Information Resources for Prevention

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)
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)
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 Opioid Prescribing Mapping Tools

Interactive mapping tools providing recent data on Medicare Part D opioid prescribing rates in the U.S. at the state, county, and zip code level, as well as state-level Medicaid data. Includes Medicare data on long-acting opioid prescribing rates, changes in prescribing rate, opioid prescribing hot spots and outliers, and rates in urban and rural areas. Offers data to better inform local prevention and treatment efforts, particularly in rural communities hard hit by the opioid crisis, and demonstrates CMS's commitment to opioid data transparency.

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)
Controlled Substance Public Disposal Locations Search Tool

Offers a search tool to locate public disposal locations for controlled substances. Users can enter a zip code or city and state information, and select a search radius from 5 miles up to a maximum of 50 miles. Result page lists the names, addresses, and maps of the disposal sites for the search criteria.

Sponsor: U.S. Department of Justice
Family Checkup: Positive Parenting Prevents Drug Abuse

Contains evidence-based information focused on parenting skills that help prevent the onset and progression of tobacco, alcohol, marijuana, and other drug use among children and youth. Includes suggestions and video tutorials on positive parenting practices, such as good communication, encouragement, negotiating solutions, setting limits, supervision, and knowledge of children's friends and activities.

Sponsor: National Institute on Drug Abuse (NIDA)
HRSA Behavioral Health Workforce Development Grants and Programs

Provides information on multiple grants and programs to support the development and education of the behavioral health workforce to meet the needs of rural, underserved, and other vulnerable populations. Includes a focus on expanding training programs for substance abuse prevention and treatment services.

Sponsor: Bureau of Health Workforce (BHW)
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)
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
National Prevention Week (NPW)

Offers information on a week-long event dedicated to promoting public awareness of mental illness and substance use disorders (SUDs) and increasing community engagement in activities that address these conditions. Includes a planning toolkit, webinars, and other resources to support community prevention efforts and help communities organize local events and activities in support of National Prevention Week. Helps communities connect and collaborate with federal agencies and national organizations to raise awareness about substance use prevention and promote positive mental health.

Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
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)
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 Policy Four-Point Strategic Plan to Protect Federal Injured Workers

Announces a four-point strategic plan to protect injured federal workers covered under the Federal Employee's Compensation Act from the risk of opioid misuse and addiction. Includes details on these policy initiatives and their progress, information on any new policies, as well as a discussion of opioid facts and risk factors for opioid misuse, addiction, and overdose, and links to additional resources.

Sponsor: Office of Workers' Compensation Programs (OWCP)
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)
Preventing Drug Use among Children and Adolescents: A Research-Based Guide for Parents, Educators, and Community Leaders

Highlights principles designed to help parents, educators, and community leaders address drug use among children and adolescents. Includes research and information on the following topics: risk factors and protective factors for drug use, planning community-led drug abuse prevention efforts, and implementing research-based drug abuse prevention programs at the community level.

Sponsor: National Institute on Drug Abuse (NIDA)
Principles of Substance Abuse Prevention for Early Childhood: A Research-Based Guide

Describes principles, information, and research related to childhood development, risk and protective factors for substance abuse, and research-based early childhood intervention programs. Assists parents, practitioners, and policymakers with addressing individual, family, school, and community precursors for early substance misuse to promote positive life outcomes and prevent drug use, abuse, and addiction throughout childhood, adolescence, and adulthood.

Sponsor: National Institute on Drug Abuse (NIDA)
Rural Prevention and Treatment of Substance Use Disorders Toolkit

Highlights evidence-based and promising models and related resources to implement, evaluate, and sustain substance use disorders prevention and treatment in rural communities. Identifies barriers to substance use disorder prevention and treatment in rural areas. Product of the Rural Health Information Hub funded by a cooperative agreement through HRSA's Federal Office of Rural Health Policy.

Sponsor: Federal Office of Rural Health Policy (FORHP)
Rural Response to the Opioid Crisis Topic Guide

Provides an overview of the opioid crisis in rural America and includes information and resources on initiatives and funding opportunities to address the crisis. Covers successful rural model program examples, events, and other tools for prevention, harm reduction, and treatment. Product of the Rural Health Information Hub funded by a cooperative agreement through HRSA's Federal Office of Rural Health Policy.

