Opioid Overdose Prevention Resources - Minnesota Department of Health

Opioids
Opioid Overdose Prevention Resources

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All Opioid Overdose Deaths

Download All Opioid Overdose Deaths Chart

Drug Overdose by Race

Opioid Overdose Death by Race image

Emergency room visits for all opioid involved overdoses

Download ER-treated opioid overdose chart

Opioid overdose deaths are the most visible outcome from the opioid epidemic. However, death is only one part of the picture of opioid overdoses. For every one death, there are two hospitalizations, four emergency department visits, and seven emergency medical service responses for opioid overdoses. There is overlap between the groups (i.e. an individual may be treated in the emergency department and then die), as well as opioid overdoses that are not captured within this pyramid (e.g., naloxone administered by a family member). The pyramid aims to demonstrate the larger impact of opioid overdoses and who should be involved in the response.

Download For Every Opioid Death Graphic

Primary substance at admission to SUD treatment services for adults

Download Primary substance admission to SUD chart  

Rates of Neonatal Abstinence Syndrome (NAS)

Download NAS rates chart chart

Preliminary 2019 Drug Overdose Deaths (PDF)
Read the preliminary MDH report on drug overdose deaths in 2019.

MDH Drug Overdose Deaths among Minnesota Residents, 2000-2018 (PDF)
Read the full MDH report and analysis on drug overdose deaths over 18 years.

Nonfatal, Unintentional Poisonings in Minnesota from 2012-2017 (PDF)
Data brief on nonfatal, unintentional poisonings among Minnesotans from 2012-2017 using Minnesota Hospital Discharge Data. Key findings include:

  • Nonfatal, unintentional poisonings decreased slightly from 2016 to 2017 for the first time
    in many years.
  • Males continue to experience more overdoses than females.
  • Nonfatal, unintentional poisonings are highest for 1-4, 25-29, and 50-59 year olds, but are
    the result of different types of poisonings.
  • The Seven-County Metro and Greater Minnesota differ in nonfatal, unintentional poisoning
    trends across age groups.

Highlighting the Positive: Somali Students and Substance Use (PDF)
Data brief on substance use among Somali students in Minnesota and protective factors they experience that lead to lower rates of substance use.

Highlighting the Positive: African American Students and Substance Use (PDF)
Data brief on substance use among African-American/Black students in Minnesota and factors like resiliency and other coping strategies that may mitigate the effects of increased risk factors experienced.

Neonatal Abstinence Syndrome (NAS) Data Brief
Statewide and county trends in neonatal abstinence syndrome, 2012-2016

Minnesota Student Survey (MSS)
Information about the Minnesota Student Survey, which asks questions about activities, experience, and behaviors of 8th, 9th, and 11th graders, including alcohol and drug use

Substance Use in Minnesota
Minnesota data on alcohol, drugs, risk and protective factors, and mental health by region and demographics

2014-2015 National Survey on Drug Use and Health: Model-Based Prevalence Estimates
Prevalence estimates of alcohol, tobacco, other drugs, mental health by state

Behavioral Health Trends in the United States
Results from the 2014 National Survey on Drug Use and Health, including illicit drug use and co-occurring mental health and substance use disorders

MDH Naloxone Protocol
Information about the Naloxone Protocol that pharmacies can adopt in order to dispense naloxone to anyone who is at risk for, or knows someone who is at risk for, an opioid overdose

MDH Opioid Overdose
Information about the signs and symptoms of an opioid overdose and information about naloxone (who should get it, why to get it, where to get it, how to administer it, and what to expect during withdrawal)

The Importance of Naloxone in Reversing Opioid Overdose
Video with information about the importance of naloxone and its role in reversing an opioid overdose.

University of Minnesota Naloxone Resource Site
CME/CPE presentation on identifying risks, signs and symptoms of opioid overdoses and understanding the various naloxone formulations. Healthcare providers who watch the video are able to earn CME/CPE credit at no cost.

Statewide Community-based Organizations
As a part of the State Targeted Response (STR) Grants through Department of Human Services (DHS), organizations were awarded funds to provide Naloxone overdose training and kits free of charge. The following community-based organizations provide Naloxone overdose training and kits free of charge:

Minnesota Poison Control
Established under MN State Statute 145.93, the Minnesota Poison Control System is responsible for providing immediate medical treatment recommendations for poisonings and overdoses to the general public and health care professionals. This service is provided statewide by calling 1-800-222-1222 and is available 24/7 with no direct cost to the user. Opioid overdoses fall within this responsibility. MN Poison Control encourages all Minnesotans (public, law enforcement, EMS, health care professionals) to utilize the MN Poison Control for all overdoses, especially opioid overdoses that required naloxone administration. The MN Poison Control can assist with safe medical management and collection of public health data that will aid efforts to combat the opioid epidemic.

