This is a report which discusses the current barriers to OUD treatment as well as the low threshold approach, the evidence of its effectiveness, and possible future areas for research. The low threshold approach described in this report include a push for same day treatment entry and medication access, an approach for harm reduction, and a wider availability for treatment in areas with a higher concentration of individuals with OUD.
Harm Reduction Resources
- Comprehensive services
- Medications for Opioid Use Disorder
- Addiction Treatment Providers
- Harm Reduction Specialists
- Hospitals
- Medical
This article provides commentary from the Surgeon General on the need to expand syringe service programs (SSP) to address the opioid crisis, including a good summary of the evidence and return on investment for SSPs.
- Syringe service program / Needle exchange
- Harm Reduction Specialists
- Policymakers
This is a report from the Agency for Healthcare Research and Quality (AHRQ) that provides guidance for first responders on determining optimal doses, routes of administration, and dosing strategies of naloxone for suspected opioid overdose in out-of-hospital settings, and whether transport to a hospital following successful opioid overdose reversal with naloxone is necessary.
- Overdose prevention
- Post-overdose response
- Community Coalitions
- Community Health Officials
- First Responders
- Harm Reduction Specialists
- Law Enforcement
- Policymakers
This is a report from New America and the Public Interest Technology (authors Lindemann and Coleman) documenting the efforts of the Opioid Mapping Initiative, including the national naloxone access map and the national prescription drop-off map.
The information provided In this report can provide valuable insights and action items for local governments looking for a place to start mapping opioid data and those seeking to make a difference in their community. Several case studies in various locations across the United States are also discussed in this document.
- Educational
- Overdose prevention
- Advocates / Peers
- Community Coalitions
- Community Health Officials
- Criminal Justice
- First Responders
- Harm Reduction Specialists
- Hospitals
- Law Enforcement
- Medical
- Pharmacies
- Policymakers
This toolkit developed by the Alaska Native Tribal Consortium focuses on the provision of medication-assisted treatment (MAT) services in rural areas of Alaska. The guide is aimed at educating healthcare providers who want to learn more about addiction medicine, practitioners who want to start an MAT program in their community, as well as current practitioners of addiction medicine.
- Comprehensive services
- Medications for Opioid Use Disorder
- Addiction Treatment Providers
- Health Insurers
- Hospitals
- Medical
This academic paper investigates the impact of implementing harm reduction programs in a hospital care setting. The results indicate that the implementation was successful and that the authors' program was able to better educate and engage patients, staff, and clinicians in harm reduction techniques.
- Overdose prevention
- Addiction Treatment Providers
- Community Health Officials
- Harm Reduction Specialists
- Hospitals
This is an academic paper that describes the collaboration between a multidisciplinary team of university, state and federal agency, and community experts to create a unified database linking controlled substance prescribing, overdose, and treatment for opioid use disorder in Connecticut that can better-inform interventions across the state.
- Educational
- Community Coalitions
- Community Health Officials
- Policymakers
This is an academic paper that discusses the evaluation of an innovative tool, the Mobile Intervention Kit (MIK), in a street outreach syringe exchange program in the Bronx, NY. The MIK is a tablet-based intervention with three separate modules (HIV, Hepatitis C, overdose prevention) that can be shown to participants individually or in any combination, to tailor content based on the needs of specific patients or the capacity of a facility. Study findings show that the MIK is feasible and highly acceptable to a population of people who inject drugs, and could increase overdose education and HIV/Hepatitis C testing.
- Educational
- Overdose prevention
- Advocates / Peers
- Community Coalitions
- Community Health Officials
- Harm Reduction Specialists
- Medical
This is a guide from the National Association of County and City Health Officials (NACCHO) which provides strategies for rural communities to mobilize community partnerships for public health programming, including local examples and lessons learned.
- Educational
- Community Coalitions
- Community Health Officials
- Policymakers
This is a report outlining a model policy to expand access to opioid antagonists such as naloxone. The act aims to address the issues surrounding the equitable delivery of this life saving medication into the hands of those who need it the most. Strategies such as requiring health insurance coverage of naloxone and increasing access to naloxone in educational and correctional facilities are some of the suggestions listed.
- Overdose prevention
- Community Health Officials
- Harm Reduction Specialists
- Health Insurers
- Policymakers
This is a report which outlines a model state legislation to create an opioid litigation fund and council. The prospective fund would ensure that money allocated to states through opioid litigation settlements and judgements solely be used to address the opioid crisis.
- Educational
- Policymakers
This is a report on a suggested model policy that provides a framework for establishing county-level overdose fatality review teams in each state. The aim of overdose fatality review teams are to understand the who, what, when, where and how a fatal overdose occurs. The strategies this model policy outlines give local entities the necessary information to prevent fatal overdoses in their communities as well as ways to improve allocation and efficiency of overdose prevention resources.
- Overdose prevention
- Addiction Treatment Providers
- Community Coalitions
- Community Health Officials
- Harm Reduction Specialists
- Policymakers