This is an academic paper that gives a balanced policy analysis of the impact of the decriminalization of illicit drug use in Portugal. A wide array of outcomes are assessed in this drug policy reform.
Peer-reviewed Articles and Reports
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This is a white paper from the National Governors Association that discusses the history of how states have used emergency powers to provide governors with new avenues to enhance capabilities, coordination, and collaboration across state and local agencies. Guidance is provided to state…
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This is a presentation the describes what fentanyl test strips are, how they might be effective in overdose prevention, discusses legal barriers, and highlights successful pilot programs in distributing fentanyl test strips.
- Prevention
This is a report from the Pew Charitable Trusts that describes patient review and restriction (PRR) programs that encourage the safe use of opioids. There is an emphasis on how providers and health plans work together to implement PRR programs, and several of these programs are highlighted in…
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This is a report from the Office of the Assistant Secretary of Planning and Evaluation (ASPE) that explores how telehealth can be used to support behavioral health and substance use disorders, with a particular focus on implications for medications for opioid use disorders. The report will help…
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This issue brief from the Office of Assistant Secretary for Planning and Evaluation (ASPE) identifies barriers to implementing buprenorphine prescribing via telehealth and makes suggestions on how to overcome these barriers. An overview of reimbursement by payors and additional links to…
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This is an academic paper that provides commentary on leveraging telehealth in rural areas to increase the capacity of medications for opioid use disorder (MOUD) in an underserved area. Current evidence for telehealth-delivered MOUD, promising program models, and regulatory issues are discussed…
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This is an academic paper that examines the variation in opioid overdose responses among first responders in California. Through surveys with emergency medical services (EMS) directors, protocols, data collection, linkage to treatment, and naloxone distribution were described.
- Treatment
This is a report from the Government Accountability Office that identifies and compares overall prevalence and differences in urban and rural areas for: the number of veterans with substance use disorder (SUD), the expenditures for veterans receiving SUD services, and availability of specialty…
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This is an academic paper that describes the state's modified hub-and-spoke model to build organizational capacity for facilities to use buprenorphine to treat patients with opioid use disorder and to provide ongoing case consultation. Preliminary results after implementation are provided,…
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This is a perspective academic paper by medical providers on the intersection of the opioid crisis and the coronavirus pandemic, with a focus on buprenorphine prescribing and sustainability of opioid research.
- Full continuum of care
This is a White House report outlining the Biden-Harris Administrations's policy and strategy plan for combatting the overdose epidemic. The report focuses on two driving forces of the epidemic which are identified as untreated addiction and drug trafficking profits. The information given…
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This is a report from the Chicago Urban League that focuses on areas where blacks are been disproportionately affected by the opioid crisis, with a special emphasis on Chicago. A public health response, and how this is different than the policy response of the War on Drugs, is discussed as well…
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This is a report from SAMHSA that looks at the role of language in perpetuating stigma for substance use disorders, followed by tips for assessing when and how stigmatizing language is being used and steps for ensuring that the language we use and messages we deliver are positive, productive,…
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- Treatment
This is a report from SAMHSA that provides education on opioid and other substance misuse, employing cost-effective prevention strategies and strategies to identify this misuse in the workplace, links to many helpful resources.
- Treatment
This is an academic paper that provides commentary on the impact of the opioid crisis on youth. The treatment system currently available to adolescents is described, shortfalls are identified, and recommendations are made to enable pediatricians to better manage substance use disorders in…
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This is an academic paper that summarizes over one hundred community plans to address the opioid crisis in the United States and Canada. These were found in both the peer-review and grey literature. According to this paper, most community opioid-related plans were provincially/state-funded,…
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- Harm Reduction
This is an academic paper that explored the support and attitudes of emergency department (ED) personnel in Nevada towards using a mobile outreach team following the presentation of an opioid overdose to the ED. Findings suggest strong support and enthusiasm for this type of intervention. Giving…
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This academic paper describes an opioid treatment program's (OTP) experience implementing a mobile medication unit (van) dispensing methadone for those with opioid use disorder (OUD). By making methadone available in patients' neighborhoods, the van increased access to medication treatment for…
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This is an academic paper published by the Harm Reduction Journal that discusses the relationship between syringe service programs and law enforcement in the state of Colorado. Through a review of syringe service programs in the state, the authors identified barriers and suggest effective…
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