Table 1.
The Opioid-overdose Reduction Continuum of Care Approach Menu of Evidence Based Practices
| Menu 1: Overdose education and naloxone distribution (OEND) | |
|---|---|
| Active OEND (one required) | |
|
| |
| • | Active OEND to at-risk individuals and their social networks |
| • | Active OEND at high-risk venues |
|
| |
| Passive OEND (optional) | |
|
| |
| • | OEND by referral |
| • | OEND self-request |
| • | Naloxone availability for immediate use in overdose hotspots |
|
| |
| Naloxone Administration (optional) | |
|
| |
| • | Capacity for first responder administration |
| Menu 2: Effective Delivery of MOUD (including agonist / partial agonist) | |
|
| |
| Expand MOUD Treatment Availability (one required) | |
|
| |
| • | Primary care, general medical/behavioral health settings, substance use disorder treatment settings |
| • | Criminal justice settings (pre-trial, jail, prison, probation, parole) |
| • | Telemedicine, interim buprenorphine or methadone or medication units |
|
| |
| Linkage to Services (one required) | |
|
| |
| • | Linkage programs (all relevant settings) |
| • | Bridging MOUD medications as linkage adjunct (all relevant settings) |
|
| |
| Treatment Engagement and Retention (one required) | |
|
| |
| • | Enhancement of clinical treatment delivery approaches |
| • | Use of virtual retention approaches |
| • | Utilization of retention care coordinators and/or peer navigation |
| • | Integration of mental health and polysubstance use treatment with MOUD care |
| • | Reduction of barriers to housing and accessing other community benefits for people with OUD |
| Menu 3: Safer Opioid Prescribing/Dispensing | |
|
| |
| Safer Opioid Prescribing /Dispensing Practices (one required) | |
|
| |
| • | Safer opioid prescribing for acute pain across varied healthcare settings |
| • | Safer opioid prescribing for chronic pain |
| • | Safer opioid dispensing |
|
| |
| Safer Opioid Disposal Practices (optional) | |
|
| |
| • | Prescription drug drop-box / mail-back programs |