Payers & Providers

Opioid Initiative Wave 1: Starting an ALTO Program – Presentation Slides

Evidence Ranking: Promising

Source: Emergency Quality Network

The ALTO program, or alternatives to opioids, is a comprehensive program focused on providing non-opioid treatments for some common conditions treated in hospital emergency departments. These presentation slides provide guidance to providers or administrators who may want to start an ALTO program in their emergency department.

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Policymakers & Community Leaders
Payers & Providers

Spotlight: Pennsylvania’s Warm Hand-Off

Evidence Ranking: Promising

Source: Addiction Policy Forum

A brief overview of Pennsylvania’s program to implement warm hand-off’s to treatment for individuals seen in hospitals and emergency departments for addiction related issues. In 2016 the state Department of Drug and Alcohol Programs required all county addiction authorities to develop a warm hand-off plan for individuals treated for opioid overdose in a hospital or emergency department. The program has significantly increased the percentage of patients who enter treatment after receiving a screening and assessment and a direct referral to treatment through this program. Part of the Addiction Policy Forum’s Spotlight series which highlights innovative programs to address the opioid crisis.

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State of Arizona Resources

This featured collection highlights a number of initiatives Arizona has undertaken to address the opioid crisis in the state.

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Tips for Talking about Opioids and Pain with Patients

Health care providers often request guidance on how to have conversations with patients about opioids, pain treatment, addiction and other topics that may be challenging. In this collection, we have gathered materials that provide support to providers as they have these difficult conversations.

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Arizona Enhanced Opioid Data Surveillance

Arizona’s Department of Health Services adopted an enhanced opioid data surveillance program that requires first responders and health care providers to report suspected opioid overdoses, suspected opioid overdose deaths, naloxone distribution, and naloxone administration through an electronic reporting system. Providers are also required to report suspected cases of neonatal opioid withdrawal syndrome (neonatal abstinence syndrome). In addition, the state provides blood testing from suspected opioid overdoses by the public health laboratory and has a real time opioid data online dashboard. Links the project website, copies of the executive order and regulations, frequently asked questions, and implementation guides are available below.

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Medication Assisted Treatment – Law Enforcement, Corrections and Justice Settings

The use of medication assisted treatment (MAT) has increasingly been adopted in justice settings including correctional facilities, re-entry programs, and treatment courts. This collection includes: An 11 minute video featuring the stories of individuals who achieved recovery from addiction through receiving medication-assisted treatment (MAT) while in jail A comprehensive toolkit from the National Council on Behavioral Health and Vital Strategies to guide correctional staff in creating and managing medication assisted treatment programs for individuals with opioid use disorder in jails and prisons A 2019 overview from the Substance Abuse and Mental Health Services Administration of MAT in criminal justice settings A 2019 report from the O’Neill Institute for Global Health Law on legal, legislative and fiscal strategies to implement MAT in correctional facilities, treatment courts and the child welfare system A report from the National Sheriff’s Association and the National Commission on Correctional Health Care on implementing MAT programs in the jail setting A guide from the Substance Abuse and Mental Health Services and Bureau of Justice Assistance to preventing and addressing medication diversion for medication assisted treatment (MAT) programs in correctional facilities A report from the Legal Action Center on MAT in treatment courts A report from the National…
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Rethink Rx Abuse Strategy 5: Enhance Assessment and Referral to Substance Use Disorder Treatment

Part of Arizona’s Rethink Rx Abuse public health information campaign, these materials are intended to help communities improve patient assessment and referral to substance use disorder treatment. Includes information about medication assisted treatment for opioid use disorder, screening, brief intervention and referral to treatment (SBIRT), fact sheets on identifying opioid use disorder (OUD) or people at risk for developing OUD, and a guide to finding behavioral health treatment services.

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Arizona Action Plans, General Legislation and Key Reports

This collection includes the state’s Opioid Action Plan, reports from task forces and meetings, information about the Arizona Opioid Epidemic Act, Arizona’s applications for the State Opioid Response Grant and Opioid State Targeted Response Grant, and links to key websites.

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Reducing Stigma Surrounding Substance Use Disorders

This collection addresses one of the most significant issues surrounding the opioid crisis: the sigma faced by people who suffer from addictions. The National Academies of Science, Engineering, and Medicine defines stigma as a range of negative attitudes, beliefs and behaviors that are associated with certain conditions such as addiction.

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