This is a comprehensive report that lays out the 56 recommendations made by the commission appointed by the Trump Administration to address the opioid crisis. After giving an overview of the opioid crisis and its wide-ranging impact, recommendations are made in the areas of federal funding, research, opioid addiction and overdose prevention, treatment, and recovery. 

This is an academic paper that analyzes stakeholder interviews to explore strategies to sustain time-limited opioid grants and determine barriers and facilitators. Financing and reimbursement, service integration, and workforce capacity were the most cited barriers, and status in state government structure, public support, and spending flexibility were noted as key facilitators. Strong partnerships were highlighted as essential components in strategies.  

This is a report from a convening of experts by the United Hospital Fund that describes in detail the ripple effect of the opioid crisis on families and communities. Recommendations are made to address the intergenerational and community-level impacts of opioid use disorder. Programs targeting these negative impacts are also highlighted in the report. 

This white paper aims to help shift the substance use disorders treatment field from an acute care model of treatment to a chronic care approach, known as recovery-oriented systems of care. Its purposes are twofold:

(1) To describe our understanding of the present state of recovery support services.

(2) To lay a framework for future activities and products that will support the continuing development of recovery support services. This includes accessible services that engage and retain people seeking recovery; a continuum of services rather than crisis-oriented care; care that is age-and gender-appropriate and culturally competent; and where possible, care in the person’s community and home using natural supports.

This publicly-available presentation from the Maine Rural Health Research Center (author John Gale) focuses on prevention, treatment, and recovery strategies that rural communities, particularly rural hospitals, can engage in to address the opioid crisis. Additionally, examples of existing programs for each strategy are discussed in the presentation. 

This is a report from the National Center on Substance Abuse and Child Welfare that provides an overview of two models of support for families—support by peers with lived experience of substance use disorders and sometimes child welfare involvement, and support by professionally-trained recovery specialists. The brief also highlights implementation considerations gleaned from interviews with four programs that have demonstrated positive child welfare and recovery outcomes for families.

This is an informative report from the Bipartisan Policy Center that gives an overview of federal opioid funding, and where the money is going in the continuum of care. It also gives a breakdown by state with overviews of several selected states.  

This is a report from the Bipartisan Policy Center that tracks spending targeted to address the opioid crisis across the federal government for fiscal year 2019 and provides insight into how funds are being spent at the state and county level, with specific case studies on six states - Ohio, Arizona, Tennessee, Louisiana, New Hampshire, and Washington. 

This is a report from the Centre of Excellence for Women's Health that gives guidance on providing "trauma-informed" services to people with opioid use disorder. Trauma-informed practice is an approach to care that integrates an understanding of trauma into all levels of care, system engagement, workforce development, organizational policy, and cross-sectoral collaborations.

This policy brief from the National Rural Health Association (NRHA) reviews several key opportunities to remedy the problem of the lack of evidence-based treatment for opioid use disorder in rural communities. It emphasizes a dual focus on making medications for opioid use disorder (MOUD) an option in all rural communities and fully funding rural mental health infrastructure. There is also an extensive set of policy recommendations in this document. 

This is a toolkit from National Congress of American Indians Policy Research Center that provides a wide range of information on the opioid crisis, what tribal communities are doing to address the issue, and access to documents that other communities can use to implement a response. 

This is a report outlining a four pronged strategy for overdose prevention with the goal of strengthening prevention efforts and increasing access to the full continuum of care and services for individuals with opioid use disorder (OUD). The four target areas in this strategy are primary prevention, harm reduction, evidence-based treatment, and recovery support. In addition this strategy is aimed at all populations with OUD in an effort to be more inclusive.