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All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. Substance misuse and substance use disorders have devastating effects, disrupt the future plans of too many young people, and all too often, end lives prematurely and tragically. Substance misuse is a major public health challenge and a priority for our nation to address. The effects of substance use are cumulative and costly for our society, placing burdens on workplaces, the health care system, families, states, and communities. The Report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment so that they can address a person's overall health, rather than a substance misuse or a physical health condition alone or in isolation. It also provides suggestions and recommendations for action that everyone-individuals, families, community leaders, law enforcement, health care professionals, policymakers, and researchers-can take to prevent substance misuse and reduce its consequences.
Every three minutes someone in the United States dies from an injury due to such causes as fires and burns, homicide and suicide, poisoning, drowning, falls, and motor vehicle crashes. Injuries are the leading cause of death for people ages 1 to 44 and the leading cause of years of potential life lost before age 65. Injuries and violence are substantial problems not only in the U.S. but globally as well, and they exact a huge toll on the health of people throughout the world. Injury and Violence Prevention: Behavioral Science Theories, Methods, and Applications is a cutting-edge volume that provides a comprehensive understanding of injury and violence prevention. This detailed resource draws on the breadth and depth of many scientific disciplines and public health practice experiences. Written by internationally renowned experts in the field, Injury and Violence Prevention emphasizes the specific theories, methods, and applications that make behavioral science approaches relevant and central to reducing injury-related harm. The book covers a wide range of topics, including the most frequently used behavior change theories and models and shows how they have been—or could be—applied to injury problems, the most commonly used research methods for understanding and influencing behavior change, behavior change issues for specific injury topic areas, and a variety of cross-cutting issues important to the field. Injury and Violence Prevention suggests new lines of research and multidisciplinary collaborations that can serve as an inspiration to behavioral and social scientists, health psychologists, health educators, injury prevention specialists, and others in public health who wish to explore more fully the exciting challenge of preventing injury and violence.
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.