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Doody's Review ServiceReviewer: Steve C. Lee, MD (Rush University Medical Center)
Description: This is an update of a book published in 1999 that provides a comprehensive review of the treatment of opioid dependence.
Purpose: The purpose is to review the extensive body of literature regarding opioid dependence to support clinical recommendations. There is also an aim to influence public policy by exhibiting the extensive body of research that supports the treatment of opioid dependence. The toll on society of opioid dependence, as with other substances of abuse, is substantial. Thus, a review of information regarding its treatment is warranted. This book does a superb job fulfilling this goal.
Audience: The main audience is the treatment community that works with patients suffering from opioid dependence and researchers interested in shedding more light on this disorder. As noted above, another target audience is government agencies that may potentially allocate support for opioid dependence treatment. The editors have conducted research in this area at Johns Hopkins for over two decades.
Features: The book provides a history of opioids and focuses on the emergence of methadone and naltrexone. Epidemiological data is presented well. There are chapters devoted to the various pharmacological therapies, namely methadone, buprenorphine, and naltrexone. Nonpharmacological treatments are also reviewed. The book covers treatment of adolescents and women, and comorbid medical and psychiatric disorders.
Assessment: This is an excellent resource. It is incredibly thorough and well organized. It is written with consistent clarity. The quality of the prose surpasses most books I've reviewed in the mental health arena. I recommend this book as the first resource to refer to for anyone with any questions or interest in the treatment of opioid dependence.