Information Resources: Document / Report

Information Resources: Document / Report

Acute Pain Management - Meeting the Challenges: A VA Clinician's Guide

Provides information and recommendations on safe and effective methods for acute pain management for Veterans Health Administration (VHA) healthcare providers to promote safe opioid prescribing and decrease the number of veterans who develop opioid use disorder (OUD). Covers the Stepped Care model to manage acute pain including opioid use risks, opioid free and non-pharmacological approaches for pain management, and medication-assisted treatment (MAT).

Sponsor: VA Pharmacy Benefits Management (PBM) Services
Alternative Pain Management and Treatment for Opioid Use Disorder – Federal Employees' Compensation Act Bulletin NO. 18-06

Announces a policy guiding the authorization of alternative, non-opioid pain management treatments and treatment for opioid use disorder (OUD) for federal workers receiving workers' compensation. Aims to reduce barriers to non-opioid pain treatment, such as alternative pain medication, cognitive behavioral therapy (CBT), physical therapy, transcutaneous electrical nerve stimulation (TENS), and other treatment without medication, as well as in-patient pain management programs. Increases patient access to OUD treatments, including medication-assisted treatment (MAT), opioid treatment programs, in-patient, out-patient, and emergency services.

Sponsor: Office of Workers' Compensation Programs (OWCP)
CMS Letter to State Medicaid Directors: Leveraging Medicaid Technology to Address the Opioid Crisis

Offers states information and advice regarding strategies to combat the opioid crisis using technology, as well as potential funding opportunities for these efforts. Discusses implementing prescription drug monitoring programs (PDMPs) to track and facilitate the safe prescription of opioid medications and increasing data-driven approaches, interoperability, and telehealth services to improve care coordination among healthcare professionals.

Sponsor: Centers for Medicare & Medicaid Services (CMS)
CMS Letter to State Medicaid Directors: Strategies to Address the Opioid Epidemic

Describes treatment and prevention strategies aimed at increasing healthcare quality, availability, and outcomes for Medicaid recipients with opioid use disorder (OUD) and other substance use disorders (SUDs). Discusses long-term objectives focused on enhancing states' ability to track and implement evidence-based services to help beneficiaries with OUD and SUDs.

Sponsor: Centers for Medicare & Medicaid Services (CMS)
CMS Roadmap: Strategy to Fight the Opioid Crisis

Describes the Centers for Medicare & Medicaid Services (CMS) activities to address the opioid epidemic related to prevention, treatment, and data. Highlights program successes, innovative approaches, and future goals of CMS efforts to address the opioid crisis.

Sponsor: Centers for Medicare & Medicaid Services (CMS)
COVID-19 FAQ: Resource for Addiction Treatment and Recovery Support Specialists

Provides answers to frequently asked questions from a wide range of providers and organizations regarding COVID-19 and its impacts on substance use treatment and recovery efforts. Offers practical guidance and resources to help users take immediate action to address issues arising from the effects of COVID-19. Product of the Addiction Technology Transfer Center Network funded by a cooperative agreement through Substance Abuse and Mental Health Services Administration.

Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Evidence-Based Strategies for Preventing Opioid Overdose: What's Working in the United States

Offers evidence-based opioid overdose prevention practices for community leaders, local and regional organizers, nonprofit groups, law enforcement, public health and other members of the public. Provides summaries of effective strategies to prevent opioid overdose and the context in which they are most effective. Discusses targeted naloxone distribution, including Good Samaritan laws, syringe services programs, criminal justice settings, and medication-assisted treatment (MAT) and initiating MAT in emergency departments. Summarizes the major research on each practice and offers examples of organizations that have successfully used the strategies to reduce the risk of overdose.

Sponsor: Centers for Disease Control and Prevention (CDC)
Fentanyl and Carfentanil

Describes the uses and dangers of fentanyl and carfentanil, which are both extremely potent synthetic opioids. Includes methods for reducing opioid use and overdoses, including medication-assisted treatment (MAT) and naloxone distribution.

Sponsor: VA Pharmacy Benefits Management (PBM) Services
First Responders Can Safely Administer Naloxone During the COVID-19 Pandemic

Shares how law enforcement, firefighters, emergency medical services (EMS), and other first responders can take universal safety precautions to reduce the risk of exposure to COVID-19 and safely administer naloxone for overdose reversal during the pandemic.

