The opioid use disorder (OUD) epidemic extends beyond the boundaries of traditional state health systems, requiring evidence-based treatment and coordination between state agencies and leaders. To optimize all potential avenues to treatment and reduce overdoses, the National Academy for State Health Policy (NASHP) is working with states to develop a “no-wrong-door” approach to treatment that prioritizes cross-systems policies. NASHP is providing tools and resources with support from the Foundation for Opioid Response Efforts (FORE) and its steering committee. Read our newest blog, State Harm Reduction Services Get Creative in the COVID-19 Era.
In the wake of a nearly 30% increase in drug overdose fatalities within a single year, states have been grappling with how to reduce overdose deaths, including exploring new approaches to penalizing the use of substances. Aligning to Biden administration priorities to increase access to treatment services and address racial inequities in drug policy, some state approaches specifically target interventions to respond to disproportionately high numbers of Black and Latinx Americans who are […]
Nationwide, overdose fatalities continue to climb, and racial disparities in overdose rates persist. Black Americans have experienced the steepest increase in opioid-related overdoses among all groups in recent years, despite the rate of opioid use remaining higher among Whites. While the past few years have seen a significant uptick in the use of buprenorphine to […]
Recent court decisions mandating access to medications for opioid use disorder (MOUD) for people who are incarcerated have contributed to emerging state policy reforms. State prisons and local jails are expanding access to such services to avoid running afoul of the Americans with Disabilities Act (ADA) and other federal law. Over the past several years, individuals in treatment for opioid use disorder (OUD) facing jail or prison time […]
In honor of the 72nd annual Mental Health Month this May, supported by Mental Health America, the National Academy for State Health Policy (NASHP) is showcasing recent state health policy resources to support mental health. An estimated 20.6 percent of adults and 16.5 percent of youth ages 6 to 17 experience a mental health condition each year. The COVID-19 pandemic has exacerbated these […]
Like many states, Maine has two incarceration systems – a state prison system and 15 county-run jails, which historically took different approaches to treating opioid use disorder. While the state prison has provided medication for opioid use disorder (MOUD) since 2019, counties took diverse approaches until an initiative led by Penobscot County Sheriff Troy Morton, president of the Maine Sheriff’s Association, worked with the state Department of Corrections to develop a […]
On April 27, 2021, the federal Department of Health and Human Services (HHS) announced new practice guidelines for providers to prescribe buprenorphine, a medication used to treat opioid use disorder (OUD). These guidelines create an exemption from longstanding federal training requirements for providers, including physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse […]