Smaller than a pencil, and using the same technology as an at-home pregnancy test, fentanyl test strips are disposable, single-use tests that can detect the presence of fentanyl or fentanyl analogs in a substance. This fact sheet sets forth how fentanyl test strips work as a drug checking tool, how they can mitigate risks to people with substance use disorder, and the current challenges with their legality....
In recent years, some states have enacted Good Samaritan and Naloxone Access laws to help reduce overdose deaths and respond to opioid overdoses.The Comprehensive Addiction and Recovery Act of 2016 included a provision for GAO to review these laws. This report addresses the following: (1) the efforts ONDCP has taken to collect and disseminate information on Good Samaritan and Naloxone Access laws, (2) the extent to which states, territories, and D.C. have these laws and the characteristics of them, and (3) what research indicates concerning the effects of Good Samaritan laws.To answer these questions, GAO collected and reviewed ONDCP documents and interviewed agency officials. GAO also reviewed and analyzed selected characteristics of jurisdictions' Good Samaritan and Naloxone Access laws. Further, GAO conducted a literature review of empirical studies published from 2010 through May 2020 that examined the effects of Good Samaritan laws....
After domestic production of methamphetamine increased significantly in the 1990s, federal and state authorities took action to address the hazardous conditions left behind in meth labs. Congress passed legislation directing the U.S. Environmental Protection Agency to establish meth decontamination guidelines based on the best available scientific knowledge. Today, the synthetic opioid fentanyl and its analogues cause over twice as many overdose deaths in the United States yearly as meth. Its effects, though similar to morphine or heroin, are 50 to 100 times more powerful, making even small amounts dangerous to users and bystanders alike. Despite this, as of 2021, the scale of federal and state action on fentanyl cleanup is not comparable to that historically taken against meth labs. Fentanyl is a relative newcomer to the scene of illicit drugs in the United States, so scientific authorities and policymakers have had less time to address the issue of clean up. In the interim, the lack of authoritative guidance and policy creates risks, as outlined in this fact sheet....
New psychoactive substances (NPS) are “substances of abuse, either in pure form or a preparation, that are not controlled by [international drug conventions], but which may pose a public health threat.” The term “new” (or “novel” in some publications) does not denote a brand new, never-before-seen substance, but a substance that is newly available in the drug market. NPS is a catch-all phrase that includes substances like bath salts, synthetic cannabinoids, synthetic opioids, synthetic cathinones, and other drugs of abuse that are not currently scheduled or controlled. This fact sheet provides general information about new and emerging drugs of abuse....
This fact sheet provides information about the Pay for Success Funding Initiatives, which involve, at a minimum, four parties: (1) the service provider/social program; (2) an investor or investors; (3) an independent evaluator; and (4) a traditional funder or “outcomes payor,” usually a branch of federal, state, or local government....
The Model Overdose Fatality Review Teams Act creates a legislative framework for establishing county-level, multidisciplinary overdose fatality review (OFR) teams in individual states. While overdose deaths occur nationally, OFRs established at the local level allow for the identification of and responses to specific local patterns related to drug overdoses. This model act addresses the duties, responsibilities, and composition of OFR teams in order for them to properly examine and understand the circumstances leading up to a fatal overdose....
A peer respite is a voluntary, short-term program, usually overnight, that provides community-based, non-clinical support to individuals experiencing, or at risk of experiencing, a psychiatric crisis. This fact sheet provides information about peer respites as an alternative to hospitalization. ...
While no set definition for polypharmacy exists, it is generally defined as the concurrent use of several prescribed medicines. Medical studies vary in how many simultaneous prescriptions qualify as polypharmacy, but many researchers set the threshold at five or more different prescription medications per day. In some cases, polypharmacy can lead to duplicate prescriptions or contraindicated prescribed drug combinations which may result from poor communication between an individual’s health care provider(s) and pharmacy or the patient’s own lack of understanding and knowledge. As people age, they have an increased chance of developing chronic conditions and comorbidities. Not surprisingly, elderly individuals in the United States are the likeliest cohort of adults to take multiple medications daily to treat or manage one or more medical conditions; this is referred to as “polypharmacy.” Research suggests that over half of elderly individuals report taking four or more prescription drugs, compared to only about one-third of adults aged 50-64, and one-in-ten of adults aged 18-49. This fact sheet provides information about Polypharmacy, which can have many serious adverse effects, particularly in the elderly population....
The CAHOOTS (Crisis Assistance Helping Out on the Streets) mobile crisis intervention program responds to non-police emergencies in the cities of Eugene and Springfield, Oregon. CAHOOTS teams are staffed by a medic and a mental health crisis worker, and receive over 500 hours of training, which includes education on de-escalation and crisis intervention. ...
The Department of Justice’s Bureau of Justice Statistics recently released statistical briefs on selected policies and procedures of local police departments and sheriffs’ offices, based on data from BJS’s 2016 Law Enforcement Management and Administrative Statistics survey. The tables show national estimates and distributions by population served on topics such as average hours of officer training by type of training, written community-policing plans, annual operating budgets, written directives for officer conduct, written documentation for officers’ display or discharge of firearms, authorized less-lethal techniques and restraints, and requirements for external investigations of deaths or use of force....