developed and disseminated similar guidelines, which were well-received by ER clinicians. We will use the data obtained from the Overdose Fatality Review Process to influence where additional efforts need to be focused. For example, if it is determined that many of the opiate-related deaths are among individuals with chronic pain syndromes, increased focus on case management and/or care coordination services could be implemented. Additionally, the development of education materials for all pain management specialists on the identification and treatment of patients with substance use disorders and training on brief interventions and referral to treatment resources could be impactful. Similarly, if it is determined that many of the opiate-related deaths are among individuals with co-occurring mental health conditions, increased focus on case management and/or care coordination among mental health providers and somatic care providers should be implemented. These interventions will be further discussed after the Overdose Fatality Review has begun to meet and some initial analyses can be conducted to inform these efforts Opiate Use Disorder Treatment Providers Because of the increased risk for respiratory depression in the setting of benzodiazepine and opiate use, benzodiazepine prescribing guidelines for opioid maintenance providers were developed in 2013. guidelines continue to be disseminated among opioid maintenance providers. We will work with DHMH ADAA Prescription Drug Monitoring Program (PMDP) Coordinator to disseminate information about PDMP among opiate use disorder treatment providers. All opiate use disorder treatment providers will be strongly encouraged to routinely check the PDMP to ensure their clients are not receiving controlled substances from outside providers. General Medical Community Efforts to increase implementation of Screening, Brief Intervention and Referral to Treatment (SBIRT) will be further expanded in Baltimore City to the Mercy Hospital Emergency Department. (B) Outreach to High-Risk Individuals and Communities As discussed in Section 1, demographic data needs to be reported for each type of overdose death so that appropriate messaging can be developed. Possible strategies for targeting populations in need of interventions are listed below. Individuals who have not been identified as having substance use disorders: Efforts to increase implementation of Screening, Intervention and Referral to Treatment (SBIRT) will be further expanded in Baltimore City to the Mercy Hospital Emergency Department. Populations not actively engaged in care:
developed and disseminated similar guidelines, which were well-received by ER clinicians. We will use the data obtained from the Overdose Fatality Review Process to influence where additional efforts need to be focused. For example, if it is determined that many of the opiate-related deaths are among individuals with chronic pain syndromes, increased focus on case management and/or care coordination services could be implemented. Additionally, the development of education materials for all pain management specialists on the identification and treatment of patients with substance use disorders and training on brief interventions and referral to treatment resources could be impactful. Similarly, if it is determined that many of the opiate-related deaths are among individuals with co-occurring mental health conditions, increased focus on case management and/or care coordination among mental health providers and somatic care providers should be implemented. These interventions will be further discussed after the Overdose Fatality Review has begun to meet and some initial analyses can be conducted to inform these efforts Opiate Use Disorder Treatment Providers Because of the increased risk for respiratory depression in the setting of benzodiazepine and opiate use, benzodiazepine prescribing guidelines for opioid maintenance providers were developed in 2013. guidelines continue to be disseminated among opioid maintenance providers. We will work with DHMH ADAA Prescription Drug Monitoring Program (PMDP) Coordinator to disseminate information about PDMP among opiate use disorder treatment providers. All opiate use disorder treatment providers will be strongly encouraged to routinely check the PDMP to ensure their clients are not receiving controlled substances from outside providers. General Medical Community Efforts to increase implementation of Screening, Brief Intervention and Referral to Treatment (SBIRT) will be further expanded in Baltimore City to the Mercy Hospital Emergency Department. (B) Outreach to High-Risk Individuals and Communities As discussed in Section 1, demographic data needs to be reported for each type of overdose death so that appropriate messaging can be developed. Possible strategies for targeting populations in need of interventions are listed below. Individuals who have not been identified as having substance use disorders: Efforts to increase implementation of Screening, Intervention and Referral to Treatment (SBIRT) will be further expanded in Baltimore City to the Mercy Hospital Emergency Department. Populations not actively engaged in care:
BaltCityOD_PreventionPlanUpdate_12_31_2013.docx