Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the...
Transcript of Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the...
![Page 1: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/1.jpg)
Reducing Negative opioid Outcomes-Prevention and Treatment
What you need to know to help others
![Page 2: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/2.jpg)
WHY WE ARE HEREWhat ’s Happen ing Nat iona l ly
![Page 3: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/3.jpg)
WHY WE ARE HEREW hat ’s H appen ing in O k lahom a
Prescription drug abuse is Oklahoma’s fastest
growing substance abuse problem.
§ Nearly 3,900 unintentional poisoning deaths
from 2007-2012
§ Four out of five deaths involved at least one
prescription drug
§ Drug overdose is now the leading cause of
injury death in the United States.
§ Oklahoma ranks among the highest in the
nation for unintentional poisoning deaths
![Page 4: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/4.jpg)
![Page 5: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/5.jpg)
Drug Deaths
In2016therewere759unintentional
poisonings:
• 67%involvedprescriptiondrugs
• 64%involvedanopioid
• 18%involvedabenzodiazepine
• 8%involvedanantidepressant
• 5%involvedamusclerelaxant
• Allprescriptiondrugsinvolvedin
overdosedeathsareoriginally
prescribedforpainoramental
healthcondition.
Opioids(painkillers),64%
Benzodiazepines,18%
Antidepressants,8%
MuscleRelaxants,5%
PrescriptionDrugsInvolvedInUnintentionalPoisoning
Deaths
Source:OSDHInjuryPreventionService,FatalUnintentionalPoisoningSurveillanceSystem
![Page 6: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/6.jpg)
WHY WE ARE HEREWhat ’s Happen ing in Ok lahoma
Prevention
• Regional Prevention Coordinators• Community Coalitions• Overdose Education and Naloxone
Distribution (OEND)• First Responder Naloxone• First Responder OEND pilot• Practice Facilitation
Treatment
• Medication Assisted Treatment (MAT)• Increasing access to treatment• Increasing number of Data 2000
Waivered physicians• Increasing access to recovery
services
![Page 7: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/7.jpg)
PatientEducation
![Page 8: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/8.jpg)
COMMON OPIOIDSKnow W ha t to Look fo r
Opioids are highly addictive narcotic substances
commonly prescribed to treat pain. These are some of
the most commonly prescribed opioids:
§ Codeine
§ Fentanyl
§ Hydrocodone/Acetaminophen
§ Hydromorphone
§ Morphine
§ Methadone
§ Meperidine
§ Oxycodone
§ Tramadol
![Page 9: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/9.jpg)
OPIOID RISKS
Prescription opioids carry serious risks of addiction
and overdose, especially with prolonged use. The use
of prescription opioids can have a number of side
effects as well, even when taken as directed:
§ Tolerance – needing to take more of a medication
for the same pain relief
§ Physical dependence – meaning you have
symptoms of withdrawal when a medication is
stopped
§ Increased sensitivity to pain
![Page 10: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/10.jpg)
KNOW WHO IS AT RISKPrescription drug abuse doesn’t discriminate.
Opioids may be abused by anyone, though some
individuals may face an elevated risk:
§ Repeated use of opioids greatly increases the
risk of developing an opioid use disorder.
§ The use of illegal opiate drugs such as heroin.
§ Anyone with a history of drug misuse or
addiction.
![Page 11: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/11.jpg)
PREVENTIONG et t ing Ahead o f the Ep idem ic
§ Never share or use another person’s
opioids
§ Safeguard meds — keep opioid
medications locked away
§ Talk early and often with family
members about opioid-related dangers
Oklahoma’s Prescription for Change starts with you. Make sure all members of
your household know what to do when someone is prescribed opioids.
§ Practice healthy coping
§ Carry Naloxone in your household’s
first aid kit
§ Teach others in your community what
you’ve learned to do to prevent opioid
abuse
![Page 12: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/12.jpg)
WHAT PATIENTS CAN DOD r ive C onve rsa t ion w i th You r Phys ic ian
Patients can take control of their health care decisions.
If your physician suggests opioids, ask:
§ Why do I need this medication — is it
right for me?
§ How long should I take this medication?
§ Are there non-opioid treatment options
that could help with pain relief?
§ How can I reduce the risk of potential
side effects with this medication?
§ Could this treatment interact with my other
medications?
§ What if I have a history of addiction with
tobacco, alcohol or other drugs?
§ What if there’s a family history of addiction?
§ How should I store this medication?
§ What should I do with unused medication?
§ Do you offer Naloxone?
