Trending News
Latest Trending News
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OJJDP Administrator Ryan Announces FY23 Building Local Continuums of Care to Support Youth Success Award
Friday, April 12, 2024
On April 11, 2024, OJJDP Administrator Liz Ryan announced the inaugural cohort of grantees for the FY 2023 Building Local Continuums of Care To Support Youth Success initiative. Awards total more than $17 million to 23 grantees and 3 training and technical assistance providers. This initiative is designed to prevent youth from entering or moving deeper into the juvenile justice system. Two grant recipients, the Pennsylvania Commission on Crime and Delinquency and the City of Philadelphia, were highlighted during the event.
https://ojjdp.ojp.gov/media/video/40291
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OJJDP Administrator Ryan Announces FY23 Building Local Continuums of Care to Support Youth Success Award
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Prevention Action Alliance: Resources for Parents
Friday, April 5, 2024
This parental/caregiver involvement serves as a child’s first source of support as they grow in independence and lead healthy and successful lives. Mental health wellness and substance misuse prevention starts with parents learning the facts and understanding the challenges that children and adolescents experience. The fact sheets provided are to provide synopsis of best practices, emerging trends, and practical tips to help you be the positive and strong influence your child needs.
https://preventionactionalliance.org/community-resources/resources-for-parents/
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Prevention Action Alliance: Resources for Parents
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In Support of President Biden’s Unity Agenda, White House Drug Policy Director Travels to Georgia to Discuss Efforts to Address the Overdose Epidemic and Save Lives
Friday, April 5, 2024
The White House Office of National Drug Control Policy (ONDCP) Director, Dr. Rahul Gupta, traveled to Georgia to discuss efforts to address the overdose epidemic and save lives. This visit is part of President Biden’s Unity Agenda, which includes a call for Congress to provide additional resources to combat the nation’s overdose epidemic. The administration requests $1.55 billion to expand essential life-saving services offered through the State Opioid Response grant program.
https://www.whitehouse.gov/ondcp/briefing-room/2024/04/05/in-support-of-president-bidens-unity-agenda-white-house-drug-policy-director-travels-to-georgia-to-discuss-efforts-to-address-the-overdose-epidemic-and-save-lives/
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In Support of President Biden’s Unity Agenda, White House Drug Policy Director Travels to Georgia to Discuss Efforts to Address the Overdose Epidemic and Save Lives
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Harm Reduction in the Context of Child Well-Being
Thursday, March 28, 2024
This series provides an overview of a harm reduction approach that meets the needs of children, parents, and family members affected by substance use disorders. This 3-part tip series highlights policy and practice considerations to improve recovery, safety, and well-being outcomes.
https://ncsacw.acf.hhs.gov/topics/prevention/harm-reduction-series/
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Harm Reduction in the Context of Child Well-Being
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America’s growing movement to divert youth out of the justice system
Thursday, March 28, 2024
Jurisdictions across the country are advancing reforms to expand and improve diversion, demonstrating diversion’s potential to transform youth justice in ways that protect public safety and enhance youth success.
https://jjie.org/2024/03/28/report-americas-growing-movement-divert-youth-out-of-justice-system/
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America’s growing movement to divert youth out of the justice system
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Emergency Department Peer Support Program and Patient Outcomes After Opioid Overdose
Monday, March 25, 2024
This article discusses the implementation of an Opioid Overdose Recovery Program (OORP) in emergency departments. The program aims to improve patient outcomes after an opioid overdose. The study found that peer support services were effective in decreasing substance use and improving recovery capital, such as housing stability, self-care, independence, and health management. The research also indicated an increased likelihood of abstinence among those exposed to peer support workers.
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2816733?resultClick=1
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Emergency Department Peer Support Program and Patient Outcomes After Opioid Overdose
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Lessons from the Field Webinar - Understanding Access and Promoting Safety: Youth and Online Drugs
Wednesday, March 20, 2024
This webinar will help practitioners understand how counterfeit medications and illicit substances are made available online and shipped directly to people in their homes. Presenters discussed how the marketing of drugs, both for therapeutic use and recreational use, has shifted over time and how current messaging tactics may lead students to believe that their usage is both a social norm and safe. Our panelists provided information on how they are directly working with the Drug Enforcement Administration and others to address drug access and discuss what adults can do to support safer online access for students through digital wellness approaches.
