This is a toolkit from the American Medical Association and Manatt Health that provides actionable resources that states can use to take specific actions in policy areas of non-opioid approaches to pain patients, access to evidence-based and comprehensive treatment, and harm reduction.
Harm Reduction Resources
- Cautious Opioid Prescribing
- Medications for Opioid Use Disorder
- Overdose prevention
- Addiction Treatment Providers
- Hospitals
- Medical
- Policymakers
This is a report from the Mental Health Commission of Canada that summarizes an 18-month project on opioid use disorder (OUD) stigma and gives a scoping literature review as well as the results of key informant interviews and focus groups involving first responders, persons with lived experience of substance and/or opioid use, policymakers, and other service providers.
- Educational
- Addiction Treatment Providers
- Advocates / Peers
- Community Coalitions
- Community Health Officials
- Criminal Justice
- Employers
- First Responders
- Harm Reduction Specialists
- Health Insurers
- Hospitals
- Law Enforcement
- Medical
- Pharmacies
- Policymakers
This study develops a typology of the stigma related to opioid use, showing how multiple dimensions of stigma continue to fundamentally hinder the response to the crisis.
The paper explains how public stigma is driven by stereotypes about people with opioid use disorders, such as their perceived dangerousness or perceived moral failings, which translate into negative attitudes toward people with opioid use disorders. Additionally, it explains that enacted stigma describes the behavioral manifestations of public stigma, including discrimination and social distancing. Finally, the study emphasizes that public and enacted stigma, in turn, lead to the delivery of suboptimal care and undermine access to treatment and harm reduction services.
- Cautious Opioid Prescribing
- Educational
- Medications for Opioid Use Disorder
- Overdose prevention
- Addiction Treatment Providers
- Advocates / Peers
- Community Coalitions
- Community Health Officials
- Criminal Justice
- First Responders
- Harm Reduction Specialists
- Law Enforcement
- Medical
- Pharmacies
- Policymakers
This in an annual summit sponsored by National Academy of Medicine and Shatterproof that brings together stakeholders to discuss the negative impact of stigma on people with substance use disorders and elevate action-oriented strategies to address and eliminate the harms caused by stigma. More information from the 2021 summit can be found here and the 2022 summit can be found here.
- Educational
- Addiction Treatment Providers
- Advocates / Peers
- Community Coalitions
- Harm Reduction Specialists
This is an academic paper that provides a commentary on the role that stigma plays in substance use disorder, how it manifests, and the evidence base for combating it.
- Educational
- Addiction Treatment Providers
- Advocates / Peers
- Community Coalitions
- Community Health Officials
- Criminal Justice
- Employers
- First Responders
- Harm Reduction Specialists
- Health Insurers
- Hospitals
- Law Enforcement
- Medical
- Pharmacies
- Policymakers
This report, put together by the Toronto Drug Strategy, presents the results of focus groups for people who use alcohol and other drugs and their experiences of stigma and discrimination. Additionally, recommendations for action are made for the development of strategies to address stigma and discrimination toward this population.
- Educational
- Addiction Treatment Providers
- Advocates / Peers
- Community Coalitions
- Community Health Officials
- Criminal Justice
- Employers
- Harm Reduction Specialists
- Law Enforcement
- Medical
- Policymakers
The Rockefeller Institute's Stories from Sullivan series combines aggregate data analysis with on-the-ground research in affected communities to provide insight into what the opioid problem looks like in this rural county, how the community has responded, and what kinds of policies have the best chances of making a difference.
- Educational
- Family Support
- Medications for Opioid Use Disorder
- Overdose prevention
- Advocates / Peers
- Community Coalitions
- Community Health Officials
- Harm Reduction Specialists
- Law Enforcement
- Medical
- Policymakers
This paper describes the strategies and policies implemented in Ohio to improve opioid safety and discusses the role that pharmacists can play in implementing, promoting, and enhancing the effectiveness of these policies. In particular, the Governor's Cabinet Opiate Action Team is discussed, which created and implemented a multifaceted strategy which significant reduced opioid prescribing the state.
- Cautious Opioid Prescribing
- Medications for Opioid Use Disorder
- Overdose prevention
- Addiction Treatment Providers
- Community Health Officials
- Medical
- Pharmacies
This is a report from the U.S. Interagency Council on Homelessness that identifies strategies communities, providers, and policymakers can use to address the intersection of homelessness and the opioid crisis and highlights several helpful resources developed by federal and national partners to support such efforts.
- Housing, Education, and Employment
- Medications for Opioid Use Disorder
- Overdose prevention
- Community Coalitions
- Community Health Officials
- Harm Reduction Specialists
- Policymakers
This academic paper describes bridge clinics, which offer immediate, low barrier access to medications for opioid use disorder and other substance use disorder treatment, helping to close gaps in the continuum of care. It reviews available evidence for bridge clinic effectiveness in care delivery, including retention in treatment, while highlighting gaps in data on their effectiveness.
- Comprehensive services
- Medications for Opioid Use Disorder
- Addiction Treatment Providers
- Harm Reduction Specialists
- Hospitals
- Medical
This database from the CDC allows users to examine prevalence of fatal overdoses for 28 states and the District of Columbia in 2020. Comprehensive information on decedents is given beyond what is available on a death certificate.
- Overdose prevention
- Community Coalitions
- Community Health Officials
- Harm Reduction Specialists
- Policymakers
This report describes the current distribution and funding mix for naloxone access and explores the potential impacts of policy changes to expand coverage for naloxone as a non-prescription product. It argues that non-prescription status for naloxone and education about its efficacy and availability would help reduce opioid overdose deaths in the US.
- Overdose prevention
- Post-overdose response
- Advocates / Peers
- Community Health Officials
- First Responders
- Harm Reduction Specialists
- Health Insurers
- Pharmacies