Sponsor: U.S. Department of Health & Human Services
Guidance for Law Enforcement and First Responders Administering Naloxone

Provides guidance to law enforcement and first responders on the safe use of naloxone to reverse opioid overdoses during the COVID-19 pandemic. Discusses risks of coronavirus transmission while administering naloxone for both intranasal and intramuscular forms of delivery and the use of personal protective equipment (PPE) during overdose intervention. Offers information to assist first responders with making safe decisions on the use of naloxone with the goal of reducing their risk of COVID-19 infection while continuing to provide effective response to opioid overdose emergencies.

Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Guide for Developing High-Quality Emergency Operations Plans for Institutions of Higher Education

Provides guidance to institutions of higher education in developing and revising emergency operation plans (EOPs). Offers information to address the five mission areas of emergency preparedness and helps colleges and universities coordinate emergency response planning with local, state, and national authorities. Describes the basic principles of emergency management and the process of developing, implementing, and maintaining effective EOPs. Covers various emergency planning topics such as the Clery Act, information sharing, psychological first aid, campus climate, campus law enforcement officers, and active shooter situations.

Sponsor: Office of Safe and Supportive Schools (OSSS)
Guide for Developing High-Quality School Emergency Operations Plans

Provides guidance to K-12 schools and school districts in developing and revising emergency operation plans (EOPs). Offers information to address the five mission areas of emergency preparedness: prevention, protection, mitigation, response, and recovery. Describes the basic principles of emergency management and the process of developing, implementing, and maintaining effective EOPs. Includes discussion on coordinating emergency response planning with local, state, and national authorities. Covers various emergency planning topics such as school climate, psychological first aid, information sharing, and active shooter situations.

Sponsor: Office of Safe and Supportive Schools (OSSS)
Guide to VA Mental Health Services for Veterans and Families

Details the mental health services Veterans Health Administration (VHA) hospitals and clinics offer for veterans and their families and describes the VHA guiding principles for mental healthcare. Discusses the resources available for veterans and family members, and instructions on locating mental healthcare facilities and providers, including suicide prevention services and telemedicine visits. Covers treatment options for common mental health concerns, such as depression, substance abuse, and post traumatic stress disorder. Offers information on specific programs available to veterans with special needs, including women, those experiencing homelessness, veterans involved with the criminal justice system, and seniors.

Sponsor: Veterans Health Administration (VHA)
Indian Health Service (IHS) Behavioral Health Fact Sheet

Provides an overview of how Indian Health Service (IHS) is working to address behavioral health in American Indian and Alaska Native (AI/AN) communities. Describes behavioral issues affecting individuals and families, such as alcohol and substance abuse, mental health, suicide, domestic violence, and behavior-related chronic disease.

Sponsor: Indian Health Service (IHS)
Local Response to Public Health Emergencies: Focus on the Opioid Epidemic

Provides an overview of a 2017 pilot project to enhance the ability of local health departments (LHDs) to address opioid use and overdose in their communities. Aims to help LHDs work more effectively with state and local partners and reduce the occurrence of fatal and non-fatal overdose. Summarizes project activities and goals and a brief introduction to the four pilot sites: Bell County, Kentucky; Hillsborough County, New Hampshire; Montgomery County, Ohio; and Boone County, West Virginia.

Sponsor: Centers for Disease Control and Prevention (CDC)
Marijuana Use Patient Discussion Tool

Describes potential short and long term risks of marijuana use and how using marijuana can negatively affect attention, memory, reaction time, mental health, and organ health and function. Explains how the combination of marijuana and opioids and/or benzodiazepines can result in drowsiness, difficulty driving or operating machinery, and increased risk of overdose.

Sponsor: VA Pharmacy Benefits Management (PBM) Services
Medications for Opioid Use Disorder (OUD)

Provides information on methadone, buprenorphine, and naltrexone and how they are used to provide medication-assisted treatment (MAT) for opioid use disorder (OUD). Covers the signs of an overdose and answers questions about each medication.

