National Resource Center for Academic Detailing [NaRCAD]
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  • Who We Are
    • WHY WE MATTER
    • Our Team
    • Internship Program
    • Testimonials
    • Contact Us
  • LEARNING COURSES
    • Training Series
    • SKILLS LAB
    • ON-DEMAND WEBCASTS
    • Virtual Coaching Sessions
  • Tools
    • Program Planning Hub
    • AD How-To Guides
    • AD Core Toolkits >
      • Inclusivity Toolkit
      • Evaluation Toolkit
      • Opioid Safety Toolkit
      • HIV Prevention Toolkit
      • E-Detailing Toolkit
  • Community
    • COMMUNITY CHECK-INS
    • Peer Connection Program
    • Detailing Community
  • EVENTS
    • CONFERENCE SERIES
    • Present at NaRCAD2025
    • THE CONFERENCE HUB
    • AD Summit Series
    • The AD Summit Hub
  • MEDIA CENTER
    • The Details Blog
    • Podcast Series
    • e-newsletter
    • AD Literature Archives
    • Virtual Bookshelf

Opioid Safety Toolkit

Best practices in AD for opioid safety, substance use, and harm reduction.
current CDC Guidelines
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I. Detailing
​Materials & Resources
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Detailing campaign materials, provider resources, and patient-facing materials.​
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II. Best Practices from Our AD Community

Blogs, presentations, and webinars on substance use.
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III. General Opioid Safety
​Overviews & Guidelines
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Guides, materials, and toolkits from federal agencies to inform your detailing project. 
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IV. Opioid Safety
Articles & Publications
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Research articles on opioid safety, substance use, and harm reduction. ​​​​
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​I. DETAILING MATERIALS & RESOURCES
Examples of AD Campaign Materials:
  • Training Detailing Aid: Reducing Stigma, Saving Lives: How Clinicians Can Help Patients Who Use Substances | NaRCAD
  • Training Detailing Aid: Improving Patient Safety and Reducing Opioid Overdoses | NaRCAD
  • Modules: Clinical Modules & Corresponding Detail Aids | Alosa Health
  • Detailing Binder: Opioid Stewardship and Chronic Pain: A Guide for Primary Care Providers | San Francisco Department of Public Health
  • Academic Detailing Kit: Care for People Who Use Substances | Arizona State University, Southwest Interdisciplinary Research Center, DISH-AZ
  • Toolkit: Creating and Implementing an Academic Detailing (AD) Program | University of Illinois Chicago
  • Resource: Opioid Overdose Education & Naloxone Distribution (OEND) | VA Academic Detailing Service​
  • Toolkit: Buprenorphine Action Kit (2019) | NYC Department of Health and Mental Hygiene
  • Resource: Pain & Opioid Safety Initiative (OSI) Materials | VA Academic Detailing Service
  • Toolkit: Naloxone for Pharmacists Action Kit (2018) | NYC Department of Health and Mental Hygiene
  • Provider Brochure: Managing Chronic Non-Cancer Pain | San Francisco Department of Public Health
  • Toolkit: Cocaine Action Kit (2020) | NYC Department of Health and Mental Hygiene​
  • Resource: Opioid Safety Educational Materials | Center for Innovative Academic Detailing on Opioids & Stimulants (CIAO). San Francisco Department of Public Health
  • Scheduling Visits: Opioid AD 1-Pager Example | Mountain Area Health Education Center

Clinician-Facing Resources:
  • Resource: Healthcare Professionals | CDC
  • Resource: Training Modules: Overdose Prevention Trainings for Patient-Centered Care | CDC
  • Conversation Starter: Empathy: Talking to Patients About Substance Use Disorder | CDC
  • Resource: Overdose Graphics and Videos | CDC
  • Toolkit: Trainer's Toolkit for Safer and Competent Prescribing Education | SCOPE of Pain
  • Discussion Guide: Difficult Conversations on Opioids | Minnesota Department of Human Services
  • Resource: Healthcare Provider Toolkit​​ | Take Charge Ohio​
  • Resource: Nonopioid Pharmacologic Treatments for Chronic Pain | Agency for Healthcare Research and Quality
  • Resource: Noninvasive Nonpharmacological Treatments for Chronic Pain | Agency for Healthcare Research and Quality
  • Resource: Opioid Treatments for Chronic Pain | Agency for Healthcare Research and Quality
  • Resource: Medications for Opioid Overdose, Withdrawal, & Addiction | NIH National Institute on Drug Abuse
  • Discussion Guide: Long Term Opioid Therapy | Minnesota Department of Human Services
  • Discussion Guide: Tapering Opioids | Minnesota Department of Human Services​
  • Dental Health Resource: Opioids & Dental Pain | National Institute of Dental and Craniofacial Research
  • Harm Reduction Resource: National Harm Reduction Coalition Resource Center | National Harm Reduction Coalition
  • Harm Reduction Resource: Harm Reduction & Child Safety | National Center on Substance Abuse and Child Welfare
 
