Strategy | Examples of Key Activities | Expected effect on opioid analgesic prescribing | Expected effect on buprenorphine utilization | |
---|---|---|---|---|
1 | Community Education | • Community- and school-based prevention education | Decrease | Increase |
• Multi-media advertising campaigns | ||||
2 | Diversion Control | • Education on proper storage of medications | No change | No change |
• Pill take-backs and fixed disposal sites | ||||
• Training of law enforcement in the prevention of medication diversion and the arrest of diverters | ||||
3 | Support for Patients with Pain | • Development of support groups and other extra-clinical services for patients | Decrease | Increase |
• Referrals of patients to clinics | ||||
• Pain patient education on reducing risks of overdose | ||||
4 | Provider Education | • Continuing education on the effective management of chronic pain and appropriate opioid prescribing | Greatest decrease | Increase |
• Effective management of patients with chronic pain | ||||
5 | Hospital Emergency Department (ED) Policy | • Policies to limit controlled substance dispensing in EDs | Decrease | No change |
• Policies to require use of the PDMP in EDs | ||||
6 | Addiction Treatment | • Increases in availability/access to drug detoxification programs and treatment clinics | No change | Greatest increase |
• Increases in the number of providers authorized to prescribe buprenorphine for addiction | ||||
7 | Naloxone Policies | • Provision of naloxone to patients and nonmedical opioid users with high overdose risk and their family members | No change | No change |
• Education on reversing overdose before EMS arrival |