Sponsor: VA Pharmacy Benefits Management (PBM) Services
New Federal Employees' Compensation Act (FECA) Policy on Opioid Medications

Announces a policy, effective September 23, 2019, whereby injured federal workers receiving workers' compensation that are newly prescribed opioids will be limited to an initial 7-day supply. Allows an injured worker to receive a maximum of four sequential 7-day supply prescriptions, an initial and three subsequent prescriptions, for a total of 28 days before prior authorization is required. For additional opioid prescriptions exceeding the initial 28-day period, the prescribing physician will need to submit a form certifying the medical necessity of continued opioid use for approval from the Office of Workers' Compensation Programs (OWCP).

Sponsor: Office of Workers' Compensation Programs (OWCP)
Office of National Drug Control Policy COVID-19 Fact Sheet

Summarizes policy changes made by federal National Drug Control Program agencies in response to the COVID-19 pandemic. Outlines program and policy changes designed to ensure individuals with substance use disorders (SUDs) can continue to safely access important treatment and recovery support services during the pandemic. Addresses several priority areas, including guidance for prevention, treatment, and recovery services; use of telemedicine and electronic prescribing, flexibility for methadone and buprenorphine treatment, access to prescribed controlled substances, support for rural and tribal communities; and relief opportunities for individuals, providers, and small businesses. Provides links to programs and agencies for additional details related to specific policy changes.

Sponsor: Office of National Drug Control Policy (ONDCP)
Overdose Response Strategy (ORS)

Consists of a public health and public safety collaboration between 21 high intensity drug trafficking areas (HIDTAs) and the Centers for Disease Control and Prevention (CDC) across 34 states. Seeks to help communities reduce fatal and non-fatal drug overdose rates by improving information sharing across agencies and supporting evidence-based interventions. Equips Overdose Response Strategy (ORS) states with one Drug Intelligence Officer (DIO) and one Public Health Analyst (PHA) who are responsible for helping to increase communication, data flow, and intelligence sharing between public safety and public health sectors within and across ORS states. Works to create an essential information-sharing network and data-driven action approach designed to reduce overdose and help save lives.

Sponsor: Centers for Disease Control and Prevention (CDC)
Pain Education Materials Catalog

Provides a collection of pain-related instructional items cataloged by the U.S. Department of Veterans Affairs (VA) Pharmacy Benefits Management (PBM) Academic Detailing Service (ADS). Helps providers assist patients with pain management by providing tools, resources, guides, and other informational materials on topics such as pain, opioid safety, headaches, opioid use disorder (OUD), opioid overdose education and naloxone distribution, and suicide.

Sponsor: VA Pharmacy Benefits Management (PBM) Services
Pain: New Ways to Treat a Common Problem, Patient Guide

Describes the two types of pain: acute and chronic. Discusses pain management strategies and treatments, including non-medication treatments, non-opioid medication treatments, and opioids.

Sponsor: VA Pharmacy Benefits Management (PBM) Services
Preparing for Opioid-Related Emergencies for K-12 Schools and Institutions of Higher Education

Fact sheet detailing the six-step planning process to help schools and institutions of higher education develop or update emergency operation plans (EOPs) to address potential threats and issues resulting from opioid misuse and abuse. Discusses the five mission areas of preparedness for opioid-related emergencies and the effects of the opioid crisis on school-aged children, young adults, and school safety. Includes links to additional resources and information to aid in the development of school EOPs, and programs and activities to address an opioid overdose.

Sponsor: Office of Safe and Supportive Schools (OSSS)
Readiness and Emergency Management for Schools (REMS) Specialized Training Packages

Provides access to training materials to help school emergency managers train school faculty, staff, and students in emergency preparedness. Offers training on a range of specialized school emergency topics and on the process of developing high-quality emergency operation plans (EOPs). Builds knowledge and skills to help schools and school districts prevent, respond to, and recover from emergency situations. Packages include training instructions, PowerPoint presentations, tabletop exercises, supplemental materials, and resources.

Sponsor: Office of Safe and Supportive Schools (OSSS)
The Role of Districts in Developing High-Quality School Emergency Operations Plans: A Companion to the School Guide

Provides guidance to school districts in developing effective school emergency operations plans (EOPs). Describes the six-step planning process and the specific roles and responsibilities for district-level administrators and staff in developing and implementing EOPs. Includes a task checklist to help districts track their progress through the planning process. Builds on the previous Guide for Developing High-Quality School Emergency Operations Plans or School Guide.

Sponsor: Office of Safe and Supportive Schools (OSSS)