Minnesota Opioid Prescribing Guidelines
Minnesota’s opioid prescribing guidelines (PDF) provide a framework for safe and thoughtful opioid prescribing for pain management. In partnership with the medical community, the Minnesota Department of Human Services and the Minnesota Department of Health developed the guidelines for clinicians who manage pain in primary care and specialty outpatient settings. The opioid prescribing guidelines were developed by the Opioid Prescribing Workgroup (OPWG).

Flip the Script
Education campaign aimed at health care professionals and developed by the Minnesota Department of Human Services (DHS) to change the narrative around prescription opioid therapy, pain management and prescription opioid misuse.

MN Prescription Monitoring Program (PMP)
PMP annual reports and monthly data from 2013-2018

Electronic Prescribing (E-Prescribing) Mandate
Two new e-prescribing resources are now available on the Minnesota Department of Health’s e-prescribing webpage. The FAQ for e-Prescribing of Controlled Substances (EPCS) provides general information on EPCS. EPCS helps to reduce fraud and abuse of controlled substance and is one way to use e-health to prevent and respond to the opioid misuse and overdose.

PMP Registration
PMP Access Request Forms for prescribers, pharmacist, delegates, corners, and coroner delegates

MN Statute 152.02
List of Minnesota scheduled controlled substances

The PEW Charitable Trusts Prescription Drug Monitoring Programs Report
Report that outlines eight strategies to maximize the efficacy of Prescription Drug Monitoring Programs (PDMPs)

Center for Disease Control Prescribing Opioid for Chronic Pain
CDC Guideline for prescribing opioids for chronic pain

CDC Opioid Prescribing Clinical Tools
Clinical tools for prescribing opioids for chronic pain, including a mobile app for calculating MME

Institute for Clinical Systems Improvement (ICSI) Pain Guidelines: Assessment, Non-Opioid Treatment Approaches and Opioid Management
ICSI Guideline for pain management

Minnesota Medical Association Opioid Lecture Series
The Minnesota Medical Association (MMA), the Steve Rummler Hope Network (SRHN) and the University of Minnesota Medical School developed a lecture series designed for physicians, resident, and medical students who are looking for education on pain, opioids, and addiction.

New York American College of Physicians Free CME for Managing Pain and Opioid Use
Free continuing medical education for managing pain and opioid use, offered by the NY American College of Physicians

Veterans Administration Opioid Education & Naloxone Distribution (OEND)
This video shows a medical provider discussing the risk of an opioid overdose and offering naloxone to a patient who is taking prescription opioids. While it is no longer recommended to start anyone on opioids for chronic pain, there are patients who are already taking opioids for medical reasons or are actively using prescription and/or illicit opioids. In these cases, it is recommended to co-prescribe naloxone to be prepared in the event of an opioid overdose emergency.

Minnesota Coroners’ & Medical Examiners’ Association
Information about the MN Coroner’ and Medical Examiners’ Association, including forensic groups and programs, and links to MN Statutes Chapter 390—Coroner, Medical Examiner and Chapter 13.83—Medical Examiner Data

Controlled Substances
Drug Enforcement Administration (DEA) definition of controlled substances

Warning: This Drug May Kill You
HBO Documentary released in 2017 sharing the stories of four families devastated by opioid addiction

Judy's Rx Awareness Story

Mike's Rx Awareness Story

 

Facing an Everyday Killer
The National Safety Council developed a short film that brings opioid users face-to-face with those who have lost a loved one.  The opioid epidemic is the worst drug crisis in US history, directly impacting one in four Americans. 

Change the Conversation About Opioid Use Disorders

Change the Outcome is a 501(c)3 non-profit that works to raise awareness and understanding of substance use disorder and the opioid epidemic to reduce stigma, shame and judgement.

Change the Outcome - Official Trailer from Black Feather Creative on Vimeo.

Arthur’s Story
You Tube video on one patient’s recovery from chronic pain using yoga

Fast Tracker for Substance Use Disorder Treatment
Searchable online tool for statewide Substance Use Disorder (SUD) services to assist individuals, family members, detox programs, assessors, care coordinators, physicians, and others to quickly access SUD service openings statewide (e.g. choose Addictions, Chemical Dependency, or Detoxification in the “Search for Clinics” section of the website). Substance Use Disorder treatment programs and detoxification programs licensed by DHS must update program openings on a daily basis.

