The opioid epidemic requires a multifaceted and coordinated approach to address the core issues of over-prescription and lack of treatment options. A bill in the last legislative session, which proposed limiting the amount of a first-time opioid prescription, takes a step in the right direction, but should also consider when we prescribe pain medication.

Do all these encounters really require an opioid prescription, even if only for a short time? Increased communication is needed between physicians and patients about what level of pain is to be expected for a certain procedure/condition and acknowledge that the expectation should not be 100 percent pain relief but rather to a level of manageable discomfort. Shortening pain prescriptions only starts at the policy level.

As the issue extends to those already addicted, the governor’s goal of increasing services by 20 percent in the next two years is hopeful. Many addicted individuals are turned away due to limited services or insurance. In Everett acceptance into a treatment program without insurance is rare and often there is a long waiting list, during which time people continue to use. Thus, services should be provided regardless of ability to pay, and facilities need to be readily accessible to this population. Creating treatment facilities in conjunction with other health services could help facilitate transition of care from community health centers and emergency departments where patients often first seek help.

While this article and bills propose much needed innovations to this epidemic, specific interventions must be closely thought-out to address the underlying barriers to prevention and treatment services.

Monica Coward

Seattle