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Cascade of Care model recommended for opioid crisis

Science Spotlight

January 25, 2019

Cascade of Care modelCourtesy of NIDA

A team of NIDA-funded scientists has offered a critical look at how to build an improved framework of care for the identification and treatment of people with opioid use disorder (OUD).

Building upon the successful Cascade of Care model developed in 2017 to manage patients with HIV and AIDS, the study authors lay out a plan to expand OUD prevention and care at the state and federal levels, while customizing services to fit the unique needs of individuals and their communities. The authors recommend a framework that encompasses four interrelated domains: prevention, identification, treatment and recovery. People at varying stages of risk and need reside at various points within that cascading framework.

A broad, national OUD Cascade of Care framework consistently applied across states could provide a structural model to help communities identify which population group needs what kind of intervention. Identifying the challenges encountered by patients at each stage of the Cascade can target clinical and policy interventions at federal and state levels to improve treatment outcomes and reduce related diseases and deaths.

The authors recommend additional attention to prevention efforts as well as improved dissemination of individual-level and population-based services to better inform both policymakers and health care coordinators. 

For a copy of the paper, published in The American Journal of Drug and Alcohol Abuse, go to Development of a Cascade of Care for responding to the opioid epidemic.

For more information about opioids, go to: Opioids and Treatment.

For more information, contact the NIDA press office at media@nida.nih.gov or 301-443-6245. Follow NIDA on Twitter and Facebook.

NIDA Press Office
301-443-6245
media@nida.nih.gov

About the National Institute on Drug Abuse (NIDA): The National Institute on Drug Abuse (NIDA) is a component of the National Institutes of Health, U.S. Department of Health and Human Services. NIDA supports most of the world’s research on the health aspects of drug use and addiction. The Institute carries out a large variety of programs to inform policy, improve practice, and advance addiction science. Fact sheets on the health effects of drugs and information on NIDA research and other activities can be found at www.drugabuse.gov, which is now compatible with your smartphone, iPad or tablet. To order publications in English or Spanish, call NIDA’s DrugPubs research dissemination center at 1-877-NIDA-NIH or 240-645-0228 (TDD) or email requests to drugpubs@nida.nih.gov. Online ordering is available at drugpubs.drugabuse.gov. NIDA’s media guide can be found at www.drugabuse.gov/publications/media-guide/dear-journalist, and its easy-to-read website can be found at www.easyread.drugabuse.gov. You can follow NIDA on Twitter and Facebook.

About the National Institutes of Health (NIH): NIH, the nation’s medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit www.nih.gov.

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    NIDA. (2019, January 25). Cascade of Care model recommended for opioid crisis. Retrieved from https://www.drugabuse.gov/news-events/news-releases/2019/01/cascade-care-model-recommended-opioid-crisis

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