By Associate Editor Deborah Finnell:
Word traveled fast through the nursing community about the Senate’s final approval (07/13/2016) of the Comprehensive Addiction and Recovery Act (CARA). This historic moment was especially sweet for those of us who have been long-time advocates of expanded access for persons needing treatment for opioid dependence. Furthermore, thanks to the ongoing support from and persistence of Senators Markey and Paul, this legislation will allow nurse practitioners and physician assistants prescribe buprenorphine. Currently, only physicians were able to prescribe this treatment.
In 2015, my colleagues and I published an editorial for the Substance Abuse journal with an appeal for “all advanced practice nurses … to be allowed to join physicians in prescribing buprenorphine” (http://www.tandfonline.com/doi/full/10.1080/08897077.2015.1101733). We were discouraged in knowing that there seemed to be limited interest in opening the 15-year old Drug Addiction Treatment Act that restricted buprenorphine prescribing to physicians. Yet, we hoped that our voices would be heard.
Senator Rob Portman (R-Ohio), chief author of CARA said, “This is also the first time that we’ve treated addiction like the disease that it is, which will help put an end to the stigma that has surrounded addiction for too long.” Like other health disorders, opioid and other substance use disorders can be effectively treated and recovery is possible. I urge lay persons and health care providers alike, to become educated about these brain-based substance use disorders. Further, my colleagues and I urge you to read our publication in Substance Abuse and “carefully and intentionally consider the language used to describe alcohol and other drug use and disorders, the individuals affected by these conditions, and their related behaviors, comorbidities, treatment, and recovery” (http://www.tandfonline.com/doi/full/10.1080/08897077.2014.930372).