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. 2024 May:160:209309.
doi: 10.1016/j.josat.2024.209309. Epub 2024 Feb 8.

Statewide efforts to address the opioid epidemic: Results from a national survey of single state agencies

Miguel Antonio G Estrada  1 , Amanda J Abraham  2 , Christina M Andrews  3 , Colleen M Grogan  4
Affiliations

Statewide efforts to address the opioid epidemic: Results from a national survey of single state agencies

Miguel Antonio G Estrada et al. J Subst Use Addict Treat. 2024 May.

Abstract

Background: Single State Agencies (SSAs) are at the forefront of efforts to address the nation's opioid epidemic, responsible for allocating billions of dollars in federal, state, and local funds to ensure service quality, promote best practices, and expand access to care. Federal expenditures to SSAs have more than tripled since the early years of the epidemic, yet, it is unclear what initiatives SSAs have undertaken to address the crisis and how they are financing these efforts.

Methods: This study used data from an internet-based survey of SSAs, conducted by the University of Chicago Survey Lab from January to December 2021 (response rate of 94 %). The survey included a set of 14 items identifying statewide efforts to address the opioid epidemic and six funding sources. We calculated the percentage of SSAs that supported each statewide effort and the percentage of SSAs reporting use of each source of funding across the 14 statewide efforts.

Results: Treatment of opioid-related overdose figured most prominently among statewide efforts, with all SSAs providing funding for naloxone distribution and all but one SSA supporting naloxone training. Recovery support services, Project ECHO, and Hub and Spoke models were supported by the vast majority of SSAs. Statewide efforts related to expanding access to medications for opioid use disorder (MOUD) received somewhat less support, with 45 % of SSAs supporting mobile methadone/MOUD clinics/programs and 70 % supporting buprenorphine in emergency departments. A relatively low proportion of SSAs (54 %) provided support for syringe services programs. State Opioid Response (SOR) funds were the most common funding source reported by SSAs (57 % of SSAs), followed by block grant funds (19 %) and other state funding (15 %).

Conclusion: Results highlight a range of SSA efforts to address the nation's opioid epidemic. Limited adoption of efforts to expand access to MOUD and harm reduction services may represent missed opportunities. The uncertainty over reauthorization of the SOR grant post-2025 also raises concerns over sustainability of funding for many of these statewide initiatives.

Keywords: Harm reduction; Medications; Opioid use disorder; Overdose; Public funds; Single state agencies.

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Conflict of interest statement

Declaration of competing interest None to declare.

Figures

Figure 1.
Figure 1.
Statewide Efforts to Facilitate SUD Treatment & Address Overdose (% of SSAs)
Figure 2.
Figure 2.
Funding Sources for Statewide Efforts (% of SSAs)
Figure 2.
Figure 2.
Funding Sources for Statewide Efforts (% of SSAs)
Figure 3.
Figure 3.
Number of Statewide Efforts Supported by SSAs
See this image and copyright information in PMC

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References

    1. Andrews CM, Hinds OM, Lozano-Rojas F, Besmann WL, Abraham AJ, Grogan CM, & Silverman AF (2023). State Funding For Substance Use Disorder Treatment Declined In The Wake Of Medicaid Expansion. Health Affairs, 42(7), 981–990. 10.1377/hlthaff.2022.01568 - DOI - PubMed
    1. Ashford RD, Brown A, Canode B, Sledd A, Potter JS, & Bergman BG (2021). Peer-based recovery support services delivered at recovery community organizations: Predictors of improvements in individual recovery capital. Addictive Behaviors, 119, 106945. 10.1016/j.addbeh.2021.106945 - DOI - PubMed
    1. Aspinall EJ, Nambiar D, Goldberg DJ, Hickman M, Weir A, Van Velzen E, Palmateer N, Doyle JS, Hellard ME, & Hutchinson SJ (2014). Are needle and syringe programmes associated with a reduction in HIV transmission among people who inject drugs: A systematic review and meta-analysis. International Journal of Epidemiology, 43(1), 235–248. 10.1093/ije/dyt243 - DOI - PubMed
    1. Brooklyn JR, & Sigmon SC (2017). Vermont Hub-and-Spoke Model of Care for Opioid Use Disorder: Development, Implementation, and Impact. Journal of Addiction Medicine, 11(4), 286. 10.1097/ADM.0000000000000310 - DOI - PMC - PubMed
    1. Center for Behavioral Statistics and Quality. (2022). Results from the 2021 National Survey on Drug Use and Health: Detailed Tables. Substance Abuse and Mental Health Services Administration.

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