Patient-Facing Resources:
  • Resource: Opioid Therapy and Different Types of Pain | CDC
  • Patient Brochure: Opioid Safety and How to Use Naloxone | San Francisco Department of Public Health
  • Family Support Resource: Resources for Families Coping with Mental and Substance Use Disorders | SAMHSA
  • Resource: Opioid and Medication Safe Storage and Disposal | American Academy of Family Physicians
  • Resource: Controlled Substance Public Disposal Location Searcher | US Department of Justice
  • Interactive Map: Find Harm Reduction Near You | National Harm Reduction Coalition
  • Online Training: Free Naloxone Administration Training | GetNaloxoneNow
  • Patient-Facing Video: How to Know if You are Witnessing an Opioid Emergency | NARCAN
  • Community Education and Harm Reduction Resources: Prepare Your Community With Narcan | NARCAN
  • Example Flyer: End the Stigma of Opioid Use Disorder | Sacramento County Opioid Coalition

II. BEST PRACTICES FROM OUR AD COMMUNITY
  • Model Detailing Visit: Medications for Opioid Use Disorder | NaRCAD
  • Model Detailing Visit: Harm Reduction | NaRCAD
  • Blog Articles: DETAILS Blog - Opioid Safety | NaRCAD
    • Amplifying the Patient Voice: Strengthening Capacity for Harm Reduction | Adriane Apicelli, MSW, University of New Hampshire
    • A Patient Perspective: Sharing a Story of Drug Use & Recovery | Lindsey C. Beardsley, Individual in Recovery
    • Switching Lenses: A Focus on Harm Reduction for Patients Who Use Substances | Meghan Breckling, PharmD, BCACP, University of Arkansas for Medical Sciences
    • The Importance of Empathy: Understanding the Complexities of Harm Reduction | Shuchin Shukla, MD, MPH, NaRCAD Training Facilitator
    • Beyond Primary Care: Including Dentists in the Conversation on Opioid Safety | Adrienne Butterwick, MPH, CHES, Comagine Health​​​​
  • Presentation (begins at 1 hour and 46 minutes): Harm Reduction Academic Detailing: Incorporating Lived Experience into the Development of Key Messages | Maggie Kaufmann, MPH, MA, University of Illinois at Chicago
  • Presentation (begins at 1 hour and 57 minutes): To Infinity and Beyond: Detailing Nationwide to ADVANCE Opioid Safety | Nerissa Caballes, PharmD, MS, CRC, Illinois ADVANCE
  • Presentation (begins at 3 hours and 13 minutes): The Intersection of HIV, Hepatitis C, and Drug Use: Collaborating with State Partners to Improve Outcomes | Darla Peterson, Iowa DHHS
  • Presentation (begins at 3 hours and 33 minutes): AD Harm Reduction for People Who Use Drugs | Katarina Frank, MD, PhD, Alosa Health
  • Presentation (begins at 57 minutes): Outreach Beyond Primary Care: Educating Dentists on Opioid Safety in Utah | Adrienne Butterwick, MPH, CHES, Comagine Health
    • Additional Resource: 
      • Dental Prescribing Guidelines
  • Presentation (begins at 5 minutes): Preventing Overdose: Helping Clinicians Better Support Patients at Risk | Connie Kitchens, PhD, State of Utah Department of Commerce Division of Professional Licensing
  • Presentation (begins at 1 hour and 15 minutes): Impact of Implementing an AD Program on Opioid-Benzodiazepine Co-Prescribing Trends | Mark Bounthavong, PharmD, MPH, VA Academic Detailing Service
  • Presentation (begins at 2 hours and 21 minutes): AD in Community Pharmacies: Experiences from a Naloxone, Buprenorphine, and Syringe Safety Intervention | Adriane Irwin, MS, PharmD, BCACP, CDE, Oregon State University College of Pharmacy
