Internist and addiction medicine physician @LosAngelesVA, @DGsomUCLA. Passionate about health-systems innovation, student of #HarmReduction. Thoughts my own.
Los Angeles, New Orleans
Joined April 2011
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❓Can health-systems data accurately identify folks with untreated opioid use disorder (OUD)?
📳Could ‘cold-calls’ from a prescriber engage these folks in OUD care?
Our descriptive evaluation of a novel OUD care model sheds some light on these questions and more.
Check out the paper at: journals.sagepub.com/doi/10.…
Therapeutically-dosed methadone is a life-saving treatment for fentanyl addiction.
Why must patients first endure months of discomfort to get there?
Through a lived experience narrative and review of the literature, our @SAj_AMERSA commentary argues for a different approach.
Though opioid overdose is a leading cause of disability and death, health systems lack incentives to make meaningful investments in proven overdose prevention services. #ACSC designation could change that. @DrHsuPsychiatry
💬 Viewpoint: Designating opioid overdose as an ambulatory care sensitive condition (#ACSC) could expand access to evidence-based prevention, improve care quality, and reduce avoidable hospitalizations.
ja.ma/49bnFpH
Should opioid overdose be designated as an ambulatory care sensitive condition? We think so. Huge gratitude for @DrHsuPsychiatry 's vision & leadership in drafting this piece, & for the fabulous contributions of our twitterless co-authors Peter Capone-Newton and Lillian Gelberg.
💬 Viewpoint: Designating opioid overdose as an ambulatory care sensitive condition (#ACSC) could expand access to evidence-based prevention, improve care quality, and reduce avoidable hospitalizations.
ja.ma/49bnFpH
David Lawrence retweeted
There’s a tragic feature in our nation’s soaring overdose crisis: all too often fatal od’s occur when someone’s alone. As in, no one’s there to call 911, to give a lifesaving antidote.
Enter hotlines and biosensors.
New from @DavidOvalle305 & me: washingtonpost.com/health/20…
David Lawrence retweeted
Addiction folks, we have a new publication out on treating non-prescribed benzodiazepine withdrawal in a low-barrier outpatient bridge clinic @JAM_ASAM
Lead by the brilliant @jordanalaks with @JessicaTaylorMD
Check it out: journals.lww.com/journaladdi…
1/7
Amazing panel at the VA national OTP conference today with JC, SAMHSA, DEA, and VA leadership all taking questions from the field about the confounding rules governing the provision of life-saving methadone care.
David Lawrence retweeted
A 50-year-old law limits many Americans’ access to addiction treatment that is right for them. To learn more about pending legislation to reform methadone access, click here: asam.org/advocacy/national-a…
David Lawrence retweeted
Powerful recovery voices lead open letter to Congress, urging access to methadone treatment through addiction specialists. Let's challenge status quo & support recovery. Read their letter @HouseCommerce @EnergyCommerce @JudiciaryGOP @HouseJudiciary @HELPCmteDems @GOPHELP
Take a look at our new blog post (faces.ly/MOTAA-blog) and stay informed about policy that affects recovery practices on a national level.
#recovery #advocacy #facesandvoices #legislation #reform #policy #addiction
David Lawrence retweeted
Out today in @Health_Affairs:
If you have a child that needs residential treatment for OUD, the average out-of-pocket cost for a month of treatment is $26,353.
Twenty-three states in the US have no residential treatment facility, or don't have one that accepts Medicaid.
⬇️
David Lawrence retweeted
Holy shit. President Biden just blanket pardoned all federal marijuana possession and marijuana use charges. whitehouse.gov/briefing-room…
David Lawrence retweeted
New paper alert. Q: can intensive primary care using “ambulatory ICUs” can impact 6-month hospitalizations in an urban healthcare for homeless setting. Partnered research with @CCCPortland and @OHSUNews
Ambulatory intensive care units can have a positive effect on the health and well-being of complex patients, although longer time horizons may be required to reduce hospitalizations and emergency department visits. ja.ma/476Mn8F
OTP Medical Director here.
At our clinic we try our best. But at every turn regulation stymies our ability to get life-saving methadone to those who need it. Many of those we fail die.
Alternatives to outdated, inaccessible OTPs are desperately needed. MOTAA provides one.
David Lawrence retweeted
New paper alert: "This study found no evidence of an association between legal changes that removed or substantially reduced criminal penalties for drug possession in Oregon and Washington and fatal drug overdose rates."
jamanetwork.com/journals/jam…
David Lawrence retweeted
After one year of operating our heroin, cocaine and methamphetamine compassion club, we have analyzed our data and presented preliminary findings here.
David Lawrence retweeted
Vivitrol does not have the lifesaving benefits associated with methadone & buprenorphine. A re-analysis of a pivotal clinical trial shows that people who take it are twice as likely to overdose scientificamerican.com/artic… the record needs correcting
