Opioid Use Disorder Resources—2018 Updates

The following resources are available for patients seeking or providers offering treatment for opioid use disorder (OUD):

Department of Health and Human Services Resources

• Federal Nondiscrimination Laws and Opioid Use Disorders (Office for Civil Rights)—this video is part of a new campaign to educate the public about civil rights protections for individuals with opioid use disorders.
• Evidence-Based Strategies for Preventing Opioid Overdose: What’s Working in the United States (PDF—11.4 MB)  (Centers for Disease Control and Prevention)—this report highlights strategies for community leaders, local and regional organizers, nonprofit groups, law enforcement professionals, and members of the public to prevent overdose.
• New Opioid Treatment Resources for Emergency Department Clinicians (National Institute on Drug Abuse)— NIDA released new resources for those implementing buprenorphine treatment in emergency department settings.
• State and Local Policy Levers for Increasing Treatment and Recovery Capacity To Address the Opioid Epidemic: Final Report (Office of the Assistant Secretary for Planning and Evaluation)—this report describes financing and workforce policies that can help increase capacity and improve access to treatment for opioid use disorder.
• Science to Medicine: Medication Treatment for Opioid Use Disorder (National Institute on Drug Abuse)—this toolkit provides information on how providers can get started in providing MAT and other recovery support services.
• Telemedicine and Prescribing Buprenorphine for the Treatment of Opioid Use Disorder (PDF—118 KB) (U.S. Department of Health and Human Services)—this brief discusses how providers can use telemedicine to increase access to medication-assisted treatment in a manner consistent with applicable guidance and regulations.
• Healthy Pregnancy Healthy Baby Fact Sheets (Substance Abuse and Mental Health Services Administration)—this fact sheet series highlights the importance of continuing treatment for opioid use disorder during pregnancy.
• Preventing an Opioid Overdose Tip Card (Centers for Disease Control and Prevention)—this guide describes the signs and symptoms of an opioid overdose and the actions an observer should take.
• Campaign To Stop Youth Opioid Abuse (Office of National Drug Control Policy)—this collaboration with the Ad Council and the Truth Initiative developed a campaign to prevent opioid misuse and abuse among youth and young adults.
• Opioid Overdose Prevention Toolkit (Substance Abuse and Mental Health Services Administration)—this toolkit describes strategies for providers, communities, and local governments to implement to prevent opioid-related overdoses.
• New Fact Sheets About 42 CFR Part 2: Confidentiality of Substance Use Disorder Records (Substance Abuse and Mental Health Services Administration)—these two factsheets explain how privacy regulations, specifically 42 CFR Part 2, apply to healthcare providers and the exchange of healthcare records.
• Tobacco, Alcohol, Prescription Medication, and Other Substance Use (TAPS) Tool (National Institute on Drug Abuse)—this new clinician screening tool from the Clinical Trials Network assesses a patient’s risk for substance misuse and abuse. Access the TAPS tool.
• Opioid Dependence: Developing Buprenorphine Depot Products for Treatment (Food and Drug Administration)—this draft guidance (PDF—86.6 KB) intends to encourage the development of new medications for use in MAT for opioid use disorder, specifically sustained-release “depot” buprenorphine products.
• AHRQ Data Show Impact of Opioid Crisis at County Level (Agency for Healthcare Research and Quality)—the AHRQ Healthcare Cost and Utilization Project now provides county-level data of hospitalization rates for substance use, including opioids.
• Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants (Substance Abuse and Mental Health Services Administration)—this guide provides clinical guidance on the management of pregnant and post-partum women with opioid use disorder.
• Finding Quality Treatment for Substance Use Disorders (Substance Abuse and Mental Health Services Administration)—this fact sheet provides guidance for individuals seeking behavioral health treatment, including the steps needed to access care and the signs of quality treatment centers.
• Pathways to Safer Opioid Use (Office of Disease Prevention and Health Promotion)—this training from the aims to teach clinicians and public health professionals about the appropriate, safe, and effective use of opioids to manage chronic pain using recommendations from the National Action Plan for Adverse Drug Event Prevention.
• How HIPAA Allows Doctors To Respond to the Opioid Crisis (Department of Health and Human Services)–this brief explains how health care providers can share health information with patients’ family members during certain crisis situations without violating privacy regulations.
• General Principles for Evaluating the Abuse Deterrence of Generic Solid Oral Opioid Drug Products: Guidance for Industry (Food and Drug Administration)--this document provides guidance for abbreviated new drug applications that seek approval of a generic version of a solid oral opioid drug product that references an opioid drug product with abuse-deterrent properties.
• Medicare Part D Opioid Prescribing Mapping Tool (Centers for Medicare & Medicaid Services)—this interactive tool shows geographic comparisons of deidentified Medicare Part D opioid prescription claims within the United States.
• Rx Awareness (Centers for Disease Control and Prevention)—this video series features individuals telling their personal stories to raise awareness about prescription drug abuse.
• Rx Pain Medications: Know the Options, Get the Facts (Substance Abuse and Mental Health Administration)—this fact sheet series aims to raise awareness about the risks associated with prescription opioid use and misuse and to provide information about alternative pain management methods.
• Adolescent Substance Use Screening Tools (National Institute on Drug Abuse)—these two tools assist providers in screening for substance use among adolescent patients (ages 12-17) in primary care settings.
• Treatment Improvement Protocol (TIP) 63: Medications for Opioid Use Disorder (Substance Abuse and Mental Health Services Administration)—this TIP provides guidance on the use of three medications approved to treat opioid use disorder.

