Medicine for Opioid Use Disorders: Considerations for Judges and Justice Stakeholders-Presentation

Video Transcription

Video Summary

In this video presentation, Chief Judge Kim McGinnis discusses medication options for opioid use disorder (OUD) and the role of the justice system in relation to OUD treatment. She explains the mechanisms of action, administration methods, benefits, and drawbacks of the three common medications used for OUD: methadone, buprenorphine, and naltrexone. Judge McGinnis emphasizes the importance of these medications for saving lives and improving treatment outcomes.<br /><br />The presenter also addresses the responsibility of the justice system and emphasizes that judges should not dictate access to medication for OUD. Denying access to these medications can violate the Americans with Disabilities Act and due process guarantees. Instead, the goals of the justice system should focus on reducing recidivism, increasing reunification, and promoting community safety.<br /><br />The presentation also discusses the effects of substance use disorders on the brain, specifically changes in brain architecture and connectivity. Judge McGinnis highlights the relationship between trauma and substance use disorders, explaining how trauma impacts brain function and contributes to challenging behaviors. Understanding trauma responses and implementing de-escalation techniques in courtrooms is essential.<br /><br />The speaker emphasizes that medication for OUD is the gold standard treatment and should be combined with therapy and counseling. Stopping medication can increase the risk of overdosing, and there is no evidence suggesting its benefit. The importance of addressing individuals' needs and priorities in the treatment process is highlighted, recognizing that recovery is a lifelong journey.<br /><br />No specific credits were mentioned in the video.

Keywords

medication options

opioid use disorder

role of justice system

methadone

buprenorphine

naltrexone

importance of medications

access to medication

brain architecture

trauma impacts on brain function

recovery as a lifelong journey