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© 2019 California Opioid Safety Network

Opioid Safety Strategies

Strategies for Success

What can we do to reduce the supply of opioids, lower demand, and stop unnecessary deaths? There are many evidence-based strategies at our disposal, as well as innovative new approaches taking place across the country. These tools and resources will help you discover and implement key strategies for preventing new addictions, managing pain safely, treating opioid use disorder, and stopping overdose deaths.

For ease of access to this Resource Library, we have curated resources relating to Opioid Safety into four focal areas: Prevent, Manage, Treat and Stop. To view resources related to each area, scroll down or click the button below each title to jump straight to that section. At the bottom of this page, you will find a running list of topic-specific resource links from other related organizations. 

Prevent

new addictions & harm

Manage

chronic pain safely

Treat

addiction

Stop

overdose deaths

 

PREVENT

To view the full infographics, click on the image or simply see the resource list below.

related resources

Reducing the Supply of Opioids

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As overdose deaths continue to rise, we need to consider one of the biggest contributors to the epidemic: the large opioid supply. What steps can your community take to lower the opioid supply?

Infographic

The California Opioid Safety Network

Read

Learn

A Guide to SAMHSA's Strategic Prevention Framework

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Prevention planners are pressed to put in place solutions to urgent substance misuse problems facing their communities. But research and experience have shown that prevention must begin with an understanding of these complex behavioral health problems within their complex environmental contexts; only then can communities establish and implement effective plans to address substance misuse. Read this document to understand the framework that SAMHSA has created.

Paper

Substance Abuse and Mental Health Services Administration (SAMHSA)

Read

Learn

Evidence-Based Strategies for Preventing Opioid Overdose: What’s Working in the United States

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This document is to assist community leaders, local and regional organizers, non-profit groups, law enforcement, public health, and members of the public in understanding and navigating effective strategies to prevent opioid overdose in their communities.

Paper

Centers for Disease Control and Prevention(CDC)

Read

Learn

COSN Safer Prescribing Fact Sheet

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Opioids can be safe when carefully prescribed and monitored by a clinician, but they are not generally effective in treating long-term chronic pain and they have the potential to become addictive and misused. Prescribing guidelines are an important mechanism to align practices with evidence and safety. Use this fact sheet to learn more about safe prescribing.

Fact Sheet

i.e. communications & The California Opioid Safety Network

Read

Learn

CDC Guideline for Prescribing Opioids for Chronic Pain

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This guideline provides recommendations for primary care clinicians who are prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care.

Guideline

Centers for Disease Control and Prevention(CDC)

Learn

Implement

CDPH Resources for Opioid Prescribers

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An inclusive resource sheet with various tools for prescribers.

Resource Sheet

CDPH Prescription Drug Overdose Prevention (PDOP) Initiative

Distribute

Learn

Lowering the Demand for Opioids

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As the epidemic evolves, clinicians are prescribing fewer opioids. However, the demand for synthetic opioids including heroin and fentanyl are on the rise. What can we do? This infographic will go through six elements of lowering the demand of opioids, along with a case example.

Infographic

The California Opioid Safety Network

Read

Learn

Recommendations for Safe Opioid Prescribing Template

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Sample safe prescribing recommendations developed by the opioid safety coalition in Los Angeles County, Safe Med LA, and endorsed by the California Society of Addiction Medicine. Customize these guidelines for your own setting.

Guideline

Safe Med LA

Implement

Distribute

Recommendations for Safe Opioid Prescribing

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Safe Med LA, the opioid coalition for LA county created a 10-page recommendation on safe prescribing, broken down into six main focus areas: (1) Safe Opioid Prescribing; (2) Avoid Escalating Opioid Doses; (3) Avoid Dangerous Medication Combinations ; (4) Safe Tapering Practices; (5) Concurrent Drug and Alcohol Use; (6) Opioid Use Disorder and Medications for Addiction Treatment. Use this recommendation in conjunction with the Safe Opioid Prescribing Recommendations Template to customize the guidelines for your own communities and prescribers.

