01, 2019 - , of which 88% (n=48,422) were fentanyl and other synthetic opioids. 2 Recently, opioid overdose deaths … deaths increased 10-fold from 1999 to 2022 5 , and the rate of overdose deaths involving synthetic opioids … People with OUD are most at risk of overdose when they use opioids following periods of abstinence or … 6 During these times, their opioid tolerance is likely to decrease so use of previous quantity of opioids … illicit fentanyl, where the opioid dose and the other substances included are unknown; When taking opioids

10. Substance Use Tools & Resources Guide | The Academy
    integrationacademy.ahrq.gov/products/substance-use-resources/environmental-scan/substance-use-tools/guide
    March 01, 2024 - Prevention of Opioid Use Disorder —tools for assessing and managing pain and prescribing opioids. … Prescribing Opioids —those that promote the safe, effective use of prescription opioids. … for opioid use disorder, during which patients have significantly decreased or discontinued use of opioids … Withdrawal from Opioids —those that provide information about the assessment and management of a patient … ’s withdrawal from opioids.

11. Overdose Risk | The Academy
    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/monitor-patient-and-program-progress/overdose-risk
    January 01, 2018 - Further, the overdose death rate from synthetic opioids, including fentanyl, increased more than 45 percent … High-risk behaviors include consuming large volumes of opioids; taking opioids in combination with other … respiratory depressants (e.g., alcohol, benzodiazepines); and using opioids in which the contents of … It is an opioid antagonist, meaning it displaces opioids from the receptor sites in the brain, which … then blocks the effects of other opioids in the bloodstream.

12. Other HHS Initiatives | The Academy
    integrationacademy.ahrq.gov/about/initiatives/other-initiatives
    May 01, 2024 - Tips for Teens: Opioids This fact sheet from SAMHSA provides facts about opioids to youth and adolescents … in primary care and explores the prevalence of adolescents’ misuse of a family member’s prescription opioids … effects of loss and trauma experienced by children and adolescents whose family members are addicted to opioids … Archive Explore the archived opioids and substance use news and resources: 2019 News and 2019

13. Chronic Pain Management | The Academy
    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/chronic-pain-management
    January 01, 2012 - disorder to also experience acute or chronic pain, as this pain may have led to the misuse of prescription opioids … For example, patients taking naltrexone should not be prescribed opioids because, as an antagonist, it … If providers continue to increase the dose of opioids to overcome this blockade, patients may be at risk … Some patients will want to avoid opioid analgesics at all costs, while others may be concerned that undertreated … Discusses chronic pain management, including treatment with opioids, and offers information about substance

14. Opioid Use Disorder News—2019 Updates | The Academy
    integrationacademy.ahrq.gov/news-and-events/news/opioid-use-disorder-news-2019-updates
    October 04, 2019 - Centers for Disease Control and Prevention (CDC) finds that nearly two-thirds of overdose deaths involved opioids … Deprescribing Can Mean Fewer Opioids, More Grateful Patients   This blog from the Institute for Healthcare … Improvement discusses the need to decrease prescribing rates of opioids.

15. Opioid Use Disorder Resource: 2017 Update | The Academy
    integrationacademy.ahrq.gov/news-and-events/news/opioid-use-disorder-resources-october-2017-update
    October 31, 2017 - This report examines prevention, treatment, and recovery issues for women who misuse opioids, have OUD … , or overdose on opioids. … recommends policy changes, including a cultural shift in prescribing practices, stricter regulations of opioids

16. Mental Health Awareness Month Resources | The Academy
    integrationacademy.ahrq.gov/news-and-events/news/mental-health-awareness-month-resources
    April 26, 2024 - support integration with a key focus on providing care for patients using substances, particularly opioids … Use Tools & Resources Collection – A collection of items for addressing substance use (especially opioids … published and grey literature on integrated behavioral health on topics such as healthcare disparities, opioids

17. NIH HEAL Initiative Seeks Input | The Academy
    integrationacademy.ahrq.gov/news-and-events/news/nih-heal-initiative-seeks-input
    July 08, 2024 - Synthetic opioids like fentanyl and increasing co-use of stimulants and opioids have contributed substantially

18. Substance Use-Related Health Outcome Trends | The Academy
    integrationacademy.ahrq.gov/news-and-events/news/alarming-trends-substance-use-related-health-outcomes-what-can-primary-care
    July 10, 2023 - Alcohol was the most frequently (45%) reported substance in these ED visits and opioids and cannabis … About 75% (82,998) of those drug overdose deaths were predicted to involve opioids, which is also an … but Remained Near Record Levels During the First Nine Months of 2022 as States Cope with Synthetic Opioids

19. Engagement and Retention of Nonabstinent Patients in SUD Treatment – New ASAM Clinical Guidance | The Academy
    integrationacademy.ahrq.gov/news-and-events/news/engagement-and-retention-nonabstinent-patients-sud-treatment-new-asam-clinical
    December 20, 2024 - interventions in addiction treatment, and buprenorphine treatment for individuals using high-potency synthetic opioids … Substance Use Tools & Resources Collection and Literature Collection items on substance use and opioids

20. Opioid Epidemic COVID-19 Pandemic Dual Crises | The Academy
    integrationacademy.ahrq.gov/news-and-events/news/opioid-epidemic-and-covid-19-pandemic-dual-crises
    December 23, 2020 - In that span, 446,032 people died from an overdose involving opioids. … data from the National Vital Statistics System indicate that the rate of overdose deaths involving opioids