The opioid crisis due to prescription of opioid

Prescription of opioid and its effects

In the field of medicine, prescription drugs are given by medics to patients on the diagnosis. However, the prescription of opioid has increased over time, resulting in the death of people because of misuse. The crisis relating to opioid has been going on for several years in the country. An opioidis found in different forms in painkillers such as morphine, fentanyl, and also in illegal drugs such as heroin. The crisis has gotten largely ignored but finally became unmanageable in the year 2015 when opioid was reported to be the leading cause of death in America. In the year 2016, the 21stCentury Cures Act got passed in which funding and grants for mental health and substance abuse Donald Trump declared that the crisis was a national health emergency. From the late 1990s, the number of cases has increased over time. According to the Centre for Disease Control, pharmaceutical companies, and personnel working in the health sector have been accused of failing to address the risks associated with the drug. The opioid is mostly used as a pain reliever, and if misused, it may become hazardous. The opioid crisis has gotten out of control, necessitating the formulation of policies and regulations to reduce the unintended consequences of increased usage.

Most of the people, when dealing with pain, face a subjective experience, which varies from one person to the other depending on the illness. Living in pain reduces the quality of life that an individual gets to live. Taking medication that has opioid medication blocks the part of the brain that controls emotions and pains, which drives up the feel-good hormones resulting in a feeling of euphoria. The mind becomes used to the sensation after some time, which means that it takes more and more of the opioidto get the same results resulting in independence andafterward, addiction.[1]According to the report, approximately 10.3 Million Americans have misused opioids as a prescription medicine to relieve pain. According to the International Board on Narcotics Control, America is one of the highest consumers of hydrocodone, resulting in addiction amongst its population. People who depend on an opioid for pain relief may, after some time, switch to use heroin because it is cheaper as compared to prescription drugs.[2]In the year 2018, the president signed into law legislation that seeks to find new types of drugs that can be used to manage pain but will not result in addiction.[3]Some of the changes that are set to take place include more research on the expansion of treatment for Medicaid and substance abuse patients.

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Historical Background

Heroin use as a drug got produced commercially in the year 1898, and at the time, it was believed to be less addictive as compared to morphine. In the year 1914, the Harrison Narcotics Act got passed by Congress. The Act required doctors to give prescriptions for patients to be allowed to use drugs such as heroin and opioid.The law also required distributors to register and pay tax on the products. The crisis began around the 1990s because of the misuse of drugs that were given under prescription, such as oxycodone, which was used to manage pain. Opioids over time became one of the widely prescribed medicine for relieving pain after surgery because they induced a sense of calmness. Because of the sense of peace, the drug became widely used, with many of its users citing hallucinations, and at worse, it may result in constipation and vomiting and, ultimately, addiction. From the year 1999 to around the year 2015, America experienced around 400.000 cases of causes related to opioid use, with many people finding it hard to stop using the drug.[4]Use of opioidincreased around the 1980s when the pain was recognized as being aproblem which required attention. The United States, therefore, in a bid to address the situation started formulating Acts to deal with pain and the use of opioids and other drugs. Research has shown over time that Opioids are not particularly useful when it comes to the treatment of chronic pain. A company in America known as Purdue Pharma has come under criticism and is facing massive litigation for selling opioid to patients

Policies on Opioid Crises

The use of drugs and the commission of violent crimes go hand in hand. According to the National Re-entry Centre, the use of an opioid is closely related to involvement in crime, and the impact of opioids can be felt even at the community level.[5]In the 1970s, the heroine wave was attributed mainly to the increased crime rated, with violent crimes being reported frequently at the time. Policies can be formulated at both the federal and state level through regulations, guidelines, and laws. The federal government had not yet created an effective policy on pain medication, and it was not until recently when the federal government actively came in place to avert the increasing cases of opioid misuse. The NPS has made several strides to address the situation and promotes the implementation of care models that are cost-effective and raise awareness on the pain medication side effects. The health care structure of the country also facilitated the increased prescription of the drug because many doctors in private practice benefitted economically by increasing the volume of patients. Prescription of opioids as compared to other drugs was also found to be cheaper hence easily payable through health insurance plans. Most of the health insurance plans did not support other treatment methods such as physical therapy, which is more expensive.[6]

In the criminal justice system, opioid use is prevalent mainly among the criminal justice population. According to reports from the Department of Justice, almost half of the federal and state prisoners meet the criteria for substance use disorder.[7]Criminal organizations have been accused of distributing and smuggling illicit drugs.

Bibliography

Legislation

The Support for Patient and Communities Act

Articles

CNN Editorial Research. (2019, December 4). Opioid Crisis Fast Facts. Retrieved from https://edition.cnn.com/2017/09/18/health/opioid-crisis-fast-facts/index.html

Dasgupta N, Beletsky L, Ciccarone D. Opioid crisis: no easy fix to its social and economic determinants. American journal of public health. 2018 Feb;108(2):182-6.

Opioid Addiction and the Criminal Justice System. (n.d.). Retrieved from org/nrrc/opioid-addiction-and-the-criminal-justice-system/”>https://csgjusticecenter.org/nrrc/opioid-addiction-and-the-criminal-justice-system/

Substance Abuse Center for Behavioral Health, Statistics, and Quality. Results from the 2016 National Survey on Drug Use and Health: Detailed Tables. SAMHSA. https://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs 2016/NSDUH-DetTabs-2016.html.

[1] CNN Editorial Research. (2019, December 4). Opioid Crisis Fast Facts. Retrieved from https://edition.cnn.com/2017/09/18/health/opioid-crisis-fast-facts/index.html

[2]ibid

[3] The Support for Patient and Communities Act

[4]Dasgupta N, Beletsky L, Ciccarone D. Opioid crisis: no easy fix to its social and economic determinants. American journal of public health. 2018 Feb;108(2):182-6.

[5]Opioid Addiction and the Criminal Justice System. (n.d.). Retrieved from https://csgjusticecenter.org/nrrc/opioid-addiction-and-the-criminal-justice-system/

 Tracing the US opioid crisis to its roots. (2019, September 11). Retrieved from https://www.nature.com/articles/d41586-019-02686-2[6]

[7]Substance Abuse Center for Behavioral Health, Statistics, and Quality. Results from the 2016 National Survey on Drug Use and Health: Detailed Tables. SAMHSA. https://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs-2016/NSDUH-DetTabs-2016.htm.

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