Guideline

Safe Med LA

Learn

Implement

Why Health Plans Should Go to the “MAT” in the Fight Against Opioid Addiction

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MAT has been proven to save lives, improve quality of life, and lower medical costs, but remains inaccessible to almost 90% of the people it could help. This paper outlines concrete strategies that public and private plans can implement in their efforts to ensure that their members have access to MAT when and where they need it.

Paper

California Health Care Foundation

Read

Learn

Health Plan Rx for the Opioid Epidemic

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Health plans can influence the behavior of providers and patients, prevent overprescribing, ensure appropriate treatment is available — and save lives. Use this four part guide to change the way in which the epidemic is impacting your community.

Fact Sheet

California Health Care Foundation

Learn

Implement

MANAGE

related resources

Managing Pushback to Opioid Safety Strategies Resource Sheet

Tags

Please use this resource sheet to gather more knowledge and resources regarding pushback within your communities.

Resource Sheet

i.e. communications & The California Opioid Safety Network

Learn

Read

Lowering the Demand for Opioids

Tags

As the epidemic evolves, clinicians are prescribing fewer opioids. However, the demand for synthetic opioids including heroin and fentanyl are on the rise. What can we do? This infographic will go through six elements of lowering the demand of opioids, along with a case example.

Infographic

The California Opioid Safety Network

Read

Learn

Non-Opioid Treatments for Chronic Pain Fact Sheet

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Patients with pain should receive treatment that provides the greatest benefit. Opioids are not the first-line therapy for chronic pain outside of active cancer treatment, palliative care, and end-of-life care. Evidence suggests that nonopioid treatments, including nonopioid medications and nonpharmacological therapies can provide relief to those suffering from chronic pain, and are safer. Read through this fact sheet to get a better understanding of how to effectively approach non-opioid solutions to chronic pain.

Fact Sheet

Centers for Disease Control and Prevention (CDC)

Read

Learn

COSN Safer Prescribing Fact Sheet

Tags

Opioids can be safe when carefully prescribed and monitored by a clinician, but they are not generally effective in treating long-term chronic pain and they have the potential to become addictive and misused. Prescribing guidelines are an important mechanism to align practices with evidence and safety. Use this fact sheet to learn more about safe prescribing.

Fact Sheet

i.e. communications & The California Opioid Safety Network

Read

Learn

CHOMP - Less is More - Writing Prescriptions a Safer Way

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The Monterey County Prescribe Safe Initiative is an organization that wants to help physicians with safe prescribing. Read through some of the solutions that have been working in Monterey County.

Guideline

Monterey County Prescribe Safe Initiative

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Learn

CDC Pocket Guide: Tapering Opioids for Chronic Pain

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Follow up regularly with patients to determine whether opioids are meeting treatment goals and whether opioids can be reduced to lower dosage or discontinued. Use this guide to gain insight on the best way to taper patients with chronic pain.

Guideline

Centers for Disease Control and Prevention (CDC)

Read

Learn

Reducing the Supply of Opioids

Tags

As overdose deaths continue to rise, we need to consider one of the biggest contributors to the epidemic: the large opioid supply. What steps can your community take to lower the opioid supply?

Infographic

The California Opioid Safety Network

Read

Learn

Recommendations for Safe Opioid Prescribing

Tags

Safe Med LA, the opioid coalition for LA county created a 10-page recommendation on safe prescribing, broken down into six main focus areas: (1) Safe Opioid Prescribing; (2) Avoid Escalating Opioid Doses; (3) Avoid Dangerous Medication Combinations ; (4) Safe Tapering Practices; (5) Concurrent Drug and Alcohol Use; (6) Opioid Use Disorder and Medications for Addiction Treatment. Use this recommendation in conjunction with the Safe Opioid Prescribing Recommendations Template to customize the guidelines for your own communities and prescribers.

Guideline

Safe Med LA

Learn

Implement

Recommendations for Safe Opioid Prescribing Template

Tags

Sample safe prescribing recommendations developed by the opioid safety coalition in Los Angeles County, Safe Med LA, and endorsed by the California Society of Addiction Medicine. Customize these guidelines for your own setting.

