THE DEFINITIVE GUIDE FOR PUBLIC HEALTH PROFESSIONALS FIGHTING THE OPIOID EPIDEMIC
The opioid crisis has devastated families and communities across the United States. Changes in policing and medical practices have been swift, but they've achieved only a modest impact on the fundamental causes of substance misuse and addiction.
The necessity for upstream intervention is clear. But what does that look like?
A Public Health Guide to Ending the Opioid Epidemic does what only a public health approach can: offer credible, scalable, and empirically supported approaches to uprooting one of society's most pernicious challenges. It systemizes the core tenets of the public health approach to substance misuse and addiction, which alongside clinical approaches (prescription guidelines and monitoring, increased access to overdose-reversal medication, and medication-assisted treatment availability) offers a roadmap for end-to-end response to this diverse problem.
Core elements of the public health approach, all covered here in practical terms, include:
· How to support community-based, primary prevention of substance misuse and addiction in different settings and populations
· How to effectively address the cultural, social, and environmental aspects of health that are driving the current epidemic
· How governmental public health agencies play a significant role in responding to the epidemic, both in the field's traditional model of disease surveillance and control and in more directed approaches to health promotion (building community resilience; addressing the impact of adverse childhood events; mitigating the root causes of addiction)
These frameworks offer a foundation for understanding, analyzing, and meaningfully impacting the burden of opioid misuse and addiction in any population or setting. A Public Health Guide to Ending the Opioid Epidemic is a roadmap for meaningful change.
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JAY C. BUTLER, MD, is former Commissioner and Chief Medical Officer of the Alaska Department of Health and Social Services. During his tenure, he served as incident commander of Governor Bill Walker's Opioid Crisis Response Cabinet. He is a graduate of the University of North Carolina Medical School, has completed post-doctoral clinical trainings at Vanderbilt and Emory Universities, and maintains board certifications in infectious diseases, internal medical, and pediatrics. He is an affiliate professor of medicine at the University of Alaska Anchorage. He was the 2017 President of the Association of State and Territorial Health Officials and is the recipient of the 2018 National American Society of Addiction Medicine's Public Policy Award. In 2019, he became Deputy Director for Infectious Diseases at the Centers for Disease Control and Prevention.
MICHAEL R. FRASER, PhD, MS, CAE, FCPP, is Chief Executive Officer of the Association of State and Territorial Health Officials (ASTHO), the national nonprofit organization representing state and territorial leaders of public health agencies of the United States, U.S. territories, and the District of Columbia, as well as the more than 100,000 public health professionals these agencies employ. He has featured in interviews with the Washington Post, New York Times, Politico, and other national and regional media outlets. He is an affiliated faculty at the George Mason University College of Health and Human Services and a Professorial Lecturer in Health Policy and Management at the Milken Institute School of Public Health at George Washington University. His collaborative research and scholarship have published in several academic journals including the American Journal of Public Health, the Annals of Internal Medicine, and the Journal of Public Health Management and Practice.
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