This is an academic paper that examines the design, early implementation, and results of the Washington State Hub and Spoke Model, built on prior approaches to increase capacity and improve the delivery system for medication treatment and support services for opioid use disorder.

This is an academic paper that gives an overview of an interprofessional inpatient addiction care team in an urban, safety-net hospital in San Francisco. Barriers to implementation and lessons learned are discussed. 

This is an informative report from the Bipartisan Policy Center that gives an overview of federal opioid funding, and where the money is going in the continuum of care. It also gives a breakdown by state with overviews of several selected states.  

This is a report from the Bipartisan Policy Center that tracks spending targeted to address the opioid crisis across the federal government for fiscal year 2019 and provides insight into how funds are being spent at the state and county level, with specific case studies on six states - Ohio,…

This report outlines how despite availability of effective treatments for opioid use disorder, lack of training can lead to clinicians under prescribing them. The Foundation for Opioid Resource Efforts emphasizes the importance of the hub and spoke model to expand the number of OUD providers,…

This is an academic paper that evaluated an intervention in Missouri to educate law enforcement and other first responders on the risks of fentanyl exposure, where misinformation has led to amplified fears of incidental exposure and possible delays in responding to overdoses. This pilot program…

This is a policy brief from the Campaign for Trauma-Informed Policy and Practice that reviews the evidence linking trauma and adverse childhood experiences to opioid use disorder. It also provides examples of trauma-informed prevention and treatment strategies, and describes innovative…

This is a report from the Centre of Excellence for Women's Health that gives guidance on providing "trauma-informed" services to people with opioid use disorder. Trauma-informed practice is an approach to care that integrates an understanding of trauma into all levels of care, system engagement…

This academic paper describes a policy scan done on the four rural states of Indiana, Maine, Missouri, and Colorado. The paper compared how each state has adapted its Medicaid program to reduce rural maternal opioid misuse. The data collected in the study will inform the best policy…

This is an academic paper that provides commentary on an emerging treatment model for opioid use disorder (OUD), where medication treatment is delivered through telemedicine. Different telemedicine models for buprenorphine are discussed, as well as strengths and weaknesses of these models. This…

This policy brief from the National Rural Health Association (NRHA) reviews several key opportunities to remedy the problem of the lack of evidence-based treatment for opioid use disorder in rural communities. It emphasizes a dual focus on making medications for opioid use disorder (MOUD) an…

This is a report from the Office of the Assistant Secretary for Planning and Evaluation (ASPE) that summarizes a study finding that increased availability of buprenorphine treatment predicted reductions in certain types of child maltreatment caseloads in 25 states. Implications to the child…

This is an academic paper showing that treating pregnant women with opioid use disorder (OUD) via telemedicine was just as effective as in-person treatment when measuring rates of treatment retention and neonatal abstinence syndrome (NAS), even though the sample size was small (n = 98) and the…

This is an academic paper that provides an overview of harm reduction strategies to address the opioid crisis, including syringe service programs, opioid agonist therapy, supervised injection facilities, and overdose prevention with naloxone. 

This is a report outlining a four pronged strategy for overdose prevention with the goal of strengthening prevention efforts and increasing access to the full continuum of care and services for individuals with opioid use disorder (OUD). The four target areas in this strategy are primary…

This is an academic paper that provides a review on what is known about the links between suicide and overdoses, with a focus on pathways through opioid use, issues of intent, risk factors, prevention strategies, and unresolved issues. Untreated and undertreated pain leading to suicide is also…

This is a report from the National Academy of Social Insurance that provides employers and insurers with a better understanding of the relationships among workers' compensation programs, opioids, and workplace overdoses. Stakeholders can use this information to improve the safety of workplaces…

This report is a useful resource for individuals caring for someone with mental illness or substance use disorder, and explains how to navigate federal law protections that ensure quality health insurance coverage for these and related conditions. It gives the tools and information necessary for…

This study explores community perspectives on harm reduction approaches to opioid use and overdose in a high-risk Northern Appalachian community in Pennsylvania. A variety of conflicting perspectives are described, highlighting the challenges small communities face in creating comprehensive…

This paper explores the reasons that nonmedical prescription opioid misuse is higher in rural areas compared with urban areas. The authors hypothesize that reasons are related to increased sales of prescription opioids in rural areas, out-migration of upwardly mobile young adults, tighter social…