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18 J.L. Soc'y 236 (2018)
Interprofessional Comprehensive Treatment: A Call for Change regarding the Current Treatment of Opioid Use Disorder

handle is hein.journals/jls18 and id is 348 raw text is: 


                         ALBERT J. ASCIUTTO

                      I.      INTRODUCTION

    This Note explores the major cultural shift in sensibilities regarding
substance abuse disorders in America, specifically focusing on the
treatment of substance abuse disorders in Michigan. It discusses the
transition of Opioid Use Disorder (OUD)' from the hidden, inner city
problem of fifty years ago, to the present day, where OUD has overtaken
Metro-Detroit's suburban landscape in epidemic-like proportions. This
Note takes the position that the recent transformation in society's
dependence upon opiates for treatment of pain is driven by the prescription
drug industry, which since 1999 has nearly quadrupled the amount of
prescription opioids sold in the U.S., resulting in 80% of the world's pain
pills currently being consumed by those living in the United States.2
Americans'    dependence     upon   government-regulated     controlled
substances, and the ensuing struggle of individuals with OUD to legally
maintain their habit, has led many users down a path directly into the illicit
drug market in pursuit of habit maintenance. An established link between
prescription opiate medication and street heroin dependence is evidenced
by the extreme increase in the number of overdoses and opiate-related
deaths; drug overdose is now the leading cause of death from injury in the
United States.3 Widespread reporting on these events, driven by social and
network media sensationalism, documents the rising trends in drug-
dependence-related deaths, crime, and overdoses, has fueled the debate
over how to best investigate, assess, and ultimately 'solve,' this growing

    1. There is a problematic pattern of opioid use that causes clinically significant
impairment or distress. A diagnosis is based on specific criteria such as unsuccessful efforts
to cut down or control use, as well as use resulting in social problems and a failure to fulfill
obligations at work, school, or home. Opioid use disorder has also been referred to as
'opioid abuse or dependence' or 'opioid addiction.' Centers for Disease Control and
Prevention, Opioid Basics, August 28, 2017, https://www.cdc.gov/drugoverdose/opioids/
    2. Centers for Disease Control and Prevention, Injury Prevention and Control: Opioid
Overdose, June 21, 2016, https://www.cdc.gov/drugoverdose/epidemic/
    3. Margaret Warner, NCHS Data Brief Drug Poisoning Deaths in the United States,
U.S. DEPT. OF HEALTH AND HUMAN SERVICES (Dec. 2011), http://www.cdc.gov

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