By Rachel H. Alinsky, Bonnie T. Zima, Jonathan Rodean, et al., JAMA Pediatrics, January 6, 2020
Question What are the characteristics of youths (adolescents and young adults) who experience nonfatal opioid overdose with heroin or other opioid, and do these youths receive timely evidence-based treatment?
Findings In this cohort study of 4 039 216 Medicaid-enrolled youths 13 to 22 years of age, among 3606 individuals who experienced opioid-related overdose and had continuous enrollment for at least 30 days after overdose, less than one-third received timely addiction treatment after overdose, and only 1 in 54 youths received pharmacotherapy with buprenorphine, naltrexone, or methadone.
Meaning Interventions are needed to link youths to treatment after overdose, with priority placed on improving access to evidence-based pharmacotherapy.
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