The intersection of drug use discrimination and racial discrimination in the management of chronic non-cancer pain in United States primary care safety-net clinics: Implications for healthcare system and clinic-level changes

Cooke, Alexis; Castellanos, Stacy; Koenders, Sedona; Joshi, Neena; Enriquez, Celeste; Olsen, Pamela; Miaskowski, Christine; Kushel, Margot; Knight, Kelly R.

doi:10.1016/j.drugalcdep.2023.110893

Drug and Alcohol Dependence

2023

DOI: 10.1016/j.drugalcdep.2023.110893

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The intersection of drug use discrimination and racial discrimination in the management of chronic non-cancer pain in United States primary care safety-net clinics: Implications for healthcare system and clinic-level changes

Alexis Cooke

Stacy Castellanos²,

Sedona Koenders³

et al.

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2024

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Cited by 3 publications

References 57 publications

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The Clinical Evolutions of Surveillance and Violence During Three Contemporary US Crises: Opioid Overdose, COVID-19, and Racial Reckoning

Knight

2024

Cult Med Psychiatry

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In 2020, three crises coalesced to transform the clinical care landscape of addiction medicine in the United States (US). The opioid overdose crisis (crisis #1), which had been contributing to excess US mortality for over two decades, worsened during the COVID-19 pandemic (crisis #2). The racial reckoning (crisis #3) spurred by the murder of George Floyd at the hands of police impacted clinical care, especially in safety net clinical settings where the majority of people targeted by police violence, and other forms of structural violence, receive healthcare to mend both physical and psychological wounds. Collectively, the three crises changed how providers and patients viewed their experiences of clinical surveillance and altered their relationships to the violence of US healthcare. Drawing from two different research studies conducted during the years preceding and during the COVID-19 pandemic (2017–2022) with low income, safety net patients at risk for opioid overdose and their care providers, I analyze the relationship between surveillance and violence in light of changes wrought by these three intersecting health and social crises. I suggest that shifting perceptions about surveillance and violence contributed to clinical care innovations that offer greater patient autonomy and transform critical components of addiction medicine care practice.

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The Clinical Evolutions of Surveillance and Violence During Three Contemporary US Crises: Opioid Overdose, COVID-19, and Racial Reckoning

Knight

2024

Cult Med Psychiatry

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Measuring progress in publishing scholarship in Drug and Alcohol Dependence on race, ethnicity, and health equity in substance use disorder incidence and outcomes

Keyes,

Mauro

2024

Drug and Alcohol Dependence

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Capacity, Rationality, and the Promotion of Autonomy: A Trauma-Informed Approach to Refusals of Care After Opioid Poisoning

Cattell,

Hyshka,

Leier

et al. 2024

The American Journal of Bioethics

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The intersection of drug use discrimination and racial discrimination in the management of chronic non-cancer pain in United States primary care safety-net clinics: Implications for healthcare system and clinic-level changes

Cited by 3 publications

References 57 publications

The Clinical Evolutions of Surveillance and Violence During Three Contemporary US Crises: Opioid Overdose, COVID-19, and Racial Reckoning

The Clinical Evolutions of Surveillance and Violence During Three Contemporary US Crises: Opioid Overdose, COVID-19, and Racial Reckoning

Measuring progress in publishing scholarship in Drug and Alcohol Dependence on race, ethnicity, and health equity in substance use disorder incidence and outcomes

Capacity, Rationality, and the Promotion of Autonomy: A Trauma-Informed Approach to Refusals of Care After Opioid Poisoning

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