COLLECTIVE IMPACT APPROACH TO ADDRESSING THE OPIOID CRISIS By Bill Barberg, President

Reduce Opioid Drug Misuse to address Opioid + Heroin Abuse COMPREHENSIVE STRATEGY Reduce Crime Due to Opioid Misuse & Law Enforcement Costs Decrease Health Costs & Employment Problems due to Opioid Misuse Minimize Babies Born with Opioid Dependence Improve Family Well-Being & Reduce Foster Care Costs Decrease Deaths due to Opioid Misuse OUTCOMES Reduce Opioid Drug Misuse Minimize People Starting to Misuse Opioid Drugs Enable People Who Start Misusing Opioids to Quickly Quit Improve Treatment & Enable Recovery for People with SUDs Improve Access to Treatments that Prevent Overdose Deaths Expand Harm Reduction Practices Associated with Opioid Misuse Reduce Access to Opioids Minimize Desire to Misuse Opioids Improve & Expand Screening & Testing for Misuse Improve Alignment & Teamwork Among Existing Programs & Opioid-Related Coalitions STRATEGIES Adopt Key Legislative & Policy Changes to Address the Opioid Crisis Reduce Prescription of Opioids Reduce Use of Gateway Drugs Expand SBIRT Program Expand Access to (MAT) Medication-Assisted Treatment Increase Awareness of the Risks & the Crisis Become a Trauma-Informed Community Reduce Stigma of Seeking Help with Substance Misuse Shift from Punishment to Treatment Approach for Opioid Users ASSET & CAPACITY DEVELOPMENT Strengthen the Coalition to Reduce Opioid Abuse Engage Youth to Improve Communication & Prevention Secure Funding for Expanding Addiction Treatment Engage Healthcare Professionals to Address the Opioid Crisis Increase Resources to Address the Opioid Crisis Version 21, August 2017 www.insightformation.com Template created by:

STRATEGY to reduce access to opioids Version 21, August 2017 Reduce Prescription of Opioids Expand & Enhance Prescription Drug Monitoring Program (PDMP) Improve Safe Storage of Prescription Drugs Expand Prescription Drug Take-back & Disposal Programs Coordinate & Improve Efforts to Reduce Illegal Access & Sales of Opioids STRATEGIES Educate the Community on Opioid Risks & Alternatives Improve Professional Training on Opioid Risks & Alternative Pain Management Approaches Minimize Diversion of Prescription Drugs Expand & Enhance Chronic Pain Prevention Expand Programs & Options for Chronic Pain Management & Tapering Expand Efforts to Disrupt the Supply of Heroin & Synthetic Opioids to the Community Improve & Expand Screening & Testing for Misuse ASSET & CAPACITY DEVELOPMENT Strengthen the Coalition to Reduce Opioid Abuse Engage Youth to Improve Communication & Prevention Secure Funding for Expanding Addiction Treatment Engage Healthcare Professionals to Address the Opioid Crisis Increase Resources to Address the Opioid Crisis Version 21, August 2017 www.insightformation.com Template created by:

STRATEGY STRATEGY to expand & enhance Prescription Drug Monitoring Programs Reduce Access to Opioids Expand & Enhance Prescription Drug Monitoring Programs Increase Utilization of Already Existing PDMPs Improve Management of Data Collected through PDMPs STRATEGIES STRATEGIES Improve ease of use of PDMPs for Physicians Develop Consistent Protocols for PDMP Monitoring Increase Interstate Exchange of PDMP Data Implement PDMPs in Every State to Prevent Increased Diversion in States without PDMPs ASSET & CAPACITY DEVELOPMENT ASSET & CAPACITY DEVELOPMENT Strengthen the Coalition to Reduce Opioid Abuse Strengthen the Coalition to Reduce Opioid Abuse Engage Youth to Improve Communication & Prevention Engage Youth to Improve Communication & Prevention Secure Funding for Expanding Addiction Treatment Secure Funding for Expanding Addiction Treatment Engage Healthcare Professionals to Address the Opioid Crisis Engage Healthcare Professionals to Address the Opioid Crisis Increase Resources to Address the Opioid Crisis Increase Resources to Address the Opioid Crisis Version 21, August 2017 www.insightformation.com www.insightformation.com Template created by: Template created by:

STRATEGY to minimize diversion of prescription drugs Eliminate “Pill Mills” Reduce Theft of Pills from Pharmacies Eliminate Counterfeit Prescriptions Minimize Inappropriate Internet Purchases Expand & Enhance Prescription Drug Monitoring Program (PDMP) Reduce Access to Precursor Ingredients STRATEGIES Improve Interstate Sharing of PDMP Data Improve & Expand Screening & Testing for Misuse ASSET & CAPACITY DEVELOPMENT Strengthen the Coalition to Reduce Opioid Abuse Version 21, August 2017 www.insightformation.com Template created by:

STRATEGY to minimize desire to misuse opioids Version 21, August 2017 Empower & Strengthen Parents Expand School-based Prevention Programs Highlight Positive Role Models & Pathways Expand Positive Recreation Opportunities Improve Job Opportunities Improve Detection & Treatment of Mental Health Conditions STRATEGIES Increase Involvement in After-School & Faith-based Activities Expand Programs & Options for Chronic Pain Management Train Youth in How to Resist Peer Pressure to Try Drugs Become a Trauma-Informed Community ASSET & CAPACITY DEVELOPMENT Strengthen the Coalition to Reduce Opioid Abuse Engage Youth to Improve Communication & Prevention Secure Funding for Expanding Addiction Treatment Engage Healthcare Professionals to Address the Opioid Crisis Increase Resources to Address the Opioid Crisis Version 21, August 2017 www.insightformation.com Template created by:

