Substance Misuse/Opioids

Fighting Compassion Fatigue During Public Health Epidemics

August 13, 2020

This brief discusses the difficulty of maintaining compassion and empathy during public health crises such, which ultimately leads to a phenomenon called compassion fatigue. Compassion fatigue can test resiliency in responders and contribute to negative outcomes for those they serve. Through promoting self-care and compassion in health agencies, responders can increase resiliency and combat the negative effects of compassion fatigue, particularly during extended responses to public health crises.Read More »

Georgia and Ohio’s Modernized Opioid Surveillance Strategies

July 24, 2020

This brief highlights how the Georgia Department of Public Health and the Ohio Department of Health developed robust opioid overdose surveillance systems. Collecting and disseminating comprehensive data informs prevention activities and drives a targeted response to the opioid epidemic. Georgia and Ohio enhanced their opioid overdose surveillance systems by building partnerships, linking data, and improving data collection methods.Read More »

Medication-Assisted Treatment in Pregnancy

April 30, 2020

Pregnant and postpartum women with opioid use disorder continue to struggle with accessing services that would make recovery possible, including medication-assisted treatment, housing assistance, childcare, and more. To address this vulnerable population’s needs, states have explored a variety of policy approaches to improve access to care. This brief outlines some of the barriers that pregnant and postpartum women with opioid use disorder face, as well as examples of state legislation passed to address recovery program implementation, treatment funding and insurance coverage, and provider education.Read More »

Preventing Fatal Overdoses in Postpartum Populations

May 13, 2020

This brief outlines key considerations for state health departments to address the increase in overdose-related deaths during the postpartum period. A common tool emerging around the country is extending Medicaid coverage to women beyond 60 days postpartum—we analyze approaches being implemented by Missouri, West Virginia, the District of Columbia, and other jurisdiction.Read More »

Using Data to Combat Opioid-Related Harms

January 24, 2020

Since the opioid epidemic was officially declared a federal public health emergency in October 2017, states have undertaken a wide range of activities to address opioid-related harms. In February 2019, ASTHO surveyed its members to understand how data is being utilized to address these harms in their jurisdictions. This brief summarizes the results of this survey and highlights data-based approaches used to address four types of opioid-related harms: prenatal substance exposure, neonatal abstinence syndrome, adverse childhood experiences, and injection drug use-associated infections.Read More »

State Approaches for Promoting Family-Centered Care for Pregnant and Postpartum Women with Substance Use Disorders

October 02, 2019

The use of opioids and other substances during pregnancy has increased significantly in the past decade, and so too have complications from their use. Opioid and substance use disorders (SUD) continue to affect families beyond pregnancy; in 2017, about one in eight (8.7 million) U.S. children lived in a household where at least one parent had a SUD in the prior year. This brief discusses opportunities to engage families in SUD treatment.Read More »

Stigma Reinforces Barriers to Care for Pregnant and Postpartum Women with Substance Use Disorder

September 30, 2019

Substance use disorder (SUD) among pregnant and postpartum women is an increasingly pressing public health concern. Between 1999 and 2014, the number of women with opioid use disorder who gave birth increased 333 percent. This resource provides recommendations for addressing the stigma these women face.Read More »

Forensic Pathologist Shortages: Context and Considerations for State Public Health Agencies

March 27, 2019

The opioid epidemic has exacerbated the shortage of board-certified forensic pathologists, presenting a major workforce challenge for public health systems. This brief examines the forensic pathology shortage and outlines considerations for federal and state partners looking to address this issue.Read More »

Increasing Access to Contraception: Infographic Series

February 08, 2019

This four-part infographic series illustrates key strategies for addressing common challenges and barriers related to increasing access to contraception. Featured topics include: expanding preventative contraceptive care in rural areas, engaging stakeholders, reimbursement for immediate postpartum long-acting reversible contraception, and integrating reproductive healthcare services in correctional and substance use disorder treatment settings.Read More »

Improving Access to Nonopioid Pain Management

September 25, 2018

This brief highlights evidence supporting the use of nonopioid medications and nonpharmacological interventions for pain management and outlines considerations for states looking to expand the use of these nonopioid alternatives.Read More »

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