Recovery Community Organizations funded by DHS to provide peer recovery support services for substance use disorder and addiction:

SAMHSA Substance Use Disorder
Facts on common substance use disorders including Opioid Use Disorder

SAMHSA Buprenorphine Treatment Physician Locater
Find physicians authorized to treat opioid dependency with buprenorphine (e.g. suboxone, subutex) by state

Licensing Look Up
Look up licensed providers who specialize in the treatment of substance use disorder that involves injection drug use

Minnesota Treatment Centers and Programs
Guide to alcohol and drug treatment centers and programs in Minnesota

Rule 25 Assessment
List of referral numbers for counties in Minnesota

AA Meeting Locater
List of AA meetings throughout Minnesota

NA Meeting Locater
A list of NA meetings throughout Minnesota

Parity Complaint Registry and Appeal Resource
National registry to track, study, and report on parity violations regarding the Mental Health Parity and Addiction Equity Act (MHPAEA). View of a video made by The Kennedy Forum called The New Frontier of Mental Health and Addiction

Safe Harbor/No Wrong Door
Safe Harbor provides victim-centered, statewide response for sexually exploited youth. No Wrong Door is a comprehensive, multidisciplinary, and multi-state agency approach to ensure communities across Minnesota have the knowledge, skills and resources to effectively identify sexually exploited and at-risk youth. To learn more and access services, visit Regional Navigators, Housing, and Protocol Development and Training. If you or someone you know is being sexual exploited or trafficked, please contact your Regional Navigator or contact the Day One Hotline to learn more about services available in your community at 1-866-223-1111.

The Psychological and Physical Side Effects of Pain Medications
Dr. Donald Teater, Medical Advisor for the National Safety Council the risks of opioids including loss of family and community, lifelong disability, dependence and addiction, serious adverse events, and overdose death.

CAGE-AID
SAMHSA toolkit for the brief chemical dependency screening tool, CAGE-AID

SBIRT Services
SAMHSA explanation of screening, brief intervention, and referral to treatment (SBIRT) services

DSM 5 Criteria for Substance Use Disorder
List of the diagnostic criteria for a Substance Use Disorder

Prescription Opioids and Heroin
Explanation of the relationship between prescription opioids and heroin from the National Institute on Drug Abuse (NIH)

Minnesota Prevention Resource Center (MPRC)
Resource to enhance the capacity of people interesting in preventing problems resulting from alcohol, tobacco, and other drugs

Shatterproof Substance Use Cost Calculator
Tool to calculate the cost of substance use (including prescription drug misuse, alcohol misuse, opioid and heroin addiction as well as misuse of other illicit drugs and marijuana) in your profession based on size of employee base, industry, and state.

Partnership for Drug-Free Kids
National helpline for parents and caregivers who are worried about their child's substance use or substance use disorder.

National Safety Council Opioid Toolkit
Interactive PDFs including facts about sharing medication, how to talk to your medical provider, safe disposal, drug safety for employers, and chronic back pain information

Stop Talking Dirty
Abstract for Stop Talking Dirty, and article from The American Journal of Medicine, that addresses the use of the words “clean” and “dirty” in chemical health care

Motivational Interviewing: SAMHSA Clinical Practice Tools
Resources and webinars on Motivational Interviewing, a tool for evoking a patient’s desire, ability, and need to change, as well as enhancing their intrinsic motivation to change

Academic Detailing
Webinar on the use of academic detailing, or peer-to-peer education, to cut opioid-related emergency visits in half in San Francisco

Managing Unwanted Medications: Safe Disposal Drop-Box Locations
Locations for and explanation of safe disposal of prescription medications.

Safe Disposal Drop-Box Fact Sheet
The collection requirements for law enforcement agencies and pharmacies are different. This fact sheet will discuss the collection requirements for pharmacies.

DEA Diversion Control Division
Reporting illicit pharmaceutical activities and prescription misuse online.

Office of Justice Programs Violent Crime Coordinating Council (VCCC)
The 2010 MN Legislature established the Violent Crimes Coordinating Council to provide guidance related to the investigation and prosecution of gang and drug related crime (2016 VCCC Annual Report and meeting minutes are available).

Drug and Violent Crime Enforcement Team (VCET) Task Forces (PDF)
Overseen by the VCCC, these multi-jurisdictional task forces address narcotics, gang and related violent crime. Their goal is to increase the identification and arrest of serious law violators and enhance the amount of law enforcement expertise available statewide for complex investigations that cross jurisdictional boundaries. There are currently 23 funded task forces that oversee 70 counties and are comprised of over 200 investigators.

VCET Commanders List (Word)
Alphabetical listing of each commander for the 23 task forces in Minnesota.

MN Statute 152.021
Sale and possession of controlled substances.

MDH Drug Diversion Prevention
This site includes a final report from Minnesota Controlled Substance Diversion Prevention for preventing diversion within hospitals and nursing homes.