https://safesupportivelearning.ed.gov/events/webinar/lessons-field-webinar-understanding-access-and-promoting-safety-youth-and-online
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Lessons from the Field Webinar - Understanding Access and Promoting Safety: Youth and Online Drugs
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The Foundation of Mental Health: It Starts at Birth
Friday, March 15, 2024
The article emphasizes the importance of focusing on infant and early childhood mental health for their emotional and social growth and development. It highlights that nurturing healthy brain development from birth can help mitigate serious mental health issues that may appear in adulthood. The article also mentions that infants and toddlers can experience mental health conditions, just like every age group
https://www.samhsa.gov/blog/foundation-mental-health-it-starts-birth
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The Foundation of Mental Health: It Starts at Birth
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FACT SHEET: Biden-Harris Administration Launches the White House Challenge to Save Lives from Overdose
Wednesday, March 13, 2024
The Biden-Harris Administration launched the “White House Challenge to Save Lives from Overdose” on March 13, 2024. This nationwide call to action encourages stakeholders across all sectors to commit to increasing training on and access to lifesaving opioid overdose reversal medications. The administration has already invested over $100 billion to disrupt the flow of illicit drugs and expand access to treatment. They are now calling on organizations and businesses to ensure communities are ready to use this life-saving tool to reduce opioid deaths.
https://www.whitehouse.gov/briefing-room/statements-releases/2024/03/13/fact-sheet-biden-harris-administration-launches-the-white-house-challenge-to-save-lives-from-overdose/
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FACT SHEET: Biden-Harris Administration Launches the White House Challenge to Save Lives from Overdose
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A significant number of US 12th-graders report using delta-8 products, study says, and it may be a public health concern
Wednesday, March 13, 2024
The article discusses a study revealing that approximately 11% of 12th-grade students in the United States reported using delta-8-tetrahydrocannabinol (delta-8 THC) in the past year. The authors of the study express concern about this trend, particularly because delta-8 THC is often marketed as a “light THC” or a legal alternative to weed, and there are no age restrictions for buying delta-8 in most states where the product is legal.
https://www.campusdrugprevention.gov/significant-number-us-12th-graders-report-using-delta-8-products-study-says-and-it-may-be-public
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A significant number of US 12th-graders report using delta-8 products, study says, and it may be a public health concern
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Effects of the Communities that Heal (CTH) intervention on perceived opioid-related community stigma in the HEALing Communities Study: results of a multi-site, community-level, cluster-randomized trial
Tuesday, March 12, 2024
Community stigma against people with opioid use disorder (OUD) and intervention stigma (e.g., toward naloxone) exacerbate the opioid overdose crisis. We examined the effects of the Communities that HEAL (CTH) intervention on perceived opioid-related community stigma by stakeholders in the HEALing Communities Study (HCS).
https://www.thelancet.com/journals/lanam/article/PIIS2667-193X(24)00037-1/fulltext
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Effects of the Communities that Heal (CTH) intervention on perceived opioid-related community stigma in the HEALing Communities Study: results of a multi-site, community-level, cluster-randomized trial
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SAMHSA’s Fiscal Year 2025 Budget Seeks $8.1 Billion to Support Mental Health and Substance Use Services Across US
Monday, March 11, 2024
The Fiscal Year (FY) 2025 President’s Budget includes $8.1 billion for the Substance Abuse and Mental Health Services Administration (SAMHSA), $612 million more than the agency’s FY 2023 enacted budget. The FY 2025 budget proposal continues to support the President’s Unity Agenda to address the nation’s ongoing mental health crisis and overdose epidemic.
https://www.samhsa.gov/newsroom/press-announcements/20240311/samhsa-fiscal-year-2025-budget-8-billion-support-mental-health-substance-use
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SAMHSA’s Fiscal Year 2025 Budget Seeks $8.1 Billion to Support Mental Health and Substance Use Services Across US
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Today in Juvenile Justice: Administrator Update, February 26, 2024
Thursday, February 29, 2024
During the call held on February 26, 2024, Administrator Ryan highlights OJJDP's Continuum of Care initiative, which spans prevention, intervention, and reentry strategies that focus on improving youth outcomes and increasing public safety.
https://ojjdp.ojp.gov/media/video/39836
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Today in Juvenile Justice: Administrator Update, February 26, 2024
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Juvenile Court Statistics 2021
Thursday, February 29, 2024
Juvenile Court Statistics 2021 draws on data from the National Juvenile Court Data Archive (Archive) to profile 437,300 delinquency cases and 51,500 petitioned status offense cases handled in 2021 by U.S. courts with juvenile jurisdiction. The report also tracks trends in delinquency and petitioned status cases between 2005 and 2021. The data used in this report were contributed to the Archive by nearly 2,400 courts with jurisdiction over 83% of the juvenile population in 2021.
https://ojjdp.ojp.gov/library/publications/juvenile-court-statistics-2021
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Juvenile Court Statistics 2021
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Addressing Disparities in LGBTQI+-specific Substance Use Disorder Treatment: Deflection Approaches by the Franklin County, Ohio, SAFER Program
Thursday, February 29, 2024
Members of the LGBTQI+ community experience substantially higher rates of SUD than non-LGBTQI+-identifying individuals, yet understanding of how their identities affect the development of SUD and the efficacy of treatment has been slow to develop. Learn how the SAFER Program in Franklin County, Ohio, is using deflection to help expand the scope of mental health and SUD treatment available to marginalized communities.
https://www.cossup.org/Content/Documents/Articles/CHJ-TASC_Disparities_in_LGBTQI_Treatment_Resources_Feb2024.pdf
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Addressing Disparities in LGBTQI+-specific Substance Use Disorder Treatment: Deflection Approaches by the Franklin County, Ohio, SAFER Program
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Examining the Use of Braided Funding for Substance Use Disorder Services
Thursday, February 29, 2024
This report looks at state and federal laws and policies that encourage braided funding to provide substance use disorder services, best practices for braiding funds, and pathways to sustainability for substance use disorder programs.
https://store.samhsa.gov/product/examining-use-braided-funding-substance-use-disorder-services/pep23-06-07-002
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Examining the Use of Braided Funding for Substance Use Disorder Services
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The Justice and Mental Health Collaboration Program: Improving Outcomes for Justice-Impacted Individuals with Mental Health and Substance Use Disorders
Monday, February 26, 2024
The blog post sheds light on the Justice and Mental Health Collaboration Program (JMHCP), a grant initiative aimed at enhancing collaboration between justice systems and mental health services. It addresses the challenges faced by individuals with behavioral health disorders who intersect with the criminal justice system. The post also highlights successful strategies implemented by JMHCP grantees to better serve this vulnerable population.
https://bja.ojp.gov/news/blog/justice-and-mental-health-collaboration-program-improving-outcomes-justice-impacted
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The Justice and Mental Health Collaboration Program: Improving Outcomes for Justice-Impacted Individuals with Mental Health and Substance Use Disorders
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National Center for Drug Abuse Statistics
Friday, February 23, 2024
The National Center for Drug Abuse Statistics (NCDAS) is a non-profit organization that provides comprehensive data and trends on substance use and addiction in the United States. The website features noteworthy drug use data, including overdose deaths, demographics, mental health, drug use treatment programs, and the cost of the War on Drugs. A significant focus of the website is youth drug use, a high-profile public health concern. It offers facts and statistics on drug use among teens and young adults. Additionally, the website provides various resources and references for further information, such as state-level statistics, drug use prevention tips, and links to other reputable sources. This makes the NCDAS website a valuable resource for anyone seeking information on drug use statistics in the US.
https://drugabusestatistics.org/opioid-epidemic/
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National Center for Drug Abuse Statistics
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Accessibility of Opioid Treatment Programs Based on Conventional vs Perceived Travel Time Measures
Tuesday, February 20, 2024
Transportation barriers have long been associated with poorer health outcomes; this burden is especially acute for individuals with opioid use disorder (OUD), a chronic disease often associated with low socioeconomic status. Conventional travel time analyses may not fully account for experiential components of travel, thereby understating the true travel burden and overstating treatment accessibility to opioid treatment programs (OTPs).
