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Development and Implementation of an Opioid Overdose Prevention Program Within a Preexisting Substance Use Disorders Treatment Center

Wilder, Christine M. MD; Brason, Fred Wells II; Clark, Angela K. MSN, RN; Galanter, Marc MD; Walley, Alexander Y. MD, MSc; Winstanley, Erin L. PhD

doi: 10.1097/ADM.0000000000000032
Clinical Case Conference

This case study of the development and implementation of an opioid overdose prevention program is based on an actual clinic's experience, but information about the clinic, including details of implementation and outcome measures, has been changed. Four experts reflect on the medical, administrative, peer-support, community, and evaluation aspects of this case. This discussion highlights challenges and important considerations in the creation of programs to address the ever-increasing risk for opioid overdose.

From the Department of Psychiatry and Behavioral Neuroscience (CMW, ELW), University of Cincinnati College of Medicine, Cincinnati, OH; Project Lazarus (FWB), Moravian Falls, NC; College of Nursing (AKC), University of Cincinnati, Cincinnati, OH; Division of Alcoholism and Drug Abuse (MG), New York University School of Medicine, New York; and Clinical Addiction Research Education Unit (AYW), Boston University School of Medicine, Boston, MA.

Send correspondence and reprint requests to Christine M. Wilder, MD, Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, 3131 Harvey Ave, Suite 104, Cincinnati, OH 45229. E-mail:

FWB reports having received grants from Purdue Pharma LP and Covidien, and consulting fees from Purdue Pharma LP. AYW reports having received consulting fees from Social Sciences Research, Inc. All other authors declare nothing to report.

Received October 17, 2013

Accepted February 15, 2014

© 2014 American Society of Addiction Medicine