American Journal of Psychiatry Audio

April 2022: Effects of County-Level Opioid Dispensing Rates on Individual-Level Patterns of Prescription Opioid and Heroin Consumption: Evidence From National U.S. Data


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Dr. Brian Kelly (Purdue University, West Lafayette, Indiana) discusses a study that found recent efforts to curb opioid prescriptions appear to have had an effect on reducing prescription opioid misuse and dependence, with no evidence that shifts in local-level opioid dispensing affected odds of heroin use, frequency of heroin use, or heroin dependence. Afterwards, Journal Editor-in-Chief Dr. Ned Kalin discusses what pulls the March issue of AJP together.

  • Kelly interview [00:30]
  • Why county level data? [01:22]
  • What accounts for the variation between counties? [02:28]
  • Decreased prescription rates did not lead to increased heroin usage [04:07]
  • How do we ensure the needs of those who need pain management? [04:55]
  • What should happen with opioid dispensing practices? [06:10]
  • National Survey on Drug Use and Health [07:30]
  • Next steps [08:35]
  • Kalin interview [09:34]
  • Vuolo and Kelly [09:58]
  • Watts et al. [11:25]
  • O’Keeffe et al. [14:25]
  • Sohal [17:35]
  • Chung et al. [18:35]
  • Summary [23:05]

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