PCSS-MOUD: Systemic Solutions for Managing Methamphetamine Use (On-Demand)-Presentation

Video Transcription

Video Summary

In the video, a physician specializing in addiction, internal medicine, and infectious diseases discusses methamphetamine use and introduces a novel treatment strategy. Despite a rise in methamphetamine use, particularly in the Western U.S., a significant portion of users develop a use disorder, presenting complex challenges in emergency settings primarily involving psychiatric, cardiovascular, and trauma-related issues. Methamphetamine combined with opioids, especially fentanyl, accounts for many use-related deaths, with mechanisms often resembling opioid overdoses. However, methamphetamine-only related deaths frequently result from cardiovascular or cerebrovascular events. The speaker emphasizes a four-tier approach to methamphetamine use in clinical practice, encompassing assessment, routine prevention, use reduction, and toxicity prevention. Encouraged assessments involve exploring the reasons behind a patient's drug use and employing motivational interviewing techniques. Routine prevention includes infectious disease screening, vaccination, and dispensing naloxone. Strategies for reducing drug consumption emphasize contingency management and medications like bupropion and mirtazapine, highlighting long-term care needs over solely addressing acute crises. The discussion underscores treating methamphetamine-related health issues rigorously and systematically to mitigate harm, describing various pharmacological interventions and ongoing research toward US-based treatment advancements.

Keywords

substance use screening

primary care

Dr. Jennifer McNeely

American Psychiatric Association

TAPS tool

screening tools

implementation guidance

US Preventive Services Task Force

electronic health records

methamphetamine use

addiction treatment

internal medicine

infectious diseases

opioid overdose

cardiovascular events

contingency management

motivational interviewing

pharmacological interventions