{"id":2701,"date":"2019-08-08T21:33:18","date_gmt":"2019-08-08T21:33:18","guid":{"rendered":"https:\/\/packardhealth.org\/?p=2701"},"modified":"2026-04-20T15:53:02","modified_gmt":"2026-04-20T15:53:02","slug":"tackling-the-opioid-epidemic-with-medication-assisted-treatment-2","status":"publish","type":"post","link":"https:\/\/packardhealth.org\/es\/tackling-the-opioid-epidemic-with-medication-assisted-treatment-2\/","title":{"rendered":"Abordando la epidemia de opioides con tratamiento asistido por medicamentos"},"content":{"rendered":"

Art\u00edculo publicado por Concentrate<\/a> el 7 de agosto de 2019. <\/em>Emily Benda<\/a> es un escritor independiente con sede en Ann Arbor. Todas las fotos por Doug Coombe<\/a>.<\/em><\/p>\n

De las 32,000 visitas de pacientes registradas anualmente en Packard Health<\/a>\u2018Las tres ubicaciones del condado de Washtenaw, casi 1.000 hasta ahora este a\u00f1o, se han relacionado con el programa de tratamiento asistido por medicamentos (MAT) de la cl\u00ednica para la adicci\u00f3n a los opioides.<\/p>\n

Pac\"\"El programa MAT de Kard ha crecido r\u00e1pidamente desde su lanzamiento el a\u00f1o pasado, cuando registr\u00f3 poco m\u00e1s de 200 visitas en sus primeros siete meses de existencia. Sharon Moore (izquierda) ha sido paciente de Packard desde su inicio y tambi\u00e9n se desempe\u00f1a como vicepresidenta de su junta directiva. Ella dice que la creciente gama de servicios de Packard y la aceptaci\u00f3n de todos los pacientes, con o sin seguro, es imperativa para la comunidad.<\/p>\n

\u201cHay gente (m\u00e9dicos de Packard) que atiende a quienes en otros lugares no ver\u00edan o no les dar\u00edan atenci\u00f3n completa porque no tienen seguro\u201d, dice Moore. \u201cY tenemos una junta que es sensible a las necesidades de nuestros pacientes\u201d.\u201d<\/p>\n

Moore dice que los m\u00e9dicos y la junta de Packard Health toman en consideraci\u00f3n lo que enfrenta la comunidad y hacen ajustes o agregan servicios, que incluyen salud conductual y manejo del dolor cr\u00f3nico. MAT fue la adici\u00f3n m\u00e1s reciente.<\/p>\n

MAT combina medicaci\u00f3n con terapia conductual para ayudar a los pacientes a lograr una recuperaci\u00f3n sostenida de la adicci\u00f3n. Seg\u00fan estudios<\/a>, est\u00e1 probado que es efectivo y tiene una tasa de \u00e9xito m\u00e1s alta que un enfoque solo de terapia para pacientes con abuso de sustancias.<\/p>\n

Con un promedio de 130 estadounidenses muriendo por sobredosis de opioides<\/a> Cada d\u00eda, la nueva adici\u00f3n de Packard Health a sus servicios de tratamiento de adicciones es un paso cr\u00edtico para combatir la crisis de opioides en el condado de Washtenaw.<\/p>\n

Desarrollando un programa de MAT<\/h3>\n

\"\"En 2016, el Dr. Ankoor Soni (izquierda) se convirti\u00f3 en director m\u00e9dico de Packard Health. Soni era un apasionado de los beneficios de la MAT y sab\u00eda que podr\u00eda tener un gran impacto en el condado de Washtenaw, donde pocos centros de salud ofrec\u00edan MAT. \u00c9l y el director ejecutivo de Packard, Raymond Rion, comenzaron a buscar oportunidades para desarrollar un programa de MAT en Packard.<\/p>\n

Dos a\u00f1os despu\u00e9s, en septiembre de 2018, el gobierno federal ampli\u00f3 la financiaci\u00f3n para combatir la crisis de los opioides, otorgando m\u00e1s de 1.439,6 millones<\/a> a centros de salud como Packard para mejorar los servicios de tratamiento de adicciones. Packard solicit\u00f3 y recibi\u00f3 1 428 500 d\u00f3lares de la Administraci\u00f3n de Recursos y Servicios de Salud (HRSA), adem\u00e1s de otras subvenciones y colaboraciones.<\/p>\n

Con los fondos disponibles, Soni y Rion solicitaron que el personal de tratamiento de adicciones de Packard se capacitara en un programa MAT y contrataron a la Dra. Sarah Bur, quien tiene una certificaci\u00f3n en medicina de adicciones.<\/p>\n

Al principio, Soni dice que fue un desaf\u00edo convencer a la comunidad y a la junta directiva de Packard de que MAT val\u00eda la pena invertir y que podr\u00eda ser una mejor soluci\u00f3n para quienes luchan contra el abuso de sustancias.<\/p>\n

Aunque se inform\u00f3 a la comunidad sobre la crisis de los opioides, Soni y Rion dicen que el condado de Washtenaw ten\u00eda una mentalidad centrada en la abstinencia para tratar a los pacientes con adicci\u00f3n.<\/p>\n

Sin embargo, no a todos los pacientes les va bien con un enfoque de abstinencia y\/o terapia, dice Soni. Los estudios han demostrado que los programas de medicaci\u00f3n de mantenimiento reducir la mortalidad en aproximadamente un 50%<\/a> entre los abusadores de opioides y aumentar la retenci\u00f3n en programas de rehabilitaci\u00f3n.<\/p>\n

