Treatment Resources

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This is an academic paper that provides commentary on the barriers and disparities of buprenorphine prescribing, the changes in buprenorphine delivery during the coronavirus pandemic, and how sustaining these changes long-term will lead to better outcomes for those with opioid use disorder. 

Response Approach
  • COVID / Coronavirus related
  • Medications for Opioid Use Disorder
Stakeholders
  • Addiction Treatment Providers
  • Medical
  • Policymakers

This report from SAMHSA has practice and policy considerations for collaborating child welfare, medical, and service providers in the context of pregnant women with opioid use disorders.

The document is intended to support the efforts of states, tribes, and local communities in addressing the needs of pregnant women with opioid use disorders and their infants and families and endorses a coordinated, multi-system approach. 

Response Approach
  • Comprehensive services
  • Family Support
  • Medications for Opioid Use Disorder
  • Overdose prevention
Stakeholders
  • Addiction Treatment Providers
  • Community Coalitions
  • Community Health Officials
  • Health Insurers
  • Hospitals
  • Medical
  • Policymakers

This is a report from Shatterproof that discusses opioid use disorder (OUD) stigma and how it has exacerbated the opioid crisis. Types of stigma are highlighted as well as factors from other successful stigma campaigns (e.g. HIV, mental health). Evidence-informed interventions are presented with a focus on what Shatterproof plans to do to reduce OUD stigma. 

Response Approach
  • Educational
  • Medications for Opioid Use Disorder
Stakeholders
  • 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 is a policy brief from the Society for Public Health Education (SOPHE) that gives an overview of the scope of the opioid crisis, discusses treatment options, and gives a summary of federal and state-level initiatives responding to this public health emergency. There is a special emphasis on the role of health education specialists in the opioid crisis.

Response Approach
  • Cautious Opioid Prescribing
  • Educational
  • Medications for Opioid Use Disorder
  • Overdose prevention
Stakeholders
  • Community Coalitions
  • Community Health Officials
  • Harm Reduction Specialists
  • Medical
  • Policymakers

This is an academic paper that examines a novel approach to initiating buprenorphine in the emergency department, using a social work team to drive care for patients with opioid use disorder (OUD) and coordinate buprenorphine continuation referrals to existing community resources.

The results are promising. Of the 120 patients that initiated care, 61% presented to initial outpatient intake appointment and 39% remained engaged in treatment after 30 days. 

Response Approach
  • Early Intervention
  • Medications for Opioid Use Disorder
  • Post-overdose response
Stakeholders
  • Addiction Treatment Providers
  • Advocates / Peers
  • Community Coalitions
  • Community Health Officials
  • Health Insurers
  • Hospitals
  • Medical
  • Policymakers
Peer-reviewed Article

This is an academic paper that evaluated a pilot called the Youth Opioid Recovery Support (YORS) program, which is a multi-component intervention, including home delivery of medication and family involvement, designed to improve engagement and adherence to extended-release naltrexone for young adults with opioid use disorder (OUD). Preliminary results are promising. This program has been highlighted and supported by the Arnold Ventures foundation. 

Response Approach
  • Family Support
  • Medications for Opioid Use Disorder
  • Outreach
Stakeholders
  • Addiction Treatment Providers
  • Health Insurers
  • Medical
Peer-reviewed Article

This academic paper gives an overview of a telemedicine protocol to facilitate timely access to substance use disorder evaluations in an effort to improve post-overdose care in the emergency department. As a pilot program, experiences with the first 20 participants are discussed. 

Response Approach
  • Early Intervention
  • Medications for Opioid Use Disorder
  • Post-overdose response
Stakeholders
  • Community Health Officials
  • Hospitals
  • Medical
  • Policymakers
Peer-reviewed Article

This is a joint report by the National League of Cities and the National Association of Counties that is targeted to local leaders as well as state and federal officials, and which provides recommendations for solutions on the entire continuum of care.

Response Approach
  • Comprehensive services
  • Diversion
  • Early Intervention
  • Educational
  • Medications for Opioid Use Disorder
  • Outreach
  • Overdose prevention
  • Syringe service program / Needle exchange
Stakeholders
  • Community Health Officials
  • Criminal Justice
  • Health Insurers
  • Law Enforcement
  • Policymakers

This is an academic paper that provides challenges for how primary care providers in rural areas will respond to the intersection of opioid use disorder and COVID-19, and recommendations are made to meet challenges presented by the coronavirus.

Response Approach
  • COVID / Coronavirus related
  • Medications for Opioid Use Disorder
Stakeholders
  • Community Health Officials
  • Medical

Framing the opioid crisis from a public health perspective requires considering the interaction of multiple determinants, including structural factors (eg, poverty and racism), the inadequate management of pain, and poor access to addiction treatment and harm-reduction services (eg, syringe services). 

This novel ecological framework for harmful opioid use provides multiple recommendations to improve public health and clinical practice, including improved data collection to guide resource allocation, steps to increase safer prescribing, stigma-reduction campaigns, increased spending on harm reduction and treatment, criminal justice policy reform, and regulatory changes related to controlled substances.

Response Approach
  • Cautious Opioid Prescribing
  • Medications for Opioid Use Disorder
  • Overdose prevention
Stakeholders
  • Community Coalitions
  • Community Health Officials
  • Criminal Justice
  • Harm Reduction Specialists
  • Law Enforcement
  • Policymakers
Peer-reviewed Article

This is an academic paper that provides a scoping review of opioid policy interventions that the federal and state governments as well as organizations have used to address the opioid crisis, some of which include prescription drug monitoring programs (PDMP), pain clinic laws, laws restricting opioid prescribing, health insurance strategies, educational interventions, and naloxone distribution. The evidence for each intervention is assessed.  

Response Approach
  • Cautious Opioid Prescribing
  • Overdose prevention
Stakeholders
  • Community Coalitions
  • Health Insurers
  • Hospitals
  • Medical
  • Policymakers
Peer-reviewed Article

This is an academic paper that describes lessons learned from the implementation of a system that initiates buprenorphine in the emergency department and provides a warm handoff to community providers for continuation of medication treatment. There is focus on information technology facilitators and barriers. A better-designed system will increase retention in treatment. 

Response Approach
  • Medications for Opioid Use Disorder
  • Post-overdose response
Stakeholders
  • Addiction Treatment Providers
  • Community Health Officials
  • Health Insurers
  • Hospitals
  • Medical
Peer-reviewed Article