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Month: July 2017

9 Facts about Addiction People Get Wrong

There’s a lot of stigma and misundeerstanding with substance use disorders, treatment and recovery. But you should never let social judgment stand in the way of getting your child the help he or she needs and deserves. Here are nine facts to know so you can be better prepared to help your child. Download &...

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Treating Complex Pain Patients

Patients and providers alike have personalities, assumptions and agendas which greatly affect behavior and doctor/patient interactions. Dr. Steven Prakken explores how normal human tendencies create challenges when mixed with chronic pain and addresses how practitioners can better treat the complex pain patient. This video is a project of the Governor’s Institute supported by block grant funding from the U.S. Substance Abuse and Mental Health Services Administration through the North Carolina Division of Mental Health, Developmental Disabilities, and Substance Abuse Services, North Carolina Department of Health and Human Services with help from the North Carolina Division of Public Health and...

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Understanding the Pain Patient

The treatment of pain can be highly challenging. How we think about these patients and how we construct our responses determine whether the interaction will have a positive or not so positive outcome. In this video, Dr. Steven Prakken provides suggestions about how to make these interactions more productive. This video is a project of the Governor’s Institute supported by block grant funding from the U.S. Substance Abuse and Mental Health Services Administration through the North Carolina Division of Mental Health, Developmental Disabilities, and Substance Abuse Services, North Carolina Department of Health and Human Services with help from the...

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Consensus Document for Drug Testing

The Consensus Document Appropriate Use of Drug Testing in Addiction Medicine addresses a wide range of daily issues encountered in the process of drug testing, including the selection of tests and the appropriate response to test results. Urine tests remain by far the most common category of tests, but are also the most prone to tampering. The document recommends that drug testing should be done at least weekly at the beginning of treatment, and at least monthly for patients in stable recovery; however, individual consideration may be given for less frequent testing if a patient is in stable recovery....

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1980 NEJM Letter a Major Factor in Opioid Crisis

The “Porter and Jick” letter published in the New England Journal of Medicine (NEJM) in 1980, which has been cited more than 600 times over the years, may have been the spark that ignited North America’s opioid crisis, new research suggests. A new Correspondence piece published in the June 1 issue of the NEJM reports that although the letter was not heavily referenced, it has been cited more than 600 times, with many authors “grossly misrepresenting” the conclusion. The brief, five-sentence 1980 letter reported that among 39,946 hospitalized medical patients, of whom 11,882 received at least one narcotic, there...

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