American Society of Addiction Medicine
American Society of Addiction Medicine
Lead: Implementation Gaps in US Syringe Service Programs, 2022
Lead: Implementation Gaps in US Syringe Service Programs, 2022
Lead: Implementation Gaps in US Syringe Service Programs, 2022
Tuesday 5th August 2025
Discover gaps in US syringe service programs and explore addiction medicine trends in this engaging podcast episode.
6 minutes
Informative
Eye-opening
Educational
Compassionate
Engaging
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American Society of Addiction Medicine
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Innovative Treatments & Recovery Paths
Navigating Alcohol Dependency
Family Recovery from Addiction
Nutritional Pathways to Recovery
Navigating Intimate Relationships
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Episode Overview
- High-need counties often lack syringe service programmes.
- Urban areas have more syringe services compared to rural areas.
- Fentanyl use contributes to increased HCV and HIV transmission.
- Quetiapine is unexpectedly found in heroin samples.
- Prenatal cannabis use linked to adverse neonatal outcomes.
Most high-need counties did not have a syringe service program.
Dive into the complexities of syringe service programmes in the United States with this episode from ASAM. Host Zach Caruso leads the charge, discussing a JAMA study that highlights significant gaps in implementation. You'll discover how urban counties often have more syringe services than their rural counterparts, despite the pressing need in high-risk areas. The numbers are stark – 81% of high HCV need counties and 69% of high HIV need counties lack these essential services.
It’s a wake-up call to the disparities in healthcare access. But the episode doesn't stop there. It takes a broader look at drug-related issues, including the rise of fentanyl use and its impact on HCV and HIV transmission rates. From Wisconsin to San Diego, the data paints a concerning picture of increasing infections, partially offset by shifts in drug consumption methods and treatment approaches.
Quetiapine sneaks into the conversation as an unexpected additive in Los Angeles's heroin supply, raising questions about drug safety and user awareness. The findings from drug checking services hint at a growing national trend, leaving you pondering the implications for public health. As the episode unfolds, it touches on prenatal cannabis use and its links to adverse neonatal outcomes, urging healthcare professionals to educate expectant mothers on potential risks.
Homelessness and substance use disorders also get their spotlight, with Boston’s Low Threshold Shelters offering a glimmer of hope through harm reduction strategies. Whether you're curious about addiction medicine or seeking to understand the societal challenges posed by substance use, this episode offers a comprehensive look at current issues and potential solutions. Tune in to broaden your perspective and consider how these findings might influence future healthcare policies.