Addiction Medicine and Addiction Psychiatry Updates

The Substance Abuse and Mental Health Services Administration (SAMHSA) has finalized an overhaul of opioid treatment programs (OTPs) that enshrines many flexibilities first implemented during the crisis response to the COVID pandemic. These changes represent the first significant change to methadone treatment in over 20 years. Dr. Olsen returns to the AAAP podcast to talk more about these important policy changes and what providers need to know. Dr. Yngvild Olsen is the director for the Center for Substance Abuse Treatment.   https://soundcloud.com/aaap-podcast/otp-regulations

Data from 281 patients pulled from three prospective cohort studies at the University of New Mexico examined the dose-response effects of mild-to-moderate prenatal alcohol exposure (PAE) and episodic binge drinking on perinatal outcomes. After adjusting for tobacco co-exposure and socio-demographic characteristics, mild-moderate PAE in periconceptional period and during pregnancy, including consumption of as little as ≤1 drink/week, was associated with reduced duration of gestation. Episodic binge drinking was associated with reduced gestation and birth length percentile. Ludmila N. Bakhireva, Xingya Ma, Alexandria Wiesel, Fiona E. Wohrer, Jared DiDomenico, Sandra W. Jacobson, Melissa H. Roberts.  Dose–response effect of prenatal alcohol exposure on perinatal outcomes .   Alcohol, Clinical and Experimental Research , 2024; DOI:   10.1111/acer.15284

The limits of modern medicine in the face of social determinants of health. 

How local jails ignore medical guidelines and contribute to the overdose crisis Opinion piece in MedPage Today.  What do you think?