STRATEGY to improve treatment & enable recovery for people with SUDs Improve Access to Quality Treatment Programs Improve Access to Jobs for People in Recovery Improve Re-Entry After Incarceration for People with SUDs Strengthen Peer Recovery Support Services & Programs Improve Multi-faceted Post-Treatment Support & Social Integration Expand Recovery Schools & College Recovery Programs STRATEGIES Expand Programs to Reduce Needle-Transmitted Diseases Among Opioid Users Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy During Opioid Use Improve & Expand Screening & Testing for Misuse Expand Access to (MAT) Medication-Assisted Treatment Shift from Punishment to Treatment Approach for Opioid Users ASSET & CAPACITY DEVELOPMENT Strengthen the Coalition to Reduce Opioid Abuse Engage Youth to Improve Communication & Prevention Secure Funding for Expanding Addiction Treatment Engage Healthcare Professionals to Address the Opioid Crisis Increase Resources to Address the Opioid Crisis Version 21, August 2017 www.insightformation.com Template created by:

STRATEGY to expand harm reduction practices Version 21, August 2017 Expand Harm Reduction Practices Associated with Opioid Misuse Expand Programs to Reduce Needle-Transmitted Diseases Among Opioid Users Increase Access to Clean Needles Expand Contaminated Needle Collection Programs Improve Screening for Infectious Disease among Opioid Users Expand Number of Safe Injection Sites Increase Access to Long Acting Reversible Contraception (LARCs) STRATEGIES Adopt Harm Reduction Practices in Prisons Improve Access to Treatments that Prevent Overdose Deaths Increase Access to Needle Exchanges Improve Non-Prescription Access to Sterile Syringes through Pharmacies Expand Access to (MAT) Medication-Assisted Treatment Adopt Key Legislative & Policy Changes to Address the Opioid Crisis Shift from Punishment to Treatment Approach for Opioid Users ASSET & CAPACITY DEVELOPMENT Strengthen the Coalition to Reduce Opioid Abuse Engage Youth to Improve Communication & Prevention Secure Funding for Expanding Addiction Treatment Engage Healthcare Professionals to Address the Opioid Crisis Increase Resources to Address the Opioid Crisis Version 21, August 2017 www.insightformation.com Template created by:

STRATEGY to shift from punishment to treatment approach for opioid users Shift from Punishment to Treatment Approach for Opioid Users Alternatives to Arrest Adjudication & Sentencing During Incarceration Reintegration After Release Expand Law Enforcement Assisted Diversion Programs Expand & Enhance Drug Courts Enhance Treatment During Incarceration Support Recovery During Parole STRATEGIES Expand Programs Similar to the Angel Program Expand Community Service Alternatives to Incarceration Build Skills of People to Support Future Success Improve Re-Entry After Incarceration for People with SUDs Improve & Expand Screening & Testing for Misuse ASSET & CAPACITY DEVELOPMENT Strengthen the Coalition to Reduce Opioid Abuse Engage Youth to Improve Communication & Prevention Secure Funding for Expanding Addiction Treatment Engage Healthcare Professionals to Address the Opioid Crisis Increase Resources to Address the Opioid Crisis Version 21, August 2017 www.insightformation.com Template created by:

STRATEGY to expand access to medication assisted treatment (MAT) Accelerate the Development of New MAT Approaches Increase Health Professionals’ Ability to Prescribe Buprenorphine Improve Access to Naltrexone Related Treatment Approaches Enhance the Treatment that is Included in MAT Improve Use of Methadone Maintenance Advance & Research New Options for Enhanced MAT STRATEGIES Eliminate Insurance Company Prior Authorizations for MAT Improve Public Understanding of the Value of MAT Increase and Optimally Allocate More Funding for MAT Minimize the Influence of Investor Profit Maximization in Treatment Programs Improve & Expand Screening & Testing for Misuse ASSET & CAPACITY DEVELOPMENT Strengthen the Coalition to Reduce Opioid Abuse Engage Youth to Improve Communication & Prevention Secure Funding for Expanding Addiction Treatment Engage Healthcare Professionals to Address the Opioid Crisis Increase Resources to Address the Opioid Crisis Version 21, August 2017 www.insightformation.com Template created by:

STRATEGY to expand steps to minimize opioid use during pregnancy or pregnancy during opioid use Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy During Opioid Use Prenatal Perinatal Postnatal Increase Access to Contraception Reduce Opioid Prescriptions for Women of Childbearing Age Expand Access to MAT for Pregnant Women Expand Motivational Interviewing for Pregnant Women Improve Access to Recovery Coaches for Mothers of Babies with NAS Expand Reproductive Services in Substance Abuse Treatment Centers Improve Mental Health Services for Women of Childbearing Age Expand SBIRT in Maternity Care Clinics Adopt Universal Screening for Pregnant Women Improve Care for Babies Born Drug Dependent STRATEGIES Expand Preconception Motivational Interviewing Improve Safe Medication Options for Pregnant Women Reduce Stigma for Pregnant Women with Opioid Addictions Increase Awareness of the Risks of Opioid Use & NAS Enhance Collaboration among Medical, Behavioral & Social Services for Mothers with SUDs ASSET & CAPACITY DEVELOPMENT Strengthen the Coalition to Reduce Opioid Abuse Engage Youth to Improve Communication & Prevention Secure Funding for Expanding Addiction Treatment Engage Healthcare Professionals to Address the Opioid Crisis Increase Resources to Address the Opioid Crisis Version 21, August 2017 www.insightformation.com Template created by: