Naloxone offers ‘immediate' assistance

Northern Maine is home to some of America's poorest - but it ranks high on national measures of health. Hospital programs visit more patients in their homes where they can be more comfortable and receive everything they need, which in turn reduces medical costs.

A program called the Safety Planning Intervention is reducing the occurrence of repeat suicide attempts among veterans. The program helps veterans establish a safety plan and identify a support network that they can rely on during times of crisis.

Crossroads for Women, a New Mexico nonprofit, is helping formerly incarcerated women find community, support, and recovery. Using trauma-informed care practices, the program offers a comprehensive list of services like housing, mental health treatment, employment counseling, and substance abuse treatment. Underlying all services is the understanding that no individual is trauma free and that community and relationships are crucial to sustainable recovery.

Hospitals in Colorado are changing their approach to opioid crisis by treating patients that come in as emergent cases and rushing them into medication-assisted addiction treatment. The model has proved so successful that doctors are now looking to expand this approach to methamphetamine users as well.

Across New Hampshire, youth are leading the fight against substance abuse. Programs like Dover’s Youth-to-Youth, Stand Up Sachems, Youth Leadership Through Adventure, and the Making it Happen Coalition, are all youth-led, adult-supported initiatives that are empowering young adults to create and disseminate substance abuse awareness and prevention campaigns. Fundamental to each of these efforts effective communication and creating a sense of community as key to prevention.

The Law Enforcement Assisted Diversion (LEAD) program in Alamosa, Colorado, gives police officers the option of sending people to substance abuse treatment rather than straight into the criminal justice system. Used in non-violent cases, the diversion program is based on a harm-reduction model that uses a health-care approach rather than a punitive approach to address the underlying issues when a crime is committed. Some police officers object to the program's mission, but proponents say that forcing compliance would be counterproductive.

The Wraparound Project at Zuckerman San Francisco General Hospital and Trauma Center turns gunshot victims' hospital stays into "a teachable moment," by providing them with services aimed at helping them avoid a repeat injury. Getting shot once is a key risk factor for a second injury, particularly for gun violence's most common victims, young Black men. Wraparound is one of the nation's oldest hospital-based violence intervention programs. It has helped about 850 clients, mostly with mental health counseling, housing, and jobs. The program is associated with a decreased reinjury rate in San Francisco.

Fifty years on, America's war on drugs has failed at its principal goals: to eradicate illicit drug use and sales, to repair communities damaged by the drug trade, and to prevent drug-related deaths. Despite massive amounts spent on law enforcement, which has created great social harms and fueled incarceration, drug use has rebounded to 40-year highs, drug overdose deaths are peaking, and supply of illegal drugs is abundant. Policy advocates say a combination of legalization and public-health approaches to the problems would accomplish more than the wasteful, ineffective "war" mentality used to date.

Collegiate recovery programs or communities — like the Center for Collegiate Recovery Communities in Texas — are robust resources for students struggling to overcome substance use issues, whether they’re in long-term recovery or new to the process. Some offer scholarships for students in recovery, dedicated staff and counselors, and sober social activities.

El Recovery Institute of Southwest Michigan, Inc., usa un método que se llama apoyo entre pares (emparejando personas con experiencias similares) para ayudar el proceso de recuperación. El Recovery Institute ofrece grupos, clases, reuniones individuales y reuniones sociales, y su también participan en actividades de divulgación en la comunidad. En los últimos años, el Recovery Institute ha atendido a miles de personas.