Statements by the American Academy of Addiction Psychiatry are not intended to serve as a standard of medical care or treatment, nor do they necessarily reflect the views of individual AAAP members. These statements are not intended for use in making judgments about appropriate methods of care, treatment, or procedures, medical malpractice, disability determination, competency, or any other medical or legal matters.

Conflict of Interest Disclaimer

The Ability of Physicians to Practice Medicine with a Diagnosis of an Illness and/or a Restricted License

July 2, 2018
Physicians who are able to practice medicine with requisite skill and safety to patients should not be excluded from medical activities solely because of medical licenses that have been restricted due to some aspect of physical or mental illness (including addiction disorders). Decisions as to whether such physicians should be permitted to practice specific areas of medicine should be made on a case by case basis.
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Clean Needle and Syringe

July 19, 2018
Supports the funding and development of programs that assist people, who are injecting drug users, to have increased access to clean needles and syringes in order to help them eliminate all reusing and sharing of needle syringes.
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Confidentiality of Patient Records and Protections Against Discrimination

July 19, 2018
A detailed set of guidelines regarding disclosure and privacy of addiction patients. Specific reference to the careful use of Electronic Health Records (EHRs).
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Co-occurring Psychiatric and Substance Use Disorder Treatment Policy

July 2, 2018
Suggests system of care for treatment of co-occurring psychiatric and SUD patients. Main principles include: welcoming, accessibility, integration, continuity, and comprehensiveness.
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Criminal Justice System and Substance Use Disorder Treatment Policy

July 19, 2018
Advocates for treatment of psychiatric problems (including addiction) to those patients within the criminal justice system. Seeks to provide appropriate medical treatment as a cost-effective and humane alternative to incarceration alone.
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Funding Conflicts of Interest

July 2, 2018
A revised set of guidelines concerning financial decisions as a conflict of interest; written to the norms of the PHS and NSF.
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Legalization of Drugs

July 19, 2018
Statement against the legalization of currently illicit drugs, though in favor of maximizing treatment and prevention efforts that do not stigmatize addicted patients, and significantly reduce crime.
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Medical Use of Marijuana

July 19, 2018
Cannabinoids are of great interest, and some medical cannabinoids are of demonstrated benefit in treating nausea/vomiting during cancer chemotherapy, improving appetite in wasting diseases such as AIDS, reducing seizure burden in childhood epilepsy, and reducing spasticity in multiple sclerosis.
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Nicotine Dependence

July 19, 2018
Promotes the development of policies and programs which promote prevention, treatment, and research activities in the area of nicotine dependence.
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Opioid Overdose Education and Naloxone Distribution

<July 19, 2018
There has been a significant increase in mortality from prescription drug overdoses over the past 20 years in the U.S.
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Organ Transplantation

July 2, 2018
Asks to remove stigma of substance abuse from eligibility of organ transplantation. The evaluation of a patient’s candidacy for organ transplantation should be made on clinical grounds alone. The choice should be based on clinical criteria with the specifics of each case taken into consideration.
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Relationship Between Treatment and Self Help

July 2, 2018
Distinguishes the benefits of self-help and medical assistance; recognizes self-help methods as valuable community tools while asserting that patients with addictions or SUDs require help from qualified professionals.
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Use of Illegal Substances by Pregnant Women

July 2, 2018
Supports the voluntary screening and testing of pregnant women for substance use disorders and mental illness for the purpose of providing prenatal care and treatment services to the mother and unborn child; opposes legislation or policies that require mandatory reporting of illegal substance use by pregnant women.
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Use of Opioids in the Treatment of Chronic, Non-malignant Pain

July 19, 2018
Specific recommendations and guidelines for responsible practice in the prescription of opioids for chronic, non- malignant pain.
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