Other Resources

• Exploring Value-Based Payment To Encourage Substance Use Disorder Treatment in Primary Care (Technical Assistance Collaborative and the Center for Health Care Strategies)—this brief explores how States and health plans are using value-based payment to encourage integration of substance use disorder treatment in primary care.
• Evidence-Based Interventions for Adolescent Opioid Use Disorder (Urban Institute)—this report identifies promising evidence-based interventions to prevent and treat opioid use disorders in adolescents.
• What Families Need To Know About Treatment for Adolescent Opioid Use Disorder (Urban Institute)—this fact sheet for families describes treatment options for adolescents with opioid use disorder and provides questions for families to ask treatment programs in order to identify high-quality care for adolescents.
• How Schools Can Help Prevent Adolescent Opioid Use Disorder (Urban Institute)—this fact sheet highlights evidence-based programs that schools can implement to prevent opioid use disorder among adolescents.
• Drug Overdose Deaths in the United States (NORC at the University of Chicago and the U.S. Department of Agriculture’s USDA Rural Development)—this data visualization maps drug overdose hotspots and overlays them with additional contextual data by State and county.
• Criminal Justice DrugFacts (National Institute on Drug Abuse)—this web page highlights statistics and important research findings related to substance use and incarceration in the United States.
• Remaining Optimistic When Treating Opioid Use Disorder (OUD): Burnout Challenges and Other Stressors for Clinicians and Physicians (Relias)—this webinar explores the challenges of treating patients with opioid use disorder and suggests strategies for providers to stay positive and avoid burnout.
• Overdose Reversal Toolkit (Addiction Policy Forum)—this toolkit provides information, training, and other resources on how to identify and respond to an overdose.
• Educational Packages for Opioid Use Disorders (Addiction Technology Transfer Network)—these toolkits provide resources on how the behavioral health workforce (specifically peer support workers, counselors and psychologists, and social workers) can help those with opioid use disorders.
• Neonatal Abstinence Syndrome and Maternal Access to Treatment for Opioid Use Disorder in California Counties (PDF—1.3 MB) (Urban Institute)—this report examines the incidence of neonatal abstinence syndrome and access to MAT for opioid use disorder among pregnant women across California.
• The Intersection of Opioid Abuse, Overdose, and Suicide: Understanding the Connections (Suicide Prevention Resource Center)—this SAMHSA webinar available from the Suicide Prevention Resource Center explores the relationships between opioid abuse, overdose, and suicide and the need for cross-sector collaboration to address them.
• Overcoming Data-Sharing Challenges in the Opioid Epidemic: Integrating Substance Use Disorder Treatment in Primary Care (PDF—.67 MB) (California Health Care Foundation)—this report summarizes the requirements of Federal substance use disorder confidentiality regulations and strategies to enhance information sharing.
• The Role of Community Health Centers in Addressing the Opioid Epidemic (Kaiser Family Foundation)—this issue brief provides an overview of the findings from a 2018 survey of community health centers on work related to the prevention and treatment of opioid use disorder.
• The Addiction Series (Addiction Policy Forum)—this animated series from the Addiction Policy Forum aims to increase public awareness and understanding of addiction.
• Integrating Responses at the Intersection of Opioid Use Disorder and Infectious Disease Epidemics (National Academies of Sciences, Engineering, and Medicine)—this report of conference proceedings from a workshop describes the relationship between the increase in prevalence of infectious diseases and injection drug use.
• Rural Prevention and Treatment of Substance Abuse Toolkit (Rural Health Information Hub)—this toolkit provides evidence-based practices and promising models that can help organizations implement programs to prevent and treat substance abuse in rural areas.
