Conclusions:NextSteps&Special

Considera5ons

PublicHealthApproach

•  Collectdataatthelocallevelàconductneedsassessment

•  Involvecommunitymembersàformcommunitydrugcoali7ons

•  Collabora7veefforttotailorevidence-basedprac7cestospecificcommuni7es

SOURCE:Winstanleyetal.(2012)PublicHealthNursing

PublicHealthFrameworkforAddressingOpioidEpidemicwithinCommuni5es

Needleexchange

FDAApprovedMeds

PDMPs,LockBoxes,Safedisposal

Dispensinglimits

Safety,overdose,addic5on

Non-opioids,monitorforaddic5on

WhatCanYouDo?•  Understandaddic7onasachronicrelapsingbraindisease

•  Appreciatethechallengesthatindividualsfacewhenseekingpreven7on&treatmentservices

•  Becompassionateinunderstandingthatpeoplemaynotwantrecoveryorabs7nencewhenyouwantthemto,don’tgiveuphope

•  Worktoreduces7gmaassociatedwithsubstanceusedisorders

•  Supportexpansionofevidence-basedpreven7on&treatmentservices

WhatCanHealthCareProvidersDo?

•  Recommendamedica7onlockbox,par7cularlyifchildren/adolescentsinthehome

•  Encouragesafedisposalofun-usedmedica7ons•  Educatepa7entsonsafeuseofprescrip7onmedica7onsàriskofoverdoseoraddic7on

•  Carefulconsidera7onindosing>80MEDORwhenco-prescribingopioids&benzodiazepines

•  Prescribenaloxonetopa7entsat-riskofaprescrip7onopioidorheroinoverdose

WhatCanHealthSystemsDo?•  Implementopioiddispensingguidelines•  Systema7callyscreening/monitoringfornon-medicaluse&opioidusedisorders

•  Limitopioiddispensinginemergencydepartment•  DeveloppoliciestosupportandencourageuseofPDMP

•  Providedrugdropoffboxes•  Painmanagementcontracts&randomtes7ngforillicitdrug/heroinuse

•  Providereferralsorwarm-handofftoaddic7ontreatmentprogramsasneeded

LearnMoreonPrescribingNaloxone

DrugTes5ngforAdulterants

•  Monitorfornovelopioids&heroinadulterants

•  Workwithyourpoisoncontrolcenters,toxicologiststoiden7fyandtestsubstancesàensuretheyareappropriatelyiden7fied

•  JointheNDEWSlistservtolearnmore

ExpandOpportuni5esforProfessionalEduca5on

•  IncreaseCMEopportuni7esonopioidpreven7onandtreatmentforhealthprofessionals

•  Supportexpandingeduca7onalcurriculumonsubstanceusedisorders– Abuseliabilityofdrugs–  Screening&briefinterven7ons–  Trainingprofessionalshowtoapproachanddiscussdrugusewithpa7ents

•  RequireCMEsonsubstanceusedisordersforre-cer7fica7on

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