Opiate use disorder is increasingly common, and it is important to develop a systematic approach for treating it. In this article, I will discuss some of the more important elements of treatment, starting with the need to address patients’ denial and moving on to some of the nitty gritty aspects of medication-assisted treatment.
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Eliza Wheeler gives her insight into harm reduction as a model for practicing public health that seeks to provide services in a nonjudgmental way. Harm reduction seeks behavior change while acknowledging the need to meet a person where they are—especially in their particular journey through substance use. Abstinence is not a prerequisite for treatment or a condition that someone must meet to receive services.
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Dr. Capurso is the Assistant Director of Addiction Services at Connecticut Valley Hospital and an associate clinical professor of psychiatry at the Yale University School of Medicine. Prior to joining Connecticut Valley Hospital, he was the medical director of the Detoxification & Addiction Stabilization Service and the Psychosocial Residential Rehabilitation Program at the West Haven Veterans Administration Hospital. He completed medical school, psychiatry residency, and addiction psychiatry fellowship at Yale.
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