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2815277?resultClick=3
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Accessibility of Opioid Treatment Programs Based on Conventional vs Perceived Travel Time Measures
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Policy News Roundup: February 15, 2024
Thursday, February 15, 2024
The "Policy News Roundup" on February 15, 2024, highlights the underutilization of effective treatments for opioid use disorder (OUD). The article discusses the barriers to treatment access, including punitive regulations, misconceptions about recovery, and sociological and economic factors. It also mentions promising approaches to address the crisis, such as harm reduction, medications in jails/prisons, and bridge clinics.
https://drugfree.org/drug-and-alcohol-news/policy-news-roundup-february-15-2024/
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Policy News Roundup: February 15, 2024
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A Conversation with Tribal Youth Resource Center Young Leaders and OJJDP Administrator Ryan
Monday, February 12, 2024
The Tribal Youth Resource Center (TYRC) Podcast is a part of the TYRC’s commitment to providing culturally relevant and trauma-informed training & technical assistance to the Office of Juvenile Justice and Delinquency Prevention (OJJDP) tribal grantees and the other tribes who seek our services.
https://www.tribalyouth.org/listen-to-our-podcasts/
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A Conversation with Tribal Youth Resource Center Young Leaders and OJJDP Administrator Ryan
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HHS Finalizes New Provisions to Enhance Integrated Care and Confidentiality for Patients with Substance Use Conditions
Thursday, February 8, 2024
The U.S. Department of Health and Human Services (HHS) has finalized provisions to improve integrated care and confidentiality for patients with Substance Use Disorders (SUDs). The changes aim to enhance coordination among providers, strengthen confidentiality protections, and integrate behavioral health information with other medical records to improve patient outcomes.
https://www.samhsa.gov/newsroom/press-announcements/20240208/hhs-finalizes-new-provisions-enhance-intergrated-care-confidentiality-patients-substance-use-conditions
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HHS Finalizes New Provisions to Enhance Integrated Care and Confidentiality for Patients with Substance Use Conditions
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Justice Department Announces Plan to Administer Grant Funding Opportunities for Fiscal Year 2024 to Strengthen Community Safety
Thursday, February 8, 2024
The Justice Department today announced its annual plan for making anticipated grant funding available this fiscal year to advance public safety activities and improve justice system outcomes. The Department is inviting community-based organizations; state, local, Tribal, and territorial government agencies, including law enforcement agencies; research institutions; and nonprofit entities to apply for funding from more than 200 grant programs, administered by its Office of Community Oriented Policing Services (COPS Office), Office of Justice Programs (OJP), and Office on Violence Against Women (OVW).
https://www.justice.gov/opa/pr/justice-department-announces-plan-administer-grant-funding-opportunities-fiscal-year-2024
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Justice Department Announces Plan to Administer Grant Funding Opportunities for Fiscal Year 2024 to Strengthen Community Safety
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Employing Mental Health Clinicians to Improve Police Outcomes
Tuesday, February 6, 2024
Law enforcement agencies are teaming up with mental health clinicians to improve behavioral health responses and allow police officers to focus on crime reduction. In this episode of Justice Today, our host discusses how Denver police work side-by-side with mental health clinicians to treat residents experiencing mental health emergencies and connect them with treatment.
https://bja.ojp.gov/podcast/employing-mental-health-clinicians-to-improve-police-outcomes
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Employing Mental Health Clinicians to Improve Police Outcomes
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White House Drug Policy Director Statement on New Actions to Expand Access to Treatment and Save Lives
Thursday, February 1, 2024
The White House Drug Policy Director has announced new measures aimed at expanding access to treatment for substance use disorders and saving lives. These actions underscore the administration’s commitment to addressing the drug use crisis and its devastating impacts on individuals and communities across the nation.
https://www.whitehouse.gov/ondcp/briefing-room/2024/02/01/white-house-drug-policy-director-statement-on-new-actions-to-expand-access-to-treatment-and-save-lives/
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White House Drug Policy Director Statement on New Actions to Expand Access to Treatment and Save Lives
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Overdose Prevention and Response Toolkit
Wednesday, January 31, 2024
SAMHSA’s updated Overdose Prevention and Response Toolkit provides guidance to a wide range of individuals on preventing and responding to an overdose. The toolkit also emphasizes that harm reduction and access to treatment are essential aspects of overdose prevention. The toolkit, designed to augment overdose prevention and reversal training, provides guidance on the role of opioid overdose reversal medications, including naloxone and nalmefene, and how to respond to an overdose. It also contains appendices for specific audiences, including people who use drugs (PWUD), people who take prescription opioids, first responders, healthcare practitioners, and others.
