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Background

The construction of the comprehensive strategy map template to reduce opioid abuse was not informed by one person or one group, but designed with many national, state, and local resources in mind. The following plans, programs and funding sources demonstrate the inspiration for many of the strategy map objectives. The following list, however, is not exhaustive. As new plans emerge, we glean relevant information and continue to build out the strategy map template.

Plans

National

White House Plan

Prescription drug abuse and heroin use have taken a heartbreaking toll on too many Americans and their families, while straining law enforcement and treatment programs. The Administration has supported and expanded community-based efforts to prevent drug use, pursue ‘smart on crime’ approaches to drug enforcement, improve prescribing practices for pain medication, increase access to treatment, work to reduce overdose deaths, and support the millions of Americans in recovery. Read more from October 21, 2015 Fact Sheet.

February 2016, President Obama announced his proposal to invest $1.1 billion in his FY 2017 budget proposal to combat the epidemic of prescription opioid abuse and heroin use. (2-1-2016) :The President’s proposal takes a two-pronged approach to address this epidemic. It includes $1 billion in new mandatory funding over two years to expand access to treatment for prescription drug abuse and heroin use.
https://www.whitehouse.gov/blog/2016/02/01/preventing-epidemic-opioid-abuse-and-heroin-use

State, Local and Private Sector actions announced include:

More than 40 provider groups – including physicians, dentists, advanced practice registered nurses, physician assistants, physical therapists and educators -- committed to:
  • Have more than 540,000 health care providers complete opioid prescriber training in the next two years;
  • Double the number of physicians certified to prescribe buprenorphine for opioid use disorder treatment, from 30,000 to 60,000 over the next three years;
  • Double the number of providers that prescribe naloxone--a drug that can reverse an opioid overdose;
  • Double the number of health care providers registered with their State Prescription Drug Monitoring Programs in the next two years; and
  • Reach more than 4 million health care providers with awareness messaging on opioid abuse, appropriate prescribing practices, and actions providers can take to be a part of the solution in the next two years.

The Obama administration this year proposed $133 million in new spending to curb overprescribing, increase the amount of overdose data collected and expand access to Naloxone, a drug that can reverse the effects of an opiate overdose. In August, the administration announced an initiative to pair drug enforcement officers with public health workers to trace heroin routes, and it tightened prescribing rules for a popular painkiller. [1]

This document lists the many, many efforts being done, and we can extract and organize many of these efforts into the framework (and make sure Communities are doing their best to take advantage of these steps.)

Michael Botticelli, the White House's drug policy director, visited Monroe Carell Jr. Children's Hospital at Vanderbilt in April to learn about the faculty's urgent investigation into how best to treat drug-dependent babies [2]

National Safety Council

The National Safety Council has a pretty robust Prescription Drug Community Action Toolkit

National Conference State Legislature's

Prescription Drug Overdose Strategies for Prevention 2014

The Office of National Drug Control Policy

1. A national prevention system must be grounded at community level.
2. Prevention efforts must encompass a range of settings in which young people grow up.
3. Develop and disseminate information on youth drug, alcohol, and tobacco use.
4. Criminal justice agencies and prevention organizations must collaborate.
5. Preventing drugged driving must become a national priority on par with preventing drunk driving.

US Surgeon General Office Report Facing Addiction in America 2016

Facing Addiction in America

Health & Human Services



Presidential Candidates

Presidential Candidate Martin O'Malley's Proposed Plan to Address Opioid Crisis

State

Colorado

Colorado Plan to Reduce Prescription Drug Abuse

Massachussets

Recommendations of the Governor's Opioid Working Group

Regional/Local

Baltimore, MD


International


Programs

National

CADCA

CADCA (Community Anti-Drug Coalitions of America), is the national membership organization representing over 5,000 coalitions and affiliates working to make America’s communities safe, healthy and drug-free. CADCA's mission is to strengthen the capacity of community coalitions by providing technical assistance and training, public policy advocacy, media strategies and marketing programs, conferences, and special events. Special programs within CADCA are supporting returning veterans and their families and training youth leaders to be effective agents of change –all through the coalition model. [3]

CDC

CDC issues sweeping guidelines to curb prescribing of opioid painkillers. The agency is recommending that non-opioid drugs be prescribed whenever possible for patients with chronic pain.

