Opioid Initiative

student with pills Opioid overuse is complex and requires multifaceted solutions with two goals: identify and help individuals who are currently facing overuse and misuse; and implement prevention strategies to reverse the alarming trends. Both the downstream turbulence and upstream opportunities must be addressed. There is no single action or policy change that will suddenly halt and reverse this crisis. Research and changes to both practice and policy are important strategies currently being implemented by Missouri hospitals, providers and other key partners.

Opioid Initiative Videos


The Opioid Epidemic’s Impact on Expectant Mothers & Babies:
Dr. Randy Tobler, Scotland County Hospital

Randall Williams
Opioid Overuse Reduction Strategies: Dr. Randall Williams, Director, Missouri Department of Health & Senior Services

Darin Haug
Emergency Department Opioid-Prescribing Guidelines Implementation:
Dr. Darin Haug

Sam PageThe Value Of A Prescription Drug Monitoring Program For Physicians:
Dr. Sam Page

Policy Brief | Overdose Deaths, Hospital Visits and Unfilled Jobs: The Opioid Crisis in Missouri and Kansas

Opioid Misuse: A Complex Problem Requiring Multifaceted Solutions

Opioid Crisis' Youngest Victims: Neonatal Abstinence Syndrome Increases 538 Percent Throughout Decade (Jan. 31, 2018 News Release)

Trends in Hospital Utilization for Opioid Overuse and Drug-Dependent Newborns in Missouri (PDF)

The CDC has numerous resources available on the opioid overdose epidemic in the U.S.

State-specific research released by the Hospital Industry Data Institute earlier this year found that hospital treatment for commonly-prescribed opioid painkillers — where overuse is a primary or contributing factor for inpatient or emergency care — increased 137 percent in Missouri between 2005 and 2014. The March 2016 issue of Trajectories discusses how opioids are a population health dilemma.

Opioid Use in Missouri: Strategy for Reduced Misuse and Abuse (MHA Board Recommendations)

Opioid Policy Recommendations (prescribing guidelines)

Opioid Reduction Initiative Survey Summary

Opioids: A Strategy to Reduce Misuse and Abuse (presentation)

Opioid Patient Education Flyer #1: Disposal
(View Spanish Version)

Opioid Patient Education Flyer #2: Prescribing
(View Spanish Version)

Opioid Patient Education Flyer #3: Pain Management
(View Spanish Version)

News Release

The Centers for Disease Control and Prevention issued 12 new recommendations for prescribing opioid medications for chronic pain, excluding cancer, palliative and end-of-life care. The CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016, will help primary care providers ensure safe and effective treatment for their patients with chronic pain. The Journal of the American Medical Association has released numerous editorials and articles on opioids.

Opioid Management and Recommendations Webinar (August 2016) - PowerPoint