https://store.samhsa.gov/sites/default/files/overdose-prevention-response-kit-pep23-03-00-001.pdf
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Overdose Prevention and Response Toolkit
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Opioid Prescription Duration Limits
Friday, January 19, 2024
JAMA Health Forum Editor John Ayanian, MD, MPP, and Deputy Editor Melinda Buntin, PhD, speak with Lindsay D. Allen, PhD, about how setting-specific opioid prescription duration limits helped reduce opioid overuse in West Virginia.
https://edhub.ama-assn.org/jn-learning/audio-player/18847312?resultClick=24
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Opioid Prescription Duration Limits
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San Antonio, Texas, Fire Department, Mobile Integrated Health Division: “Harm Reduction,” the New “Fire Prevention”
Tuesday, January 9, 2024
In 2018, the San Antonio (Texas) Fire Department Mobile Integrated Health program developed the Texas Targeted Opioid Response program, designed to help stabilize patients with a history of opioid use in a pre-hospital setting and refer them to a facility to assist with the long-term rehabilitation and recovery. The program aims to be the bridge between overdose and the counseling/recovery center, distribution of Narcan, and education of patients and families. In 2019, the fire department started a medication-assisted treatment program with the intent of providing in-field induction of Suboxone to assist patients awaiting treatment.
https://www.cossup.org/ResourceLibrary/Details/edba34ed-41a4-43c8-9c30-563be7ae10bd
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San Antonio, Texas, Fire Department, Mobile Integrated Health Division: “Harm Reduction,” the New “Fire Prevention”
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Advisory: Low Barrier Models of Care for Substance Use Disorders
Sunday, December 31, 2023
The Advisory outlines the principles and components of low barrier care, and how low barrier care may be leveraged to overcome substantial gaps in access, while also engaging individuals in treatment.
https://store.samhsa.gov/product/advisory-low-barrier-models-care-substance-use-disorders/pep23-02-00-005
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Advisory: Low Barrier Models of Care for Substance Use Disorders
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Opioid Crisis: Perceived Impacts on Overdose First Responders
Friday, December 22, 2023
This analysis of in-depth interviews captures perceptions by first responder agencies working on the front lines of the opioid and other drug crises in some of the nation’s hardest-hit communities. Its purpose was to gain insights into the needs of the first responder workforce in response to staff members’ exposure to potentially traumatic stressors. It describes how overdose response duties affect individuals and organizations, the measures agencies take to minimize any negative consequences, and suggestions on ways to better prepare and support the field to manage the associated stressors.
https://www.cossup.org/ResourceLibrary/Details/288d40d3-ac05-447f-abae-dfca2db452e9
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Opioid Crisis: Perceived Impacts on Overdose First Responders
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Implementing Trauma-Informed Drug-Testing Protocols in Child Welfare and Family Court Programs: A Technical Assistance Brief
Tuesday, December 19, 2023
This technical assistance brief underscores the importance of recognizing the prevalence of trauma, especially among marginalized communities involved in the justice system. The integration of trauma-informed practices in drug testing ranging from noninvasive testing methods to considerate language and supportive environments—is crucial in reshaping how justice-involved individuals are treated. The transition to Trauma-Informed Drug Testing in Child Welfare and Family Court Programs is a crucial step toward a more humane, effective, and just society. This article provides a road map for agencies and programs to integrate trauma informed drug-testing procedures.
https://iirinc.sharepoint.com/:b:/s/JPHIFileCloud/EXtkddWS2p9AgNIAlyYlbYgBzG_7_AZE52doA44ysZdLgQ?e=nwkhfi
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Implementing Trauma-Informed Drug-Testing Protocols in Child Welfare and Family Court Programs: A Technical Assistance Brief
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OAYI Podcast: Answering The Call, Episode 5 (Listen)
Tuesday, December 19, 2023
The Opioid Affected Youth Initiative’s nine-segment podcast series, Answering the Call, seeks to examine the roles and perspectives of first responders, marginalized communities, and justice systems, as well as the role of the Office of Juvenile Justice and Delinquency Prevention in the opioid crisis. In this episode, “Addressing Not Arresting”, Rosezetta Bobo and Dale Landry, will discuss how justice systems can better support youth who present with co-occurring mental health and substance use disorders. This segment will focus on restorative strategies for creating and enhancing juvenile justice programs that address substance use challenges, specifically related to opioid use, and highlight best practices that not only reduce substance use and recidivism but also align with positive outcomes for impacted youth and their families.
