Handbook of Office-Based Buprenorphine Treatment of Opioid Dependence

Overview

The Handbook of Office-Based Buprenorphine Treatment of Opioid Dependence will serve as a reliable guide for the addition of buprenorphine treatment into existing clinical practices, both for psychiatrists and other clinicians. Adopting a new treatment modality can be challenging, yet the need to expand treatment services to include buprenorphine is urgent — and this book meets both challenges. The potential to improve the lives of patients with the disease of opioid addiction is great, and this book offers ...

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Handbook of Office-Based Buprenorphine Treatment of Opioid Dependence

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Overview

The Handbook of Office-Based Buprenorphine Treatment of Opioid Dependence will serve as a reliable guide for the addition of buprenorphine treatment into existing clinical practices, both for psychiatrists and other clinicians. Adopting a new treatment modality can be challenging, yet the need to expand treatment services to include buprenorphine is urgent — and this book meets both challenges. The potential to improve the lives of patients with the disease of opioid addiction is great, and this book offers concrete and practical advice for managing patients in an office-based setting. This handbook • Highlights the importance of counseling as an essential component of quality buprenorphine treatment• Provides the dimensions of assessment and available treatment options to ensure that patients receive the appropriate intensity of care• Urges clinicians to locate therapists trained in cognitive-behavior therapy, motivational enhancement therapy, and 12-step facilitation• Stresses the importance of care coordination with treatment counselors in order to deliver maximally effective buprenorphine treatment

Distinguished practicing psychiatrists, internists, and other clinical experts and researchers contribute their expertise with buprenorphine to this volume. It covers the subject matter thoroughly — from the history of opioid abuse and assessment criteria for potential patients to clinical management and psychiatric comorbidity. Chapters provide succinct conclusions and clinical pearls summarizing content regarding, among other topics, • General opioid pharmacology and the efficacy and safety of buprenorphine treatment programs• Detailed information about the clinical use of buprenorphine• Clinical management strategies for successful integration of the medication into private practices• Medical management, logistical considerations, and opioid use by adolescents

This handbook provides the tools and guidelines necessary to help providers cultivate a therapeutic environment for treating opioid addiction that minimizes problem behaviors and optimizes treatment outcomes. The requirements for setting up a successful office-based treatment program are provided in detail. A screening questionnaire for patients and sample informed consent forms are provided. Because there is flexibility in how the necessary elements can be incorporated into existing programs, providers will learn through this handbook how to tailor their opioid addiction treatment plan to the needs of their particular practice and patients. Case vignettes, charts, and tables make the subject matter easily accessible for readers ranging from students to well-established practitioners.

Clinicians will find this handbook an invaluable resource for successfully treating an increasing number of patients who struggle with the disease of opioid addiction.

American Psychiatric Publishing

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Editorial Reviews

Doody's Review Service
Reviewer: Michael Easton, MD (Rush University Medical Center)
Description: This is a guide to help clinicians add buprenorphine treatment to their existing primary care or psychiatric office and clinic settings. It provides guidelines to help achieve optimized treatment outcomes for patients with opiate addiction.
Purpose: It is meant to be a resource for those treating individuals with opiate dependence and in particular the use of buprenorphine in an office or clinic setting. It is formatted to mirror the buprenorphine training courses with expansion of some topics.
Audience: This handbook is intended for any clinician interested in or currently treating individuals with opiate dependence, particularly those working in an office-based setting. It is useful for general psychiatrists, general physicians, medical students, residents, and nurses.
Features: It begins with the epidemiology and treatment of opioid dependence in America as well as opioid pharmacology. It covers a full range of topics pertaining to buprenorphine, from its history and development, efficacy, and safety to patient assessment, clinical use of buprenorphine, and logistics of office-based treatment. The handbook also covers additional topics such as opioid abuse in adolescents, medical management, and pain management in this patient population.
Assessment: This handbook mirrors the buprenorphine course clinicians are required to take to be able to prescribe buprenorphine in an office-based setting as substitution therapy for opiate dependent individuals. It is an excellent addition to the course, going into a number of areas in greater detail than the face-to-face or online course is able to. The book contains most of the need-to-know information for anyone who wishes to become more knowledgeable or comfortable in this area.
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Product Details

  • ISBN-13: 9781585623693
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 9/7/2010
  • Pages: 357
  • Sales rank: 419,244
  • Product dimensions: 6.00 (w) x 8.90 (h) x 1.00 (d)

Meet the Author

John A. Renner Jr., M.D., is Associate Professor of Psychiatry at Boston University School of Medicine and Director of the Addiction Psychiatry Residency Training Program at Boston University Medical Center and the VA Boston Healthcare System in Boston, Massachusetts.

Petros Levounis, M.D., M.A., is Director of The Addiction Institute of New York; Chief of the Division of Addiction Psychiatry at The St. Luke's and Roosevelt Hospitals; and Associate Clinical Professor of Psychiatry at Columbia University College of Physicians and Surgeons in New York, New York.

American Psychiatric Publishing

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Table of Contents

Forward. Introduction. Opiate dependence in America: history and overview. Experience with buprenorphine in the United States 2002 to 2008. General opioid pharmacology. Efficacy and safety of buprenorphine. Patient assessment. Clinical use of buprenorphine. Clinical management I: buprenorphine treatment in office-based settings. Clinical management II: psychosocial and supportive treatment. Psychiatric comorbidity. Medical management. Management of acute and chronic pain. Opioid use by adolescents. Logistics of office-based buprenorphine treatment. Comments on the case vignettes. Appendix 1: useful web sites and recommended readings. Appendix 2: study questions and answer guide. Index.

American Psychiatric Publishing

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