![Page 13: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/13.jpg)
IF YOU ARE PRESCRIPED OPIOIDS
Follow these safety measures if opioids are prescribed:
§ Don’t mix with alcohol, benzodiazepines (such as Xanax or Valium), muscle
relaxants (such as Soma or Flexeril) or hypnotics (such as Ambien or Lunesta)
§ Store them securely, monitor the supply and dispose of them safely
§ Never share medication
§ Never take greater amounts than prescribed
§ Get a Naloxone kit for your household
![Page 14: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/14.jpg)
HARM REDUCTION
![Page 15: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/15.jpg)
WHAT IS HARM REDUCTION?
Harmreductionisasetofpractical
strategiesandideasaimedatreducing
negativeconsequencesassociatedwith
druguse.
HarmReductionisalsoamovementfor
socialjusticebuiltonabeliefin,and
respectfor,therightsofpeoplewhouse
drugs.
![Page 16: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/16.jpg)
OPIOID HARM REDUCTION STRATEGIES: AGE AND HEALTH
Yourageandphysicalhealtharegoingto
impactyourbody’sabilitytomanage
drugs.Olderpeopleand/orthosewith
longerdrugusingcareersareatincreased
riskforfataloverdose.
Dehydration,noteatingorsleepingalso
increasesriskforoverdose.
Harm Reduction Strategies:
§ Drink water and try to eat before using
§ Avoid anything with Tylenol in it (like
Percocet) if you have liver problems
§ Go slow if you’ve been sick, lost weight,
or weak.
§ If injecting heroin, do a test shot
§ Get a regular checkup to test for other
risk factors.
§ Carry Naloxone in case of overdose
![Page 17: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/17.jpg)
OPIOID HARM REDUCTION STRATEGIES: DON’T MIX DRUGS
Mostoverdosesaretheresultofmixing
opioidswithotherdrugs,especially
alcohol,Xanax,orSoma.
Speedballing (mixingopioidsanda
stimulantsuchascocaineormeth)also
increasesrisk.
Harm Reduction Strategies:
§ Use one drug at a time
§ Use less of both drugs
§ Always avoid mixing illicit opioids
(anything not from a pharmacy) and
alcohol.
§ Have a friend with you who knows what
you have taken and will call for help.
§ Carry Naloxone in case of overdose
![Page 18: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/18.jpg)
OPIOID HARM REDUCTION STRATEGIES: TOLERANCE
Toleranceisthebody’sabilitytoprocessa
certainamountofadrug.Tolerance
increaseswithopioiduse.
Tolerancecandecreaserapidlywhen
someonehastakenabreakfromusinga
drugwhetherintentionally – forexample,
whileindrugtreatmentoronmethadone
detox– orunintentionally– forexample,
whileinjailorthehospital.
Harm Reduction Strategies:
§ Use less if you haven’t used, or used
less for a few days.
§ Be careful, go slow
§ Use a different method (snort rather
than inject)
§ If injecting heroin, do a test shot
§ Have a friend with you who knows what
you have taken and will call for help.
§ Carry Naloxone in case of overdose
![Page 19: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/19.jpg)
OPIOID HARM REDUCTION STRATEGIES: QUALITY
Qualityisthepurityand/orstrengthofa
drug.
Thecontentofstreet/illicitdrugsisalways
unpredictable. Drugscanbedifferentthan
advertised(fentanylinsteadofheroin),or
producedincorrectly.
Harm Reduction Strategies:
§ Test the strength before you use the
whole amount.
§ Know who you are buying from.
§ Know the pills you are taking
§ Don’t trust pills are what they look like,
fake pills are out there.
§ Have a friend with you who knows what
you have taken and will call for help.
§ Carry Naloxone in case of overdose
![Page 20: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/20.jpg)
OPIOID HARM REDUCTION STRATEGIES: USING ALONE
Usingaloneincreasestheriskoffatal
overdosebecausethereisnoonetocall
forhelporadministernaloxone.
Harm Reduction Strategies:
§ Don’t use alone
§ Call or text a friend who can check on
you if they haven’t heard from you
§ Leave your door unlocked
§ Carry Naloxone in case of overdose
![Page 21: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/21.jpg)
Opioid Overdose
![Page 22: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/22.jpg)
OVERDOSE
![Page 23: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/23.jpg)
OVERDOSE RISK
Overdose risk increases for many reasons
including:
§ having liver, kidney, or breathing problems
§ taking opioids with benzodiazepines such as
Xanax, muscle relaxers, or alcohol.
§ taking more pills or more often than prescribed
§ any change in tolerance, especially if you don't
use or use less for a short period of time
§ changes in quality or purity of street drugs,
including fake pills
![Page 24: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/24.jpg)
![Page 25: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/25.jpg)
§ For users who attempt to achieve abstinence from drugs,
the average time from first treatment to last use is 9 years
with multiple episodes of care.§ Overdose risk is high during these periods of abstinence.
