Information Resources for Overdose Prevention

Clinical Practice Guideline for the Management of Substance Use Disorders

Offers evidence-based information, recommendations, guides, and tools to Department of Veterans Affairs (VA) and Department of Defense (DoD) healthcare providers and patients to assist in the decision making process to improve the treatment and outcomes for patients with substance use disorder (SUD), including opioid use disorder (OUD) and methamphetamine use, and co-occurring mental health conditions. Describes best practices to help patients avoid preventable complications, reduce substance use, and improve their overall health and wellness.

Sponsor: Veterans Health Administration (VHA)
Dashboard on Drug Poisoning Mortality in the United States, 1999-2017

Provides interactive data visualizations on drug poisoning mortality rates in the U.S. from 1999 to 2017. Shows national trends broken down by age, sex, and race and provides state and county-level data. Includes urban/rural trends by state for the estimated crude death rates for drug poisoning.

Sponsor: Centers for Disease Control and Prevention (CDC)
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)
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)
Indian Health Service (IHS) Opioid Use Disorder and Pain

Offers comprehensive information and resources on the use of prescription opioids, managing chronic pain, and opioid use disorder (OUD) for patients and providers, specifically for American Indian and Alaska Native (AI/AN) communities and Indian Health Service (IHS) providers. Includes online tools, technical assistance resources, guides, and training for patients and providers on topics such as opioid crisis data, opioid prevention, COVID-19 response and opioids, proper pain management, opioid prescribing/stewardship, maternal health, syringe services programs, child health and wellness, medication-assisted treatment (MAT), tele-MAT, trauma informed care, best practices, wellness courts, and training opportunities. Resource is an initiative of the IHS Alcohol and Substance Abuse Program (ASAP).

Sponsor: Indian Health Service (IHS)
Lessons Learned from the Rural Opioid Overdose Reversal Program

Documents the challenges, successes, and lessons learned from the Rural Opioid Overdose Reversal Program (ROOR), a 2015 pilot grant program administered by HRSA's Federal Office of Rural Health Policy. Includes resources to support related projects and programs, with links to training, data strategies, and outreach tools. Product of the National Organization of State Offices of Rural Health funded by a cooperative agreement through HRSA's Federal Office of Rural Health Policy.

Sponsor: Federal Office of Rural Health Policy (FORHP)
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)
MyHealtheVet Overdose Education for Veterans: Learning to Use Naloxone

Offers information and training videos on how to approach the topic of naloxone to individuals taking prescription opioids and with opioid use disorders (OUD). Includes videos demonstrating how to provide training for the three types of naloxone kits offered by the U.S. Department of Veteran Affairs (VA), including nasal spray, auto-injector, and intramuscular.

Sponsor: Veterans Health Administration (VHA)
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)
Opioid Overdose Education and Naloxone Distribution Program (OEND)

Provides an overview of the U.S. Department of Veterans Affairs (VA) opioid overdose education and naloxone distribution (OEND) program. Focuses on reducing opioid overdoses and deaths among veterans through education and training for prevention, recognition, rescue response, and naloxone kit use. Includes OEND videos and materials for providers and patients.

Sponsor: VA Pharmacy Benefits Management (PBM) Services
Opioid Overdose Prevention for States Microsite

Allows local organizations, providers, and other stakeholders to add a free, customizable version of the Centers for Disease Control and Prevention (CDC) opioid overdose website to their own websites. Helps communities disseminate online, up-to-date CDC opioid information and resources, as well as training on the CDC guidelines for prescribing opioids for chronic pain.

Sponsor: Centers for Disease Control and Prevention (CDC)
Opioid Safety Initiative Toolkit

Contains field guidance, evidence-based to the extent possible, in the form of documents and presentations to support clinical decisions about starting, continuing, or tapering opioid therapy, and other challenges related to safe opioid prescribing. Includes patient and provider education, clinical tools, and other resources.

Sponsor: Veterans Health Administration (VHA)
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
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)
SAMHSA Medication and Counseling Treatment: Naloxone

Describes how naloxone is used and the medication's side effects. Briefly discusses causes of opioid overdose. Highlights how the Substance Abuse and Mental Health Services Administration (SAMHSA) is working with communities, local governments, local law enforcement, and state and federal partners to expand naloxone use.

Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
VA PBM: Academic Detailing Service (ADS) Resources

Provides access to education materials advocating for evidence-based treatments to help providers improve the health of veterans. Offers provider and patient education tools and outreach resources to encourage evidence-based decision making for a variety of medical conditions and diseases, including opioid use disorder (OUD) and substance use disorders (SUDs), pain, suicide, dementia, depression, HIV, PTSD, and more.

Sponsor: VA Pharmacy Benefits Management (PBM) Services