Opioid Crisis

 

News

 

3/28/2019

New Part D Policies Address Opioid Epidemic

The new Medicare Part D opioid policies encourage collaboration and care coordination among Medicare drug plans, pharmacies, prescribers, and patients, in order to improve opioid management, prevent opioid misuse, and promote safer prescribing practices. CMS continues to be committed to addressing the opioid crisis and helping our beneficiaries use prescription opioid pain medications more safely.

 
 

12/7/2018

AUCD'S UCEDD Resource Center Announces Awardee for Training Initiative Addressing Neonatal Abstinence Syndrome for the National Network of UCEDDs

The Administration on Intellectual and Developmental Disabilities (AIDD) sought a lead UCEDD to build the capacity of the national network of UCEDDs to address the impact of Neonatal Abstinence Syndrome (NAS) through collaborative implementation of best and promising practices across federally-funded networks to support child, caregiver, and family outcomes in the local communities. Federally-funded networks include those funded by AIDD, Health Resources and Services Administration (HRSA), Substance Abuse and Mental Health Services Administration (SAMHSA), and Centers for Disease Control and Prevention (CDC).

 
 

8/9/2018

The US Opioid Crisis: Addressing Maternal and Infant Health

CDC released the first-ever multi-state analysis of trends in opioid use disorder (OUD) in labor and delivery. These data indicate the number of pregnant women with OUD at labor and delivery more than quadrupled from 1999 through 2014, with significant increases in every one of the 28 states with available data.

 
 

7/18/2018

The Opioid Crisis: A Child's Fight and a Mother's Gain

Robin Adams tells of the challenges and joys of adopting a baby affected by his birth mother's opioid use. The drug test came back positive for opioids and the needle puncture sites in the young, pregnant woman's arms were infected. At just 92 pounds, neither she nor her unborn child were benefiting from any nutritional intake. She returned to her OB/GYN six weeks later, keeping few prenatal appointments in total. When she returned, she was prepared; she had another person's urine in her purse. But she fooled no one, and her physician offered to help her find treatment and recommended a facility where she could receive medication-assisted treatment (MAT) and medical care. She denied her drug use and rejected the referral.

 
 
 

Resources

 

4/8/2019

New Materials on the Opioid Crisis and People with Disabilities for Consumers, Providers, and Community Organizations

Three new issue briefs on medication treatment, peer support, and traumatic brain injury from the National Institute on Disability, Independent Living, and Rehabilitation Research grantee Brandeis University provide information for people with disabilities and their families, substance use treatment providers, and community organizations looking for resources on how the opioid crisis may be impacting people with disabilities.

 
 

1/29/2019

Public Health Surveillance of Prenatal Opioid Exposure in Mothers and Infants

The US opioid crisis is the public health emergency of our time and requires urgent public health action to monitor and protect the most vulnerable Americans. We have witnessed a startling death toll in 2017 with 70 237 drug overdose deaths in the United States, of which two-thirds involved opioids. The devastating consequences of this epidemic for mothers and infants have received less attention. Increases in opioid use and misuse in pregnancy have paralleled the increases in the general population; at delivery hospitalization, there were 4 times as many women with an opioid use disorder in 2014 compared with 1999. One of the most immediate and visible impacts of the opioid crisis on infants is the drug withdrawal in the newborn period, termed neonatal abstinence syndrome (NAS). On the basis of 2014 data, 1 newborn was diagnosed with NAS every 15 minutes in the United States, totaling about 32 000 infants annually with associated hospital costs estimated at $563 million.

pdf File PrenatalOpioidExposure.pdf [download]
 
 

7/19/2018

Integrating Infectious Disease Prevention and Treatment into the Opioid Response

The opioid crisis in the United States is devastating the lives of millions of Americans. Perhaps overshadowed by the alarming rise in overdoses and deaths is the accompanying numbers of injection-related infectious diseases. Opioid overdose deaths increased fivefold from 1999 to 2016, and new hepatitis C infections more than tripled from 2010 to 2016.

 
 

7/18/2018

CDC Grand Rounds: Public Health Strategies to Prevent Neonatal Abstinence Syndrome

Neonatal abstinence syndrome (NAS) is a drug withdrawal syndrome that most commonly occurs in infants after in utero exposure to opioids, although other substances have also been associated with the syndrome (1). NAS usually appears within 48-72 hours of birth with a constellation of clinical signs, including central nervous system irritability (e.g., tremors), gastrointestinal dysfunction (e.g., feeding difficulties), and temperature instability (1) (Box 1). Opioid exposure during pregnancy might result from clinician-approved use of prescription opioids for pain relief; misuse or abuse of prescription opioids; illicit use (e.g., heroin); or medication-assisted treatment (MAT) of opioid use disorder (2) (Box 2).

 
 

6/13/2018

Help, Resources and Information on the National Opioids Crisis from HHS

Increased prescription of opioid medications has led to widespread misuse of both prescription and non-prescription opioids before it became clear that these medications could indeed be highly addictive. This webpage offers help, resources and information on the national opioid crisis.

 
 

6/13/2018

Treatment Resources for Opioid Use Disorder from SAMSHA

SAMHSA works with federal partners, states, and community stakeholders to develop and coordinate a comprehensive response to the opioid epidemic. SAMHSA addresses opioid use and misuse through approaches such as informing and guiding opioid prescribing practices, the expansion of medicationassisted treatment (MAT), and individual-provider decision making tools.

 
 

6/12/2018

CMS Guidance: Addressing Neonatal Abstinence Syndrome

Medicaid services can play a critical role in helping ensure access to treatment for these vulnerable infants who have Neonatal Abstinence Syndrome (NAS). Neonatal Abstinence Syndrome (NAS) is a postnatal drug withdrawal syndrome that occurs primarily among opioid-exposed infants shortly after birth. The Centers for Medicare & Medicaid Services CMS released guidance aimed at building on our commitment to partner with states to ensure that they have flexibilities and the tools necessary to combat the opioid crisis.

 
 

6/11/2018

CMS Leverages Medicaid Program to Combat the Opioid Crisis

States provided guidance in designing treatment options for Opioid Epidemic

The Centers for Medicare & Medicaid Services CMS released guidance aimed at building on our commitment to partner with states to ensure that they have flexibilities and the tools necessary to combat the opioid crisis. This new guidance provides information to states on the tools available to them, describes the types of approaches they can use to combat this crisis, ensures states know what resources are available, and articulates promising practices for addressing the needs of beneficiaries facing opioid addiction. Notably, CMS released an Informational Bulletin that provides states with information they can use when designing approaches to covering critical treatment services for Medicaid eligible infants with Neonatal Abstinence Syndrome (NAS). Additionally, CMS issued a letter to states on how they may best use federal funding to enhance Medicaid technology to combat drug addiction and the opioid crisis.

 
 
 

About

Every day, more than 115 people in the United States die after overdosing on opioids.1 The misuse of and addiction to opioids-including prescription pain relievers, heroin, and synthetic opioids such as fentanyl-is a serious national crisis that affects public health as well as social and economic welfare. This page will highlight news items, resources and events regarding the opioid crisis.