§ Naloxone is a drug used to reverse the effects of opioids.
§ Naloxone is safe and effective.
§ Naloxone has no effect on non-opioid overdoses.
Overdose Prevention : Naloxone
![Page 26: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/26.jpg)
OVERDOSE EDUCATION AND NALOXONE DISTRIBUTION
In the United States:
§ Over 640 naloxone programs
§ Over 150,000 people trained
§ Over 25,000 overdose
reversals (lives saved)
![Page 27: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/27.jpg)
SIGNS OF AN OPIOID OVERDOSE
![Page 28: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/28.jpg)
Respond to an overdose:
Stimulate &Alert 911
1.Stimulate victim with a sternal rub
2. If no response, delirious, or altered consciousness, call for 911 support
![Page 29: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/29.jpg)
Peel
Place
Press
How to Give Narcan
Nasal Spray
![Page 30: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/30.jpg)
Recovery Position After Narcan is Given
![Page 31: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/31.jpg)
GET NALOXONE
![Page 32: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/32.jpg)
WHERE TO FIND NALOXONE
![Page 33: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/33.jpg)
WHERE TO FIND NALOXONE
okimready.org/overdose/
![Page 34: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/34.jpg)
WHAT HAPPENS AT A HUB?
§ Informational survey (no identifying information)
§ Brief (10 min) education
§ Recognize overdose
§ Respond to overdose
§ Prevent overdose
§ Get a kit
![Page 35: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/35.jpg)
OPIOID OVERDOSEKnow H ow to Ac t
Recognize
§ Won’t respond to noise or
light
§ Slow or no breathing
§ Bluish lips and/or fingertips
§ Pinned pupils
Respond
§ Stimulate by calling their
name or gently shaking them
§ Call 911
§ Administer Naloxone if
available
§ Perform CPR
§ If no response in 3-5
minutes, administer
Naloxone again
Prevent
§ Avoid
§ Only take if prescribed to you
§ Don’t take opioids with other
drugs
§ Don’t take more than
prescribed
§ Dispose safely
![Page 36: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/36.jpg)
WHAT ELSE HAPPENS AT A HUB?
All:
§ Medication Assisted Treatment (MAT)
Many:
§ Recovery Services
§ Other drug and alcohol treatment
§ Mental healthcare services
![Page 37: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/37.jpg)
WHAT HEALTH CARE PROVIDERS CAN DO
§ Work together with patients on a plan to
manage their pain
§ Use non-opioid treatments
§ Use multimodal approaches
§ Focus on patient’s functional, realistic goals
§ Review patient PMP records prior to and
frequently after prescribing
§ If initiating opioid therapy, use short-acting
opioids
§ Identify risk of harm and offer treatment for
opioid use disorder
§ Educate patients on risks of opioid abuse
§ Use informed consent agreements with
patients
§ Understand the guidelines for pain
management
§ Complete continuing medical education in pain
management
§ Enroll in dissemination programs to implement
evidence-based clinical guidelines for pain
management in your practice
![Page 38: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/38.jpg)
MEDICATION-ASSISTED TREATMENTApproach ing Pos i t i ve O p io id Abuse Trea tm en t
§ Is primarily used for treatment of
addiction to opioids
§ The prescribed medications block
euphoric effects of opioids, relieve
cravings and normalize body functions
Medication-Assisted Treatment (MAT) combines the use of medications with
counseling and behavioral therapies to provide a “whole patient” approach to the
treatment of substance use disorders.
MAT:
§ Medications used in MAT are approved
by the FDA
§ Programs are clinically tailored to each
patient’s needs
§ Should not be used in conjunction with
anxiety medications
![Page 39: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/39.jpg)
ADDITIONAL PROGRAM RESOURCES
Prescription for Change Website okimready.org
What to Ask Your Doctor Before Taking Opioids: A Checklist
Prescription Opioids: What You Need to Know
Why Guidelines for Primary Care
Continuing Medical Education Course
Treatment Center Locations
Oklahoma’s Do No Harm Program
![Page 40: Reducing Negative Opioid Outcomes€¦ · OPIOID HARM REDUCTION STRATEGIES: QUALITY Quality is the purity and/or strength of a drug. The content of street/illicit drugs is always](https://reader035.fdocuments.in/reader035/viewer/2022071019/5fd2701dcc816f59bc46109f/html5/thumbnails/40.jpg)
Be Part of the Solution
§ Help prevent and treat the abuse of
prescription drugs in Oklahoma
§ Educate the community about safe use,
storage and disposal
§ Help change Oklahoma’s pattern of drug-
related overdose deaths
WHAT WE CAN DOA P resc r ip t ion fo r C hange in O k lahom a