The Yale School of Medicine’s website contains comprehensive resources for providers interested in setting up a program to initiate buprenorphine treatment for individuals with opioid use disorder (OUD) seen in the emergency department (ED).
Evidence Category: Proven
The intervention or program has demonstrated effectiveness through two or more rigorous, well-conducted studies or program evaluations where the preponderance of evidence indicates significant positive change in a clearly identified outcome or process measure AND the intervention or program has been implemented and evaluated in real-world settings with documented and sustained benefits to individuals or communities.
Mother & Baby Substance Exposure Toolkit
Source: California Perinatal Quality Care Collaborative, California Maternal Quality Care Collaborative, HMA Institute on Addiction
The comprehensive Mother & Baby Substance Exposure Toolkit was created by the California Perinatal Quality Care Collaborative, the California Maternal Quality Care Collaborative, and HMA Institute on Addiction. This toolkit provides information on treating mothers and newborns from the prenatal period through hospital discharge with a focus on opioid-related conditions.
Medications for Opioids Use Disorder Save Lives
Source: National Academies of Science Engineering and Medicine
This 2 minute video accompanies the National Academies of Science, Engineering and Medicine’s report Medications for Opioid Use Disorder Save Lives.
Comparative Effectiveness of Analgesics To Reduce Acute Pain in the Prehospital Setting
Source: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services
A systematic review prepared for the Agency for Healthcare Research and Quality that evaluated the effectiveness and harms of opioids compared to nonopioid analgesics in the emergency department.
Center for Opioid Research and Education
Source: Center for Opioid Research and Education
The Center for Opioid Research and Education is a consortium of physicians, nurses, pharmacists and patients who together created procedure specific opioid prescribing guidelines. In 2017, the consortium published guidelines offering consensus recommendations for the range of appropriate opioid prescribing following 20 common surgical procedures, and in 2018 published guidelines for 14 common dental procedures.
Spotlight: Celebrating Families
Source: Addiction Policy Forum
A brief overview of the Celebrating Familes! curriculum which is an evidence-based, skills building program for youth and families who have been impacted by addiction. The goal of the program is to prevent youth development of substance use disorders while improving the child and family members’s mental and physical health. Trainers from the National Association for Children of Alcoholics work with communities and programs to faithfully implement the 16-week curriculum which has been adopted in over 100 jurisdictions including treatment programs, drug courts, and community organizations. This report is part of the Addiction Policy Forum’s Spotlight series which highlights innovative programs to address the opioid crisis.
Spotlight: Project ECHO
Source: Addiction Policy Forum
A brief overview of the Project ECHO (Extension for Community Healthcare Outcomes) initiative which connects clinical specialty providers such as addiction medicine experts with primary care providers through multi-point video conferencing technology. The model uses case-based learning where the speciallists combine brief lectures on clinical topics with case presentations and work with the primary care providers to enhance their knowledge and ability to treat conditions such as opioid use disorder. Project ECHO began in 2003 in New Mexico but now operates throughout the United States and internationally. This report is part of the Addiction Policy Forum’s Spotlight series which highlights innovative programs to address the opioid crisis.
Evidence-Based Strategies for Preventing Opioid Overdose: What’s Working in the United States
This 2018 report from the Centers for Disease Control describes evidence-based strategies to prevent opioid overdose based on a review of the published evidence and consultation with subject matter experts. The report describes 10 strategies that could be implemented by public health officials, law enforcement, local organizations or other community leaders.
Source: RAND Corporation
The website for Project ALERT, an evidence-based substance abuse prevention curriculum for grades 7 and 8 developed by the RAND Corporation. On-line training, lessons plans, posters and videos are available for free for educators. Project ALERT recently added an opioid lesson to the core curriculum.
Answering the Cry of our Warriors: Programming to Support Native Americans Re-entering the Community
Source: National Indian Health Board
This case study briefly explains the components of the Warrior Down reentry program designed by White Bison, Inc. for use with American Indian and Alaska Native populations reentering communities following incarceration. Key elements of this successful program include peer-to-peer programming, the use of traditional healing practices, continuous support from prison to reentry in the community, and complimentary programming for family members.