Speaker(s):

Rachel Winograd, PhD

Presentation: Funds from the Federal 21st Century Cures Act were distributed to states by SAMHSA in Spring, 2017, to address the opioid crisis in the form of State Targeted Response to the Opioid Crisis (Opioid STR) grants. Missouri’s is led by Dr. Rick Gowdy, Director of the Division of Behavioral Health, Missouri Department of Mental Health, and directed by Dr. Rachel Winograd of the Missouri Institute of Mental Health-University of Missouri, St. Louis. Collaborative partners include substance use and healthcare agencies, organizations, and academic affiliates throughout the state. This talk will describe the landscape of opioid use and overdose deaths in Missouri and how the Opioid STR project plans to curb the trend and change the system of care in our state. The primary goals of the Missouri Opioid STR project include: 1) Increase provider and consumer-focused opioid use and overdose prevention initiatives and programs (through school-based prevention, telehealth consultation on safe opioid prescribing in primary care, and expanded overdose education and naloxone distribution efforts); 2) Increase access to evidence-based Medication Assisted Treatment for uninsured individuals with Opioid Use Disorder (OUD) (through rigorous provider training, direct service delivery, healthcare integration, and improved transitions of care in hospital and outpatient settings); 3) Increase the number of individuals with an OUD who receive recovery support services (through four new Recovery Community Centers, supportive recovery housing, and peer specialist services); and 4) Increase the likelihood of sustainability through policy and practice change as well as demonstrated effectiveness of grant-supported protocols.

Objectives:

  • Describe the regions and populations in Missouri most heavily impacted by opioid use and overdose death
  • Describe the role of agonist and partial agonist medications (e.g., Suboxone) in an evidence-based approach to the treatment of opioid use disorder
  • Review the primary objectives of the Missouri State Targeted Response to the Opioid Crisis Grant in the areas of prevention, treatment, and recovery support

Slides and Handouts:

Winograd STI Missouri Opioid STR