Reducing the opioid crisis or its consequences

Select two policies that have been implemented in your state that are focused on reducing the
opioid crisis or its consequences. These policies can be implemented by the state government,
local governments, or other organizations (e.g., a police agency or a state health authority).
They do not need affect the entire state.
Broadly, you can think about policies as falling into the following categories:

  1. Drug treatment
  • Trying to get existing opioid users to decrease or stop their use of drugs through
    more treatment or better access to treatment
  • There may also be related policies that try to make it easier for people to stop using
    drugs, such as providing more stable housing, employment opportunities, etc.
  1. Drug prevention
  • Trying to convince people not using opioids to avoid them
  • Can be targeted at specific groups (e.g., school kids, at-risk youth), or generally
    raising awareness through advertising and public health promotion campaigns
  1. Law enforcement/criminal justice
  • Trying to prevent the selling or use of opioids through laws and the enforcement of
    those laws.
  • Can include the introduction of new laws, extra policing, information sharing,
    forensic analysis, crackdowns. Policies can be targeted at sellers (at different levels)
    or at buyers.
  1. Harm reduction
  • Focused on reducing the harmful effects of opioids, rather than the amounts of
    opioids consumed
  • Includes policies like improving naloxone access and use, needle and syringe
    programs, fentanyl test strips, protocols where ambulances attend overdose callouts
    but police do not, etc.
    Please focus on policies that help address heroin and fentanyl problems (or opioid problems in
    general), and choose the two policies from different categories (e.g., one related to treatment
    and one related to law enforcement).
    PARTS (Total is out of 40 points, although there are 42 points available)
  1. Your name: [1 point]
  2. State: [1 point]
    POLICY 1
  3. Describe a policy to address opioid problems. What groups or organizations were involved?
    When was it implemented? What was the aim? What funding was involved (if any)? [4
    points]
  4. Is the policy response trying to reduce demand, reduce supply, or reduce the costs of opioid
    drug use (either to the individual themselves or to others)? Using the demand and supply
    framework, draw a figure and show what the policy is trying to achieve. (Note: it is possible
    that policies will affect more than one of these. If that is the case, please be very clear on how
    they interact.) [4 points]

Full Answer Section

   

Key Groups and Organizations Involved:

  • Massachusetts Department of Public Health (MDPH)
  • Local health departments
  • Community-based organizations
  • Healthcare providers
  • Harm reduction organizations

Implementation Timeline:

  • Launched in 2015
  • Ongoing program with funding renewed annually

Program Aims:

  • Increase access to medication-assisted treatment (MAT) for opioid use disorder (OUD)
  • Expand access to naloxone, a life-saving medication that can reverse opioid overdoses
  • Increase public awareness and education about opioid use and overdose prevention
  • Reduce stigma associated with OUD and encourage help-seeking behaviors

Funding:

  • MOPEP is funded through a combination of state and federal grants, totaling approximately $75 million annually.

4. Demand and Supply Analysis:

MOPEP primarily targets the demand side of the opioid crisis through its various components:

a) Increasing Access to Medication-Assisted Treatment (MAT):

  • By providing MAT, such as methadone and buprenorphine, to individuals with OUD, MOPEP aims to reduce their reliance on opioids and improve their overall health and well-being. This directly reduces the demand for illicit opioids.

b) Expanding Access to Naloxone:

  • Making naloxone readily available through distribution programs, pharmacies, and community organizations empowers individuals and first responders to reverse opioid overdoses, potentially saving lives. This indirectly reduces the demand for opioids by preventing fatal overdoses.

c) Public Awareness and Education:

  • Educational campaigns focusing on the risks of opioid use, overdose prevention strategies, and available resources encourage individuals to avoid or reduce their opioid use. This further contributes to reduced demand.

Sample Answer

   

Policy 1: Massachusetts Opioid Overdose Prevention and Education Programs

1. My Name: [Insert Your Name Here]

2. State: Massachusetts

3. Policy Description:

In response to the growing opioid crisis, Massachusetts implemented the Opioid Overdose Prevention and Education Programs (MOPEP) in 2015. This initiative involves several components aimed at reducing opioid-related deaths and promoting harm reduction.