A toolkit by the National Association of County and City Health Officials (NACCHO) provides local, state, and national resources for local health departments to better address the opioid crisis. The toolkit is divided into sections: monitoring and surveillance, prevention, harm reduction, linkage to care, and stakeholders/partnerships.
Prevention Resources
- Community Coalitions
- Community Health Officials
- Hospitals
- Medical
This academic paper informs that CDC analysis of patient opioid prescription data from a national electronic health record vendor during 2014–2017 found that the percentage of patients prescribed an opioid was higher in rural than in urban areas. According to this paper, there were significant decreases in opioid prescribing which occurred across all urban-rural categories after the March 2016 release of the CDC Guideline for Prescribing Opioids for Chronic Pain.
- Cautious Opioid Prescribing
- Educational
- Community Coalitions
- Community Health Officials
- Medical
- Policymakers
This is a presentation that reports the results of a survey of state and local health departments on what they are doing to address opioid misuse prevention and early intervention.
- Early Intervention
- Educational
- Overdose prevention
- Community Coalitions
- Community Health Officials
- Policymakers
This is a website, operated by the American Academy of Addiction Psychiatry and funded by SAMHSA, that provides education and training at a local level to provide evidence-based practices in the prevention, treatment, and recovery of opioid use disorders. Technical assistance is available at no cost to all communities.
- Educational
- Addiction Treatment Providers
- Community Coalitions
- Community Health Officials
- Hospitals
- Medical
- Policymakers
This is report recognizing that community pharmacists are uniquely poised to engage in efforts to reduce opioid misuse and opioid related overdose. It provides guidance to pharmacist on screening for potential opioid misuse, dispensing medications for opioid use disorder, and providing access to naloxone.
- Cautious Opioid Prescribing
- Medications for Opioid Use Disorder
- Overdose prevention
- Community Health Officials
- Harm Reduction Specialists
- Pharmacies
This document from four of the longest-tenured and well-respected organizations in the addiction sphere outlines three major strategic priorities for addressing the opioid crisis with potential opioid settlement money. These include:
1) Enhancing public education to correct long-held misconceptions and to create informed demand for more effective policies and interventions
2) Implementing evidence-based, community-wide prevention and early intervention to reduce the incidence of opioid use disorder (OUD) and overdose
3) Modernizing OUD treatment by integrating it with mainstream healthcare and increase access to evidence-based addiction support and treatment services
- Cautious Opioid Prescribing
- Educational
- Medications for Opioid Use Disorder
- Advocates / Peers
- Community Coalitions
- Community Health Officials
- Health Insurers
- Hospitals
- Policymakers
This website was developed by the National Association of Counties and empowers local leaders to invest resources from opioid settlements into effective treatment, recovery, prevention, and other public health practices.
- Community Coalitions
- Community Health Officials
- Policymakers
This is a peer-reviewed paper in Nature providing an overview of opioid use disorder (OUD) and is written by a group comprised of many leading experts in the field. The paper discusses the epidemiology of OUD, especially as it relates to risk factors and burden. Next, the neuroscience and pathophysiology of OUD are discussed. The last half of the paper provides the evidence on strategies for prevention, early intervention, and treatment for OUD.
- Early Intervention
- Educational
- Medications for Opioid Use Disorder
- Overdose prevention
- Syringe service program / Needle exchange
- Addiction Treatment Providers
- Community Coalitions
- Community Health Officials
- Medical
- Pharmacies
- Policymakers
This is an academic paper which provides an overview of the trends concerning opioid use disorder in women and its implications for treatment. Authors show that there is a gender-based gap in preventing rising death rates by opioid overdose in women as well as treatment of perinatal women with opioid use disorder, and call for more research to be done on gender and sex differences which should include treatment implementation studies to achieve wider access for women to effective prevention, intervention, and treatment.
- Early Intervention
- Overdose prevention
- Addiction Treatment Providers
- Community Health Officials
- Medical
This is a report from the National League of Cities which discusses several examples of interventions addressing the opioid crisis at the city and state level. Opportunities — through the use of Medicaid, federal grants, and other resources — are highlighted to expand those efforts
- Diversion
- Educational
- Medications for Opioid Use Disorder
- Community Coalitions
- Community Health Officials
- Criminal Justice
- Health Insurers
- Law Enforcement
- Policymakers
This is a report done by the U.S Government Accountability Office which gives an overview of how State Opioid Response (SOR) grants are used, examines how SAMHSA assesses SOR grants, and makes recommendations to SAMHSA on continuing to monitor and analyze program information in order to make improvements.
- Educational
- Community Coalitions
- Policymakers
This is a white paper from the Office of Women's Health that was developed by conducting a review of the literature focused on topics around opioid use disorders and women, as well as consulting with subject matter experts. This report begins by providing an overview of the opioid epidemic and what it means for women. Issues of prevention and treatment are then explored, all with the lens of the unique or pronounced needs of women. The paper concludes with a resource section with links to key information.
- Comprehensive services
- Early Intervention
- Educational
- Family Support
- Medications for Opioid Use Disorder
- Overdose prevention
- Advocates / Peers
- Community Coalitions
- Medical
- Policymakers