ASTHO

Governors & Physician's Response

  • Joint statement by National Governors Association (NGA) Health and Human Services Committee Chair Massachusetts Gov. Charlie Baker; Vice Chair New Hampshire Gov. Maggie Hassan; American Medical Association (AMA) Chair-Elect Patrice A. Harris, MD, MA

State

Massachusetts

Massachusetts Becomes First State to Pass Statewide Cap on First-Time Opioid Prescriptions - Earlier this year, Massachusetts Governor Charlie Baker discussed his state’s opioid epidemic during his . Less than two months later, on March 14, he signed omnibus legislation designed to tackle the epidemic head-on. Chapter 52 of the Acts of 2016 contains a wide range of provisions, however one specific provision is making headlines: a seven-day limitation on first-time opioid prescriptions (Note: There are exclusions for pain associated with a cancer diagnoses and for individuals receiving palliative care). The final language reflects a compromise between the Governor, the House, and the Senate. http://nashp.org/massachusetts-becomes-first-state-to-pass-statewide-cap-on-first-time-opioid-prescriptions/

Minnesota

New York

Tennessee

Illinois


Regional/Local

  • DEA 360 Program
  • The Drug Free Coalition of Lyons Township is a grassroots community coalition in Lyons Township, IL, has a mission is to build a healthy safe and drug free community. Their commitment through the Coalition is to change attitudes, encourage action, and mobilize stakeholders around the issues of underage drinking,impaired driving and substance misuse. They achieve this through education, advocacy, policy change and environmental change.
  • The Ithaca NY Plan
  • Los Angeles - UCLA Integrated Substance Abuse Programs
  • Project ECHO (Extension for Community Healthcare Outcomes) is a collaborative model of medical education and care management that empowers clinicians everywhere to provide better care to more people, right where they live. One focus area is on mental health and addictions and includes the Integrated Addictions & Psychiatry (IAP) TeleECHO Clinic, which was created to expand access to high- quality and effective medical and behavioral treatment for addiction and mental illness in communities throughout New Mexico, and the Fundamentals of Addiction Medicine ECHO (FAME), in collaboration with the American Society of Addiction Medicine. [6]

Philadelphia, PA

Department of Drugs and Alcohol

International


Grants

National


State

The PEW Charitable Trusts' Substance Use and Prevention Treatment Initiative

Regional/Local

DFC Grant

  • Drug Free Communities Program (and grant funding, due on March 18, 2016) [7]
  • The Drug-Free Communities Support Program (DFC) is a Federal grant program that provides funding to community-based coalitions organizing to prevent youth substance use. Since the passage of the DFC Act in 1997, the DFC Program has funded more than 2,000 coalitions and currently mobilizes nearly 9,000 community volunteers across the country. [8]

Sources


  1. ^ https://www.washingtonpost.com/politics/white-house-announces-new-steps-to-combat-heroin-prescription-drug-abuse/2015/10/21/e454f8fa-7800-11e5-a958-d889faf561dc_story.html
  2. ^ http://www.usatoday.com/story/news/nation/2014/06/15/drug-dependent-babies-challenge-doctors-politicians/10526103/
  3. ^ 100 Million Healthier Lives Country-Wide Efforts
  4. ^ 100 Million Healthier Lives State-Wide Efforts
  5. ^ 100 Million Healthier Lives State-Wide Efforts
  6. ^ 100 Million Healthier Lives Country-Wide Efforts
  7. ^ https://www.whitehouse.gov/ondcp/drug-free-communities-support-program
  8. ^ 100 Million Healthier Lives Country-Wide Efforts