2015 2013 2011 2009 2007 2005 2003 2001
Commonly Prescribed Opioids
(Natural & Semi-Synthetic Opioids and Methadone)
Other Synthetic Opioids
(e.g., fentanyl, tramadol)
(CP) and/or a certified recovery specialist after
the emergency medical phase of the call ends.
Patients willing to accept help could be navigated to recovery services in the community. Those unwilling or unable to quit at that
moment could be offered a variety of harm
reduction alternatives that encourage safer
use of their drugs.
This could include, for example, CPs directing patients to locations where they can obtain
clean needles, or advising the patient, their
friends and family members on techniques
to minimize the likelihood of dying from an
overdose (e.g., educate them on proper naloxone administration). Although more controversial, CPs could even teach the patient how
to inject safely to minimize the longer-term
risks of hepatitis and HIV infection.
PROVIDE DETOX SERVICES
In many cases, the ED will still be the most
appropriate venue for post-resuscitative care;
however, once the medical crisis is resolved,
ED staff are often left with few options for
longer-term support—other than providing
pamphlets when the patient is discharged. A
third model for responding to the opioid crisis
is to mirror the efforts of MIH-CP programs
Adapted from: Centers for Disease Control/National Center for Health Statistics. (2016.) National Vital Statistics System, Mortality. CDC WONDER. Retrieved Sept. 20, 2017, from https://wonder.cdc.gov/.
Figure 1: Overdose deaths involving opioids, United States, 2000–2015