• Roadmap for Action (National Dialogue for Healthcare Innovation) this report highlights recommendations for lawmakers, regulators, and healthcare leaders to address the opioid crisis.
• Explaining Naloxone and Opioid Overdose Reversal (School of Public Health, University of Washington)—this presentation by Caleb Banta-Green discusses the importance of access to naloxone.
• How Does Injection Naltrexone Work? (Providers Clinical Support System)—this video describes the benefits of using injectable naltrexone to treat opioid use disorder.
• Opioid and Health Indicators (amfAR)—this database provides data that highlight the relationship between the opioid epidemic and the incidence of HIV and hepatitis C.
• Search and Rescue (Partnership for Drug-Free Kids)—this website provides tools and resources about prescription drug misuse and abuse to support healthcare providers and their patients.
• Pain in the Nation: The Drug, Alcohol and Suicide Crises and the Need for a National
  Resilience Strategy (PDF—9000 KB) (Trust for America’s Health and the Well Being Trust)—this report from highlights the need for a National Resilience Strategy that addresses the factors that lead to substance misuse, abuse, and suicide. This Issue Brief Update (PDF—872.4 KB) to the original report describes the increase in deaths from alcohol, drugs, and suicide.
• Patient-Centered Opioid Addiction Treatment (P-COAT)  (PDF— 699.4 KB) (American Society of Addiction Medicine and the American Medical Association)—this report describes an overview of the P-COAT Alternative Payment Model.
• How to Remain Optimistic When Treating Addiction (Providers Clinical Support System)—this video discusses the importance of provider optimism when providing substance use treatment.
• Addressing Clinicians' Concerns about Adding OUD Treatment (Providers Clinical Support System)—this video addresses provider’s concerns and hesitation to offer MAT for opioid use disorder.
• The Opioid Crisis: Treating Addiction and Saving Lives (National Institute for Health Care Management Foundation)—this webinar examines ways to expand access to evidence-based treatment for opioid use disorder. Read the accompanying fact sheet The Opioid Crisis at a Glance.
• The Opioid Crisis: Understanding Pain and Preventing Opioid Misuse (National Institute for Health Care Management Foundation)—this webinar describes strategies to prevent opioid use disorder, including prescribing guidelines, collaborative partnerships, pain management alternatives, and education.
• All for One and One for All: Developing Coordinated State Opioid Strategies (Milbank Memorial Fund)—this issue brief describes lessons learned by state officials about coordinating law enforcement, public health agencies, and Medicaid to address the opioid epidemic.
• When Are Prescribers Required to Use Prescription Drug Monitoring Programs?
• (Pew Charitable Trusts)—this data visualization compares state laws and regulations related to mandates that require prescribers to use prescription drug monitoring programs.
• Primer on Opioids (National Association of State Alcohol and Drug Abuse Directors)—this issue brief provides an overview of opioids, including the treatment of opioid use disorder. 
• Opioid Misuse in Rural America (U.S. Department of Agriculture)—this new web page provides resources, information, and best practices to help address the opioid crisis in rural communities.
• The Opioid Epidemic and Socioeconomic Disadvantage (Institute for Research on Poverty of the University of Wisconsin—Madison)—this issue brief discusses how the opioid epidemic and social and economic disadvantage are intertwined.
• Stem the Tide: Addressing the Opioid Epidemic (American Hospital Association)—this toolkit includes guidance and resources for hospitals and health systems to share with providers and patients about the opioid epidemic.
• The Opioid Epidemic: From Evidence to Impact (Johns Hopkins Bloomberg School of Public Health)—this report describes specific recommendations for how to effectively fight the opioid epidemic.