24 Strategies for State, County and City Implementation
Addiction Policy Forum’s report, Evidence-Based Interventions to Address the Opioid Epidemic, features 24 evidence-based strategies and programs that state, county, and local policymakers can implement to combat the opioid crisis. The report highlights strategies and interventions across children and family services, patient services, systems improvements, and policy changes. The report includes actionable resources, research, model programs, and other information to help policymakers, practitioners, and stakeholders improve practices and policies, institute solutions to the crisis, and bridge the gap between research and practice.
Evidence-based prevention, treatment, harm reduction, and recovery practices that have been proven for decades are drastically underutilized in the field of addiction. By advancing the uptake of evidence-based solutions, jurisdictions can drastically improve the response to addiction and change the trajectory of the opioid epidemic.
Through analysis and with input from scientists, researchers, practitioners, and families, Addiction Policy Forum identified 24 evidence-based practices that can be implemented at the state-, county-, and community-levels. The report spotlights local initiatives that have been implemented to address the opioid crisis, and can be scaled and replicated in communities throughout the country.
The project also includes a self-assessment tool that is designed to assist jurisdictions in evaluating the status of their current adoption of evidence-based practices and to help determine where to address gaps in efforts to combat the crisis. Support for the report and self-assessment tool was provided by Emergent BioSolutions.
Key recommendations that APF suggests policymakers, practitioners, and stakeholders immediately address include:
Expand Access to Medications for Opioid Use Disorder
Increase Community Naloxone Distribution
Initiate Treatment in Emergency Departments
Medications for Opioid Use Disorder for Individuals in Prison and Jail
Distribute Fentanyl Test Strips
Expanding Support for Mothers with Opioid Use Disorder
Implement Programs for Children Impacted by Parental Substance Use Disorders
Expand Access to Syringe Service Programs
Expand Access to Behavioral Therapies
Expand Addiction Training for Doctors, Nurses, Pharmacists
Implement Child Welfare Interventions
Implement Co-Responder and Community Responder Initiatives
Screening for Substance Use Disorders in Pediatric and Primary Care
Implement Diversion Programs across the Criminal Justice Systems
Expand Reentry Services for Individuals with Substance Use Disorders
Screen for Adverse Childhood Experiences (ACEs)
Implement Student Assistance Programs in Middle and High Schools
Expand Community Prevention Coalitions
Ensure Support Group Access
Recovery Community Organizations
Eliminate Fail First Policies
Implement Co-prescribing of Naloxone with Opioid Prescriptions
Remove Fentanyl Test Strips from Drug Paraphernalia Laws
Eliminate Prior Authorization
The full APF report can be accessed here.