conclusions: next steps & special consideraons · public health approach • collect data at...
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PublicHealthApproach
• Collectdataatthelocallevelàconductneedsassessment
• Involvecommunitymembersàformcommunitydrugcoali7ons
• Collabora7veefforttotailorevidence-basedprac7cestospecificcommuni7es
SOURCE:Winstanleyetal.(2012)PublicHealthNursing
PublicHealthFrameworkforAddressingOpioidEpidemicwithinCommuni5es
Needleexchange
FDAApprovedMeds
PDMPs,LockBoxes,Safedisposal
Dispensinglimits
Safety,overdose,addic5on
Non-opioids,monitorforaddic5on
WhatCanYouDo?• Understandaddic7onasachronicrelapsingbraindisease
• Appreciatethechallengesthatindividualsfacewhenseekingpreven7on&treatmentservices
• Becompassionateinunderstandingthatpeoplemaynotwantrecoveryorabs7nencewhenyouwantthemto,don’tgiveuphope
• Worktoreduces7gmaassociatedwithsubstanceusedisorders
• Supportexpansionofevidence-basedpreven7on&treatmentservices
WhatCanHealthCareProvidersDo?
• Recommendamedica7onlockbox,par7cularlyifchildren/adolescentsinthehome
• Encouragesafedisposalofun-usedmedica7ons• Educatepa7entsonsafeuseofprescrip7onmedica7onsàriskofoverdoseoraddic7on
• Carefulconsidera7onindosing>80MEDORwhenco-prescribingopioids&benzodiazepines
• Prescribenaloxonetopa7entsat-riskofaprescrip7onopioidorheroinoverdose
WhatCanHealthSystemsDo?• Implementopioiddispensingguidelines• Systema7callyscreening/monitoringfornon-medicaluse&opioidusedisorders
• Limitopioiddispensinginemergencydepartment• DeveloppoliciestosupportandencourageuseofPDMP
• Providedrugdropoffboxes• Painmanagementcontracts&randomtes7ngforillicitdrug/heroinuse
• Providereferralsorwarm-handofftoaddic7ontreatmentprogramsasneeded
DrugTes5ngforAdulterants
• Monitorfornovelopioids&heroinadulterants
• Workwithyourpoisoncontrolcenters,toxicologiststoiden7fyandtestsubstancesàensuretheyareappropriatelyiden7fied
• JointheNDEWSlistservtolearnmore
ExpandOpportuni5esforProfessionalEduca5on
• IncreaseCMEopportuni7esonopioidpreven7onandtreatmentforhealthprofessionals
• Supportexpandingeduca7onalcurriculumonsubstanceusedisorders– Abuseliabilityofdrugs– Screening&briefinterven7ons– Trainingprofessionalshowtoapproachanddiscussdrugusewithpa7ents
• RequireCMEsonsubstanceusedisordersforre-cer7fica7on