Archive

Perspectives in Primary Care features writing from practitioners, activists, and community members representing organizations, practices, and institutions across the United States and around the world.

Reference

Addiction and Recovery: The Importance of Human Connection

From April 2020-2021, 100,306 parents, spouses, siblings, friends, colleagues, and neighbors in the United States died from fatal overdose—a 28.5% increase from the year ...

Reflections on Tribal Primary Care in America

California of the pioneers, peopled by progressives of campsites with bear lockers of pines and berries of easy cilantro in markets of walnut milk

Health Equity & Reproductive Justice: Transforming Perinatal Care Now

Drug-involved fatal poisonings for 2020 are expected to reach over

Evolving Concepts of Justice and Safety

Criminalizing survival Rachel stayed. She stayed to survive, and for that the criminal legal system labeled her a “frequent flyer.” When she called 911, she was lucky if she got a couple hours reprieve from her long-time partner’s life-threatening abuse before he returned home. He would often return home bragging about the arresting officer making a pit stop for him at a nearby ATM to make his bond—a common ...

The Original Pandemic: Commercial Tobacco

All mentions of tobacco in this article refer to commercial tobacco and nicotine products and not sacred and traditional use of tobacco by some Native American communities. This article is solely for informational educational purposes and is not meant to lobby and/or express, promote, or influence support or opposition on any ...

Treating the Opioid Crisis: Current Trends and What’s Next

Throughout the past decade, the U.S. has seen a dramatic shift in addiction medicine research, clinical practice, and related stigma in seeking care. Throughout this piece, we will explore the top six trends related to treating the opioid crisis, and we’ll consider what may be next. The Opioid Epidemic Opioid addiction has existed for centuries. But deaths from opioid overdose in the U.S. have rapidly risen since the 1990s, which started as prescription opioids were prescribed more liberally for ...

Integrating Addiction Treatment in Primary Care: Training Needs and Novel Approaches

Addiction is a chronic medical condition that carries significantly elevated risk of morbidity and mortality, as the sequelae of substance use disorders (SUD) can be severe and life-altering. While evidence-based treatments for SUD exist, many people face barriers to accessing care. For example, of the approximately 20 million people living with addiction in the United States in 2019, only 12.2% received ...

Situating the Continuum of Overdose Risk in the Social Determinants of Health

The United States remains in the throes of an escalating drug overdose crisis. Data show that overdoses increased yet again in 2019, and are now soaring amid the COVID-19 pandemic, which ...

Overdose & Harm Reduction in the Time of COVID-19

Long before the COVID-19 pandemic, the United States faced an epidemic of drug overdose, topping half a million deaths over the last decade. COVID-19—both the virus itself and some of the strategies and policies implemented in response to ...
1 2