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首页> 外文期刊>Journal of substance abuse treatment >Commentary on the impact of the COVID-19 pandemic on opioid use disorder treatment among Indigenous communities in the United States and Canada
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Commentary on the impact of the COVID-19 pandemic on opioid use disorder treatment among Indigenous communities in the United States and Canada

机译：关于Covid-19大流行对美国和加拿大土着群落中阿片类药物治疗的影响

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This commentary focuses on how some Indigenous communities in the United States (U.S.) and Canada are addressing the opioid epidemic within the context of the COVID-19 pandemic, from the perspective of the co-authors as researchers, clinicians, and pharmacists working within or among Indigenous communities in three eastern Canadian provinces and two western U.S. states. The pandemic has likely exacerbated opioid use problems among Indigenous communities, especially for individuals with acute distress or comorbid mental illness, or who are in need of withdrawal management or residential services. In response to the pandemic, we discuss first how greater prescription flexibility has facilitated and even increased access to medications for opioid use disorder. Second, we describe how Indigenous-serving clinics have expanded telemedicine services, albeit not without some challenges. Third, we note challenges with restricted participation in traditional Indigenous healing practices that can be helpful for addiction recovery. Fourth, we mention providers' worries about the pandemic's impact on their patients' mental health and safety. We argue that certain treatment transformations may be helpful even after the pandemic is over, through enhancing access to community-grounded treatment, decreasing stigma, and promoting patient self-efficacy.
机译：这篇评论集中2019冠状病毒疾病的背景下，美国（美国）和加拿大的一些土著社区如何在CVID-19大流行的背景下，从合作者的角度研究在加拿大东部省份和三个美国西部国家的土著社区内或之间的研究者、临床医生和药剂师。这场大流行可能加剧了土著社区的阿片类药物使用问题，尤其是对患有急性忧郁症或共病精神疾病的个人，或需要戒断管理或住院服务的个人。为了应对这场大流行，我们首先讨论了更大的处方灵活性如何促进甚至增加了阿片类药物使用障碍患者获得药物的机会。第二，我们描述了土著服务诊所如何扩大远程医疗服务，尽管并非没有一些挑战。第三，我们注意到，在传统的本土治疗实践中，受限制的参与可能有助于成瘾康复。第四，我们提到医疗机构担心大流行会影响患者的心理健康和安全。我们认为，即使在大流行结束后，某些治疗转变也可能有帮助，通过增加社区治疗的机会，减少耻辱感，提高患者的自我效能。

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