Dr. Brian Kelly (Purdue University, West Lafayette, Indiana) discusses a study that found recent efforts to curb opioid prescriptions appear to have had an effect on reducing prescription opioid misuse and dependence, with no evidence that shifts in local-level opioid dispensing affected odds of heroin use, frequency of heroin use, or heroin dependence. Afterwards, Journal Editor-in-Chief Dr. Ned Kalin discusses what pulls the March issue of AJP together.

Kelly interview [00:30]
Why county level data? [01:22]
What accounts for the variation between counties? [02:28]
Decreased prescription rates did not lead to increased heroin usage [04:07]
How do we ensure the needs of those who need pain management? [04:55]
What should happen with opioid dispensing practices? [06:10]
National Survey on Drug Use and Health [07:30]
Next steps [08:35]
Kalin interview [09:34]
Vuolo and Kelly [09:58]
Watts et al. [11:25]
O’Keeffe et al. [14:25]
Sohal [17:35]
Chung et al. [18:35]
Summary [23:05]

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April 2022: Effects of County-Level Opioid Dispensing Rates on Individual-Level Patterns of Prescription Opioid and Heroin Consumption: Evidence From National U.S. Data

American Journal of Psychiatry Audio