Harm Reduction and Overdose Prevention (PDF)
Information on syringe service programs, safe use, overdose prevention and treatment resources

Harm Reduction Coalition
Information and resources about harm reduction include the eight principles of harm reduction and best practice guidelines for harm reduction

Reducing Harms Associated with Substance Use Disorder through Syringe Service Programs and Syringe Access (PDF)
Infographic detailing the benefits and need for syringe service programs and syringe access to reduce the harms associated with injection drug use.

Minnesota Pharmacy Syringe/Needle Access Initiative
Information about and list of all pharmacies participating in syringe access program

MN Syringe Service Program Calendar
A listing of hours and locations for Syringe Service Programs in MN.

Your Life Matters - Reduce the Harms of Drug Use (PDF)
This 11x17 poster is intended for public spaces such as bathrooms at libraries, grocery stores, community centers, and laundromats, or other places to reach people at risk of overdosing. It has information about reducing the harms associated with drug use, overdose prevention, and services offered at a Syringe Service Programs (SSP). The poster has a blank space to write/add a sticker with the contact information of the nearest SSP.

A Guide to Establishing Syringe Services Programs in Rural At Risk Areas
A toolkit created by the Comer Family Foundation in response to the CDC report that identified 220 counties that are vulnerable to outbreaks of HIV and hepatitis C

Shootin’ with Care: Safer Injection (Part 1)
Educational program for injection drug users (Note: please use Firefox or Chrome browsers to view)

Shootin’ with Care: Safer Injection (Part 2)
Educational program for injection drug users (Note: please use Firefox or Chrome browsers to view)

Don’t Let Them Sleep it Off
Public service announcement and media campaign in Sarasota to educate the community to attempt to rouse, or wake up, people who are found unconscious

Get Tested
National database of HIV, STD, and Hepatitis testing locations

MDH STD/HIV Partner Services Program
Informing sexual partners of positive STD or HIV test results is a sensitive and private way

Substance Use during Pregnancy and Substance Exposed Infants
From Children’s Minnesota, this site includes an information sheet on opioid use during pregnancy, as well as an information sheet on neonatal abstinence syndrome (NAS)

Neonatal Abstinence Syndrome (NAS) Toolkit
Toolkit for the identification, screening, and treatment of NAS, developed by the MN Hospital Association

Clinical Guidance for Treating Pregnant and Parenting Women with Opioid Use Disorder and Their Infants
Guide for health care professionals seeking to improve outcomes for women and infants through the use of accessible, standard approaches to care.

Addressing Viral Hepatitis in People with Substance Use Disorders
Quick guide including screening, evaluation, clinical decision making, treatment, and counseling of viral hepatitis for clinicians and administrators from SAMHSA

HepVu
Interactive maps that visualize Hepatitis C across the country

AIDSVu
Interactive maps that visualize HIV across the country

National Alliance on Mental Illness
Resources for support groups, helpline, and addressing stigma

Zero Suicide
Strategies and tools for the Zero Suicide model for suicide prevention in health and behavioral health care systems

Suicide Prevention Resource Center
Resources for suicide prevention including best practices, terms, risk and protective factors, warning signs, fact sheets for specific populations, and strategic planning frameworks

Minnesota Family Planning & STD Hotline
Provides the entire state of Minnesota with reliable, medically accurate, and confidential information via phone, text and web chat.

Power of Protective Factors for Minnesota Youth: Findings from the 2016 Minnesota Student Survey (PDF)
Results from a survey of Minnesota youth about the effects of protective and risk factors on health outcomes

MDH Health Report: Advancing Health Equity in Minnesota (PDF)
A Report to the Legislature that includes recommendations for advancing health equity in Minnesota

MDH Center for Health Equity
Resource Library for Advancing Health Equity in Public Health

CDC Social Determinants of Health
Information about sources of data, programming, policy resources, and tools for addressing social determinants of health

Healthy People 2020 Social Determinants of Health
Resources around economic stability, education, health and health care, neighborhood and built environment, and social and community context from the Office of Disease Prevention and Health Promotion

WHO Commission on Social Determinants of Health
Final Report from the World Health Organization about actions to close the gap of social determinants of health

SAMHSA Eight Dimensions of Wellness
Framework from SAMHSA for considering holistic wellness

Fostering Futures in Wisconsin
Information on efforts in Wisconsin to address adverse childhood experiences (ACEs) and the toxic stress caused by them through trauma-informed care and resiliency-building.

Fostering Futures in Menominee Nation
Information on efforts in Menominee Nation to address adverse childhood experiences (ACEs) and the toxic stress caused by them through trauma-informed care and resiliency-building.

Updated Wednesday, 10-Jun-2020 09:11:52 CDT