Sponsor: Federal Office of Rural Health Policy (FORHP)
Rural Tobacco Control and Prevention Toolkit

Highlights evidence-based and promising models and related resources to implement, evaluate, and sustain tobacco control and prevention in rural communities. Provides an overview of tobacco use in rural areas, including barriers to establishing tobacco control and prevention programs. Product of the Rural Health Information Hub funded by a cooperative agreement through HRSA's Federal Office of Rural Health Policy.

Sponsor: Federal Office of Rural Health Policy (FORHP)
Rx Awareness Campaign

Provides information and resources to help states and local communities building media campaigns to increase awareness and educate the public on the dangers of prescription opioids. Offers videos, radio spots, social media posts, signage, and online ads that cover opioid treatment and recovery, overdose prevention, and real life stories of addiction and loss due to prescription opioids.

Sponsor: Centers for Disease Control and Prevention (CDC)
SAMHSA Behavioral Health Equity Program (BHEP)

Offers information and resources to support and promote behavioral health equity by removing barriers and providing prevention and treatment services for mental illness and substance use disorders (SUDs). Includes a list of data, reports, Substance Abuse and Mental Health Services Administration (SAMHSA) programs and federal programs and initiatives for the following populations: Hispanic or Latino; Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPI); American Indians and Alaska Natives (AI/AN); Black or African Americans; and the LGBT populations.

Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Drug-Free Workplace Programs

Provides information on drug-free programs, drug testing, and other resources designed to address illegal substance use by federal employees and in federally regulated industries, such as the U.S. Nuclear Regulatory Commission (NCRC), the U.S. Department of Transportation (DOT), and the U.S. Department of Defense (DOD). Discusses policies, guidelines, and regulations to address substance misuse in workplaces.

Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Evidence-Based Practices Resource Center

Provides communities, healthcare professionals, policymakers, and others with reports, guides, toolkits, and other resources to implement evidence-based practices for mental illness and substance use disorders (SUDs). Focuses on opioid use disorder (OUD) and other SUD prevention, treatment, and recovery options.

Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA Workforce Programs

Provides an overview of Substance Abuse and Mental Health Services Administration (SAMHSA) efforts to increase the supply of trained, culturally aware behavioral health professionals, including psychiatrists, therapists, addiction counselors, homeless outreach specialists, recovery coaches, and other professionals in fields related to prevention, healthcare, and social services. Includes links to programs and resources to help address workforce shortages and provide culturally competent care to individuals with mental illness and substance use disorders (SUDs).

Sponsor: Substance Abuse and Mental Health Services Administration (SAMHSA)
Teens Linked to Care (TLC)

Details a school-centered pilot project that examined implementing strategies to prevent youth substance abuse and risky sexual behaviors in high-risk rural communities in Ohio, Kentucky, and Indiana. Highlights efforts to address related issues of HIV, sexually transmitted diseases (STDs), teen pregnancy, and high-risk substance use through education, primary prevention, and early detection screening. Program activities included implementing new health curricula, partnering with health departments and community drug-free coalitions, and developing and distributing informational products and video campaigns.

Sponsor: Centers for Disease Control and Prevention (CDC)
VA Center for Medication Safety (VA MedSAFE)

Provides instructions for the safe disposal of unwanted and unneeded medications to prevent substance misuse and accidental poisonings. Includes safety tips to keep drugs away from children and pets, ensure proper medication storage, and proper medication disposal. Takes back unused and expired medications.

Sponsor: VA Pharmacy Benefits Management (PBM) Services
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
Young Children Who Are Exposed Prenatally to Substances and Their Families

Provides information for state and local early intervention systems regarding the prevalence of infants and toddlers prenatally exposed to substances, and resources and supports needed to promote positive outcomes for these infants and their families. Shares links to key research, policy, guidance and state examples, and evidence-based practices for supporting young children exposed prenatally to substances and their families. Product of the Early Childhood Technical Assistance Center funded by a cooperative agreement through the U.S. Department of Education's Office of Special Education and Rehabilitative Services.

Sponsor: Office of Special Education and Rehabilitative Services (OSERS)