Appropriate medical use – OR ABUSE – of opiates/benzos is now considered a “use disorder”

Detoxification of Chemically

Dependent Inmates
Federal Bureau of Prisons

Clinical Practice Guidelines

February 2014

https://www.bop.gov/resources/pdfs/detoxification.pdf

 

Revisions to the 2009 guidelines are highlighted in yellow throughout the document. Among these revisions are the following:

• Deletion of what had been Appendix 2, Selected DSM-IV Criteria Related to Substance Abuse. The DSM-5 criteria have been changed, and the DSM is now copyrighted. Readers are referred to the DSM website at http://www.dsm5.org/Pages/Default.aspx.

• Terminology has been changed to be in line with the DSM-5, for example:

• Substance abuse disorder has been changed to substance use disorder.

• Alcohol dependence has been changed to alcohol use disorder.

• Benzodiazepine dependence has been changed to benzodiazepine use disorder.

• Opiate dependence has been changed to opiate use disorder.

• Axis I or Axis II diagnosis has been changed to psychiatric disorder.

Anyone taking/using/abusing a opiate or benzodiazepine for extended period of time… both legally – to treat a valid medical need or illegally WILL BECOME DEPENDENT

This change in nomenclature seems to indicated that DEPENDENCY NOW EQUALS ADDICTION.. they  just now refer to it as a “use disorder”

4 Responses

  1. This is so wrong!! Absolutely incorrect!!! Someone with a VALID medical condition, such as, spinal stenosis, who needs medication for pain (an opioid) DOES not have a “disorder.” The diagnosis is spinal stenosis and chronic pain is the SYMPTOM of the disorder. It is apparent that whomever came up with this is not educated very well in medicine. Who came up with this and what are their qualifications??

    • I was going ask the same thing,,,who actually changed this,,for we need to get it changed back asap,,if it KLONODYN,,,,ADD SLANDER TO HIS ABUSE OF POWER,,,,,MARYW

  2. Thought I’d pass this on for all your readers. This is what’s coming down the pipeline here in MS. Unfortunately it is already being inforced by many pain management doctors, except for the dosing limits. Even though the proposed prescribing guidelines state a liscencee may prescribe an equivalent of more than 90 mg daily for chronic non-cancer pain, many have started tapering patients way below 50 mg (because as you know anything over 50 mg is just plain ludicrous, has no real scientific value, and is actually harmful). The tapering will not stop until we are all off our opiods completely. Then they will have us all on these so called alternatives, but at what cost?Most chronic pain patients who legitimately took pain medications have been well aware of the risks associated with taking them, but the risks where far less worrisome then that of our pain. So what has changed folks? Doctors have been safely prescribing opioids like morphine for 200 years for it’s medical purposes. It has been used for both chronic and acute pain, advanced illnesses, and as a post operative analgesic. Despite the fact that for the past 200 years morphine was used as a standard for which all new postoperative pain medications where compared, now it has no medical scientific value. Give me a break. Sorry, but I’m not buying it. I’ve been a chronic pain patient for over a decade, and it has had a major positive value. It’s called my quality of life. But unfortunately for me my quality of life has been majorly diminished over the past several years due to this so called “opioid” epidemic. More like propaganda. Propaganda to lump chronic pain patients (and now psychiatric ones as well), into a class unworthy of humane treatment. Where is the ACLU, the WORLD HEALTH ORGANIZATION, hell the U.N? Nowhere!!! What is happening to millions of us is in humane. What has happened to our PATIENTS BILL OF RIGHTS? They’ve stripped it, and will continue to do so. Today it’s opiods, tomorrow it benzodiazepines, and God only knows what will come after. Shame on our medical community for allowing it, and even participating in this MADNESS. Sorry, just had to rant as I just came from my PMD office. No surprise… I’m being reduced again. They have cut me 70 mg in 3 months. Actually Jenny we are being treated WAY worse then animals.

    IMPORTANT NEWS
    State Board of Medical Licensure
    Proposes New Opioid Prescribing Rules

    Major Changes Follow Governor’s Opioid Task Force Recommendations
    Last Thursday, the Mississippi Board of Medical Licensure proposed changes to regulations in Part 2640: Prescribing, Administering and Dispensing.

    Highlights of the proposed changes include:
    Requirement for all licensees to run a Prescription Monitoring Program report (PMP) at each encounter when prescribing opioids for acute or chronic pain. (page 25*)
    PMP reports must be kept in the patient file and available for inspection. (p25)
    Point of service drug testing must be conducted each time a Schedule II prescription is written for treatment of chronic non-cancer pain and every 90 days for patients prescribed Benzodiazepines for chronic medical and/or psychiatric conditions. (p37)
    Prohibition from prescribing more than a 7-day supply of opioids for acute pain. (p36)
    Benzodiazepines and opioids may not be prescribed concurrently, with limited exception for an acute injury and for no more than 7 days.(p37)
    Pain Management Practices now include those issuing controlled substances to 30% of patients for chronic pain (previously 50%). (p45)
    Expanded requirements for Bariatric Medicine, Medical Weight Loss or Weight Management practices but carved out clinics offering non-pharmacological products as part of overall practice. (p24 and p32)
    These proposed changes are open for public comment until October 17th, after which the MSBML will consider all comments and may make changes before adopting a final rule. Comments should be made directly to the MSBML by email (Rhonda@msbml.ms.gov) or fax (601-987-4159

  3. Angers me to no end!!! We are treated like criminals for having legitimate problems. Gggrrrrrrr

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