Guideline

Safe Med LA

Implement

Distribute

 

TREAT

related resources

Managing Pushback to Opioid Safety Strategies Resource Sheet

Tags

Please use this resource sheet to gather more knowledge and resources regarding pushback within your communities.

Resource Sheet

i.e. communications & The California Opioid Safety Network

Learn

Read

MAT in Jails Resource Sheet

Tags

Resources listed in the sheet will allow you to learn more about MAT in Jails, as well as information regarding objections, position statements and more.

Resource Sheet

The California Opioid Safety Network

Learn

Read

Lowering the Demand for Opioids

Tags

As the epidemic evolves, clinicians are prescribing fewer opioids. However, the demand for synthetic opioids including heroin and fentanyl are on the rise. What can we do? This infographic will go through six elements of lowering the demand of opioids, along with a case example.

Infographic

The California Opioid Safety Network

Read

Learn

Medication-Assisted Treatment (MAT) in the Criminal Justice System: Brief Guidance to the States

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Opioid overdose deaths have reduced the expected life span of justice-involved people in the U.S., largely due to the risks associated with community re-entry following incarceration. Read through this brief to learn more about MAT in within the criminal justice system.

Brief

Substance Abuse and Mental Health Services Administration (SAMHSA)

Read

Learn

COSN Reducing Addiction Stigma Fact Sheet

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While Americans' awareness of the effects of opioid use has increased in the last four years, a recent study showed 44% of Americans believe opioid addiction indicates a lack of willpower or discipline, and a third regard it as a character defect or the result of bad parenting. Learn more about the stigmas that exist regarding addiction, and learn how to reduce these stigmas in your community.

Fact Sheet

i.e. communications & The California Opioid Safety Network

Read

Learn

MAT for Opioid Use Disorder: Overcoming Objections

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Despite data showing the success of MAT in treating opioid addiction, objections are still common. MAT for Opioid Use Disorder: Overcoming Objections outlines frequently cited objections and evidence-based responses to each.

Paper

California Health Care Foundation

Read

Implement

Use of Medication-Assisted Treatment for Opioid Use Disorder in Criminal Justice Settings

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This guide focuses on using medication-assisted treatment for opioid use disorder in jails and prisons, and during the reentry process when justice-involved persons return to the community. It provides an overview of policies and evidence-based practices that reduce the risk of overdose and relapse.

Guideline

Substance Abuse and Mental Health Services Administration (SAMHSA)

Read

Learn

Jail-Based MAT: Promising Practices, Guidelines, and Resources for the Field

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Historically, it has not been the responsibility of the sheriff s and jail administrators to be primary providers of substance use disorder treatments. But with thousands of Americans dying every week from drug overdoses and those recently released from jail among the most defenseless, the situation has changed - sheriffs have taken on the challenge.

Guideline

National Commission on Correctional Health Care (NCCHC) and the National Sheriffs' Association

Read

Learn

How To Pay For MAT Hospitalized Patients

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MAT can be easily started and maintained in acute inpatient settings. The newest paper in CHCF's How to Pay for It series describes how MAT is reimbursed in these settings, addressing professional services, as well as hospital and pharmacy costs associated with the medication.

Article

California Health Care Foundation

Read

Implement

Innovation Landscape: Telehealth MAT

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Evidence shows that using telehealth to deliver MAT is an effective alternative to in-person treatment and is growing in acceptance and demand across the US. While regulatory and reimbursement challenges remain, the crushing weight of the opioid epidemic is creating momentum across the country to remove these barriers. This brief provides an overview of the developing but nascent landscape of organizations offering telehealth MAT.

Brief

California Health Care Foundation

Read

Implement

 
 

STOP

related resources

Harm Reduction Strategies Resource Sheet

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Learn more about the principles of harm reduction and how to integrate this approach into the work that you do every day. Use this resource sheet to gain a better understanding and to see some great examples of harm reduction at work.

Resource Sheet

Harm Reduction Coalition & The California Opioid Safety Coalition