title: Opioid Use Disorders.
abstract: Opioid use and addiction in adolescents and young adults is a health problem of epidemic proportions, with devastating consequences for youth and their families. Opioid overdose is a life-threatening emergency that should be treated with naloxone, and respiratory support if necessary. Overdose should always be an opportunity to initiate addiction treatment. Detoxification is often a necessary, but never sufficient, component of treatment for OUDs. Treatment for OUDs is effective but treatment capacity is alarmingly limited and under-developed. Emerging consensus supports the incorporation of relapse prevention medications such as buprenorphine and extended release naltrexone into comprehensive psychosocial treatment including counseling and family involvement.
authors.affiliation: Mountain Manor Treatment Center, Baltimore, MD, USA.
authors.forename: Bikash
authors.initials: B
authors.lastname: Sharma
authors.affiliation: Mountain Manor Treatment Center, Baltimore, MD, USA; Department of Pediatrics, Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Ann
authors.initials: A
authors.lastname: Bruner
authors.affiliation: Mountain Manor Treatment Center, Baltimore, MD, USA.
authors.forename: Gabrielle
authors.initials: G
authors.lastname: Barnett
authors.affiliation: Mountain Manor Treatment Center, Baltimore, MD, USA; Department of Psychiatry, Johns Hopkins University, Baltimore, MD, USA. Electronic address: mjfishman@comcast.net.
authors.forename: Marc
authors.initials: M
authors.lastname: Fishman
mesh_terms: D000293:Adolescent; D000701:Analgesics, Opioid; D002047:Buprenorphine / Q000627:therapeutic use; D062787:Drug Overdose / Q000517:prevention & control*; D006801:Humans; D009270:Naloxone / Q000627:therapeutic use; D009271:Naltrexone / Q000627:therapeutic use; D009292:Narcotic Antagonists / Q000627:therapeutic use; D009293:Opioid-Related Disorders / Q000188:drug therapy* / Q000453:epidemiology*
chemical_list: D000701:Analgesics, Opioid; D009292:Narcotic Antagonists; D009270:Naloxone; D002047:Buprenorphine; D009271:Naltrexone
keywords: Heroin; Injection; Opioid use disorder; Opioids; Overdose; Prescription opioids; Withdrawal