title: Opioid Overdose: Risk Assessment and Mitigation in Outpatient Treatment.
abstract: The present clinical case discussion focuses on a patient with comorbid substance use disorder (SUD) and chronic pain, who experienced an overdose of heroin. The case illustrates the complex array of risk factors that contribute to overdose risk, discusses the use of naloxone, and highlights the need for further risk mitigation interventions in patients at risk for overdose.
authors.affiliation: Addiction Center and Mental Health Services (LAL, ASBB), Translations and Outcomes Program, Department of Psychiatry, University of Michigan; Mental Health (LAL, AH), VA Ann Arbor Health System; Department of Psychiatry (AH), University of Michigan, Ann Arbor, MI; Departments of Medicine and Psychiatry and Human Behavior (TWP), The Warren Alpert Medical School of Brown University, Providence, RI; and VA Center for Clinical Management Research (CCMR) (ASBB), Department of Veterans Affairs Healthcare System, North Campus Research Complex, Ann Arbor, MI.
authors.forename: Lewei Allison
authors.initials: LA
authors.lastname: Lin
authors.forename: Avinash
authors.initials: A
authors.lastname: Hosanagar
authors.forename: Tae Woo
authors.initials: TW
authors.lastname: Park
authors.forename: Amy S B
authors.initials: AS
authors.lastname: Bohnert
mesh_terms: D000328:Adult; D000701:Analgesics, Opioid / Q000009:adverse effects*; D059350:Chronic Pain / Q000188:drug therapy; D062787:Drug Overdose / Q000188:drug therapy*; D003932:Heroin / Q000009:adverse effects*; D006801:Humans; D008297:Male; D058850:Opiate Substitution Treatment; D009293:Opioid-Related Disorders / Q000188:drug therapy*; D018570:Risk Assessment; D013313:Stress Disorders, Post-Traumatic / Q000188:drug therapy; D014728:Veterans
chemical_list: D000701:Analgesics, Opioid; D003932:Heroin