Soni dice que el estigma de la adicci\u00f3n puede perjudicar a los pacientes al evitar que reciban el tratamiento que necesitan.<\/p>\n

\u201cLa adicci\u00f3n no es un defecto de car\u00e1cter\u201d, dice Soni. \u201cEs una enfermedad cr\u00f3nica y debe tratarse como tal\u201d.\u201d<\/p>\n

Soni dice que a menudo compara la adicci\u00f3n con la diabetes tipo 2 al educar a las personas sobre los beneficios de la MAT. Algunos pacientes con diabetes tipo 2 pueden mantener su salud a trav\u00e9s de la dieta y el ejercicio, mientras que algunos necesitan insulina. De la misma manera, algunos adictos en recuperaci\u00f3n necesitan medicamentos para ayudar en su recuperaci\u00f3n.<\/p>\n

A pesar de sus desaf\u00edos iniciales, el programa MAT de Packard atrajo r\u00e1pidamente el inter\u00e9s de la comunidad. El programa tuvo 202 visitas el a\u00f1o pasado y ya lleva 953 este a\u00f1o.<\/p>\n

\"\"El personal de Packard contin\u00faa encontrando formas de expandir el tratamiento de adicciones. La enfermera Gina Dahlem comparte kits y capacitaci\u00f3n sobre naloxona (medicamento para la sobredosis) con el p\u00fablico para prevenir muertes por sobredosis de opioides en el condado de Washtenaw.<\/p>\n

Dahlem vio la necesidad de disponibilidad y capacitaci\u00f3n sobre naloxona en su trabajo con Asociaci\u00f3n Refugio de Washtenaw (Centro Delonis)<\/a>, socio de Packard, y ha hospedado capacitaciones para miembros de la comunidad desde 2013.<\/p>\n

\u201cMientras m\u00e1s naloxona haya disponible en la comunidad y m\u00e1s preparemos a la gente para responder, mejores ser\u00e1n los resultados\u201d, dice Dahlem.<\/p>\n

Packard tambi\u00e9n ha desarrollado una asociaci\u00f3n con Sala de emergencias de St. Joseph Mercy<\/a> para visitas de emergencia relacionadas con opioides. Los pacientes que acuden a urgencias buscando ayuda son trasladados a Packard y sus especialistas en adicciones.<\/p>\n

\u201cLo que destaca de Packard es el enfoque en servir a la comunidad\u201d, dice Soni. \u201cDeterminamos cu\u00e1les son las necesidades y nos asociamos con otras organizaciones sin fines de lucro para ayudar en \u00e1reas en las que no somos expertos. Eso nos ha permitido tener la flexibilidad de escuchar una nueva idea, adoptarla y comenzar proyectos que no se han intentado antes\u201d.\u201d<\/p>\n

Los pr\u00f3ximos pasos de Packard<\/h3>\n

\"\"En los \u00faltimos cuatro a\u00f1os, Packard ha registrado un aumento del 541 % en el n\u00famero de visitas de pacientes, seg\u00fan informes anuales<\/a>. Rion (a la izquierda) dice que eso se debe a nuevos programas como tratamiento para adicciones y salud conductual.<\/p>\n

Debido al aumento del tr\u00e1fico peatonal, Packard abri\u00f3 otra sucursal sat\u00e9lite en 200 Arnet St. en Ypsilanti en 2015. Sin embargo, Rion dice que Packard ha superado su sede original en 3174 Packard Rd. en Ann Arbor, donde abri\u00f3 sus puertas por primera vez en 1973. Las instalaciones principales se han quedado anticuadas, y Packard ha comenzado a buscar una nueva ubicaci\u00f3n, idealmente todav\u00eda en Packard Road.<\/p>\n

Adem\u00e1s de una nueva ubicaci\u00f3n, el centro planea implementar nuevos programas, como servicios de salud y bienestar, en el futuro.<\/p>\n

\u201cQueremos construir sobre lo que hemos hecho durante 46 a\u00f1os: cuidar a la gente y ofrecer atenci\u00f3n integral para todos\u201d, dice Rion.<\/p>\n

Emily Benda<\/a> es una escritora independiente que vive en Ann Arbor. Puedes contactarla en emily@emilybenda.com<\/a>. Todas las fotos por Doug Coombe<\/a>.<\/p>","protected":false},"excerpt":{"rendered":"

Article published by Concentrate on August 7, 2019. Emily Benda is a freelance writer based in Ann Arbor. All photos by Doug Coombe. Of the 32,000 patient visits logged annually at Packard Health‘s three Washtenaw County locations, nearly 1,000 so far this year have been related to the clinic’s medication-assisted treatment (MAT) program for opioid […]<\/p>\n","protected":false},"author":4,"featured_media":2702,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[70],"tags":[81],"class_list":["post-2701","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-in-the-media","tag-addiction-treatment"],"acf":[],"yoast_head":"\nTackling the Opioid Epidemic with Medication-Assisted Treatment - Packard Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/packardhealth.org\/es\/tackling-the-opioid-epidemic-with-medication-assisted-treatment-2\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tackling the Opioid Epidemic with Medication-Assisted Treatment - Packard Health\" \/>\n<meta property=\"og:description\" content=\"Article published by Concentrate on August 7, 2019. 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