Pain in the Nation: The Drug, Alcohol and Suicide Crises and the Need for a National Resilience Strategy.
Pain in the Nation: Public Health Report SeriesIssue Report
Segal, Laura M. De Blasi, Anne. Mueller, Jennifer L. May, Kendra. Warren, Molly.
Trust for America's Health. Well Being Trust.
Published: November 2017
Trust for America's Health
1730 M Street, NW Suite 900
Washington, DC 20036
In this report, the Trust for America’s Health (TFAH) and Well Being Trust (WBT) call for the need to develop a national strategy to improve resilience in the United States and reduce deaths from drug overdoses, alcohol, and suicides. The report examines current trends and evidence-based and expert-recommended policies, practices, and programs to take a more comprehensive approach to counter these crises. It begins with a review of the current crisis of drug-related, alcohol-induced, and suicide deaths, the economic costs of healthcare spending for individuals who have a diagnosis related to drugs, alcohol or suicide-risk, and the incidence of mental health and substance use disorders, adverse childhood experiences, and the maltreatment of children. Top priorities for a paradigm shift in the response to these challenges are then discussed and recommendations are made that address: increasing access to policy and programmatic advice and support and the establishment of expert networks; putting prevention first; focusing on early childhood; rebooting school-community efforts to support tweens and teens; improving and expanding behavioral health services and aligning with healthcare to support the whole health of individuals and families; early identification of issues and connection to supports and services; and improving pain management and treatment. Charts provide statistics on substance abuse deaths and suicides from 1999 to 2015 for each State, as well as 2025 projections. 898 references.
substance abuse treatment; suicide; prevention programs; incidence; policy formation; early intervention programs; mental health services; resilience; drug overdose; drug addiction; opioid addiction; alcohol abuse; alcoholism; death