https://www.buzzsprout.com/2054117/14175856
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OAYI Podcast: Answering The Call, Episode 5 (Listen)
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OAYI Podcast: Answering The Call, Episode 5 (Watch)
Tuesday, December 19, 2023
The Opioid Affected Youth Initiative’s nine-segment podcast series, Answering the Call, seeks to examine the roles and perspectives of first responders, marginalized communities, and justice systems, as well as the role of the Office of Juvenile Justice and Delinquency Prevention in the opioid crisis. In this episode, “Addressing Not Arresting”, Rosezetta Bobo and Dale Landry, will discuss how justice systems can better support youth who present with co-occurring mental health and substance use disorders. This segment will focus on restorative strategies for creating and enhancing juvenile justice programs that address substance use challenges, specifically related to opioid use, and highlight best practices that not only reduce substance use and recidivism but also align with positive outcomes for impacted youth and their families.
https://youtu.be/t4hInl57d9k?si=_6f_Ptm_e4TgPlAi
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OAYI Podcast: Answering The Call, Episode 5 (Watch)
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Kansas City Teens Join in the Fight Against Fentanyl
Wednesday, December 6, 2023
High school students in the Northland are helping city officials brainstorm ways to get drugs off the streets.
https://www.kctv5.com/2023/12/06/kansas-city-teens-join-fight-against-fentanyl/
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Kansas City Teens Join in the Fight Against Fentanyl
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FentAlert: Empowering Youth to Safeguard Against Fentanyl Elevating Youth Voices to Increase Awareness About the Risks of Fentanyl
Friday, December 1, 2023
The Substance Abuse and Mental Health Services Administration (SAMHSA) is seeking the best ideas from U.S. youth, aged 14–18, on a community strategy to increase youth awareness, education, and prevention around the dangers of fentanyl, especially the hidden dangers of fake pills and other contaminants that can lead to drug overdose deaths. The top six ideas will each be awarded a $5,000 prize, and up to 25 youth will receive a $2,000 honorable mention prize. The deadline for submission is February 26, 2024.
https://www.samhsa.gov/about-us/who-we-are/offices-centers/csap/fentanyl-awareness-youth-challenge
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FentAlert: Empowering Youth to Safeguard Against Fentanyl Elevating Youth Voices to Increase Awareness About the Risks of Fentanyl
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2024 Mental Health Awareness Month Toolkit
Monday, May 8, 2023
Check out what SAMHSA is doing share our materials, and remember that we all play active roles in caring for our mental health! SAMHSA’s toolkit is designed to promote mental health awareness. It emphasizes the collective responsibility of caring for mental health and provides downloadable and shareable materials, some of which are customizable, for partners to use across various media channels.
https://www.samhsa.gov/mental-health-awareness-month/toolkit?utm_source=SAMHSA&utm_campaign=e9b35fda3d-EMAIL_CAMPAIGN_2024_04_12_06_58&utm_medium=email&utm_term=0_-e9b35fda3d-%5BLIST_EMAIL_ID%5D
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2024 Mental Health Awareness Month Toolkit
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Opioid Utilization Dashboard
Thursday, March 16, 2023
Interactive map details Medicare beneficiaries using opioids, medications for opioid use disorder (MOUD), and potentially dangerous combinations of other drugs with opioids by state with county-level data.
https://tableau.ipro.org/t/cms-qin/views/OpioidUtilizationDashboard/OpioidUse?%3Aembed=y&%3AisGuestRedirectFromVizportal=y
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Opioid Utilization Dashboard
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Why Youth Incarceration Fails: An Updated Review Of The Evidence
Saturday, December 31, 2022
Despite declines in recent decades, the United States continues to incarcerate more young people than any of its counterparts worldwide. This report from the Sentencing Project presents and analyzes the negative consequences of incarceration for young people and explains why incarceration fails to rehabilitate youth and protect the public. It highlights a number of programs, policies, and practices that have been effective at reducing dependence on incarceration and offers recommendations for states and local justice systems.
https://www.sentencingproject.org/app/uploads/2023/03/Why-Youth-Incarceration-Fails.pdf
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Why Youth Incarceration Fails: An Updated Review Of The Evidence