Naloxone

The goal of the Opioid Prescribing Engagement Network (OPEN) and the Michigan Emergency Department Improvement Collaborative (MEDIC) project is to reduce opioid related morbidity and mortality by: increasing Emergency Department naloxone distribution to patients treated for opioid overdose and those at high risk of future overdose; facilitating hospital and community inter-professional provider networks; and assisting in the development of best practices for Emergency Department-based opioid use disorder screening, naloxone distribution, and initiation of medication-assisted treatment. The program is operated by U-M staff and Michigan Medicine faculty, partnering with 26 hospitals statewide.

Additional information:

MEDIC + OPEN

Piloting a statewide emergency department take-home naloxone program: Improving the quality of care for patients at risk of opioid overdose

Factors associated with naloxone availability and dispensing through Michigan’s pharmacy standing order

Narcan 101: How to use it, why it works and how to get it

Printable Flier

MI Emergency Department Partner Map  

Implementation details:

U-M will assist healthcare organizations to implement this program. Contact the U-M Opioid Solutions Team

U-M Faculty Leads:

Chad Brummett, MD; Keith Kocher, MD; Gina Dahlem, PhD, FNP

The Recovery Opioid Overdose Team (ROOT) is a coordinated, community-wide, post-overdose intervention team that is composed of peer recovery coaches and case management specialists. The purpose of the ROOT team is to engage with overdose survivors within 72 hours of a naloxone reversal to deliver recovery support, harm reduction services, and medical, mental, and substance use disorder treatment referrals. Engagement and support continues for up to 90 days post-overdose. ROOT currently operates in Washtenaw County with the team led by Home of New Vision in partnership with University of Michigan, Community Mental Crisis, Huron Valley Ambulance, Michigan Medicine, and St. Joseph Mercy Hospital.

Additional information:

Recovery opioid overdose team (ROOT) pilot program evaluation: A community-wide post-overdose response strategy

Home of New Vision-ROOT

Washtenaw Recovery Advocacy Project (WRAP)

Implementation details:

U-M will assist healthcare organizations to implement this program. Contact the U-M Opioid Solutions Team

U-M Faculty Lead: 

Gina Dahlem, PhD, FNP

Operating since 2013, the Take ACTION: Overdose Education and Naloxone Distribution (OEND) program provides OEND services and consultation to community agencies and individuals in Washtenaw, Lenawee, Livingston, and Monroe Counties. The program uses a “train-the-trainer” format, used in both in-person sessions as well as via its online platform. The program partners with the Community Mental Health Partnership of Southeast Michigan and is operated through the U-M School of Nursing.

Additional information:

Take Action: Online Naloxone Training

Impact of the take ACTION Train-the-Trainer model of opioid overdose education with naloxone distribution- who benefits?

Beyond rescue: Implementation and evaluation of revised naloxone training for law enforcement officers

Development and implementation of intranasal naloxone opioid overdose response protocol at a homeless health clinic

Overdose Education & Naloxone Distribution-Community  Mental Health Partnership of Southeast Michigan

Implementation details:

U-M will assist healthcare organizations to implement this program. Contact the U-M Opioid Solutions Team

U-M Faculty Lead: 

Gina Dahlem, PhD, FNP

The OPT-IN Program integrates a 30-minute motivational interviewing-based intervention with naloxone distribution to address overdose risk behaviors. OPT-IN’s team partnered with the Center for Managing Chronic Disease to develop an online toolkit to be used to train healthcare and service organizations on use of the intervention for their clients. The OPT-IN online toolkit includes training videos and interactive worksheets, screening for potential clients, an online interactive intervention guide, and information to connect those clients with other related resources. The program has been tested for use via partnerships with Ann Arbor-based housing, social, and medical service providers and is operated by teams within U-M.

Additional information:

OPT-IN Toolkit

OPT-IN Website Application Framework

A pilot randomized clinical trial of an intervention to reduce overdose risk behaviors among emergency department patients at risk for prescription opioid overdose

Implementation details:

U-M will assist healthcare organizations to implement this program. Contact the U-M Opioid Solutions Team

U-M Faculty Leads: 

Amy Bohnert, PhD, MHS; Erin Bonar, PhD; and Maureen Walton, PhD, MPH