  • Presentation (begins at 3 hours and 7 minutes): Training Pharmacy Students at Three Wisconsin Schools of Pharmacy in Naloxone-focused AD | Jordan Wulz, PharmD, MPH, BC-ADM, Concordia University Wisconsin
  • Presentation (begins at the start of recording): Using Academic Detailing to Improve Maternal and Neonatal Health Through Safer Opioid Prescribing | Traci Green, PhD, MSc, Center of Biomedical Research Excellence (COBRE), Rhode Island Hospital
  • Presentation (begins at the start of recording): Identification of Barriers to Opioid Prescribing through AD | Christopher Saffore, PharmD, PhD, University of Illinois at Chicago​
  • Webinar: Opioid Use Disorder: Understanding Clinician Stigma to Encourage Behavior Change | NaRCAD
  • Webinar: Acute and Chronic Pain Management: Educating Clinicians on the Impact and History of the Opioid Crisis | NaRCAD
III. GENERAL OPIOID SAFETY OVERVIEWS & GUIDELINES
Centers for Disease Control and Prevention (CDC) & Substance Abuse and Mental Health Services Administration (SAMHSA) Guides & Resources:
  • Guide: Academic Detailing to Enhance Overdose Prevention: An Implementation Guide for Organizations | CDC​
  • Guideline: CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022 | CDC
  • Toolkit: Opioid Overdose Prevention Toolkit | SAMHSA
  • Resource: CDC Overdose Prevention Evaluation Profile for Academic Detailing | CDC​​
  • Toolkit: Overdose Prevention | CDC
  • Toolkit: 2022 Clinical Practice Guideline Partner Toolkit | CDC
  • Toolkit: Naloxone Toolkit | CDC
  • Toolkit: Addiction Medicine | CDC​
  • Framework: Harm Reduction | SAMHSA
IV. OPIOID SAFETY ARTICLES & PUBLICATIONS
  • Archives: JAMA Opioid Research Archives | JAMA Network
  • Archives: Overdose Prevention Journal Articles | CDC
  • ​Resource: Identifying the Root Causes of Drug Overdose Health Inequities and Related Social Determinants of Health: A Literature Review | NACCHO
  • Resource: The Opioid Crisis and the Black/African American Population: An Urgent Issue | SAMHSA
  • Archives: AD Literature Archives | NaRCAD
    • Publication: Overdose, Behavioral Health Services, and Medications for Opioid Use Disorder After a Nonfatal Overdose | Christopher M. Jones, PharmD, DrPH, Carla Shoff, PhD, Carlos Blanco, MD, PhD, et al., JAMA Network (June 2024)
    • Publication: ​Pharmacist-driven Deprescribing Initiative in Primary Care | Emily Rea, PharmD, David Portman, PharmD, BCPS, Kara Ioannou, PharmD, Brandi Lumley, PharmD, BCPS, Journal of the American Pharmacists Association (Jan-Feb 2024)
    • Publication: Readiness of Community Pharmacies to Implement an Opioid Safety Intervention | Anthony S. Floyd, PhD, Joseph Silcox, MA, Emily Cousin, PharmD, Adriane N Irwin, MS, PharmD, et al., Journal of the American Pharmacists Association (Jan-Feb 2023)
    • Publication: The Feasibility of Academic Detailing for Acute Oral Pain Management in Outpatient Dentistry: A Pilot Study | Ashley M. Hughes, PhD, MS, Erica Lin, PharmD BCACP, Raza A. Hussain, BDS, DMD, FACS, Gretchen Gibson, DDS, MPH, et al., Journal of the American Pharmacists Association (Jan-Feb 2023)
    • Publication: Implementation of an Academic Detailing Intervention to Increase Naloxone Distribution and Foster Engagement in Harm Reduction from the Community Clinician | Adriane N Irwin, MS, PharmD, Jeffrey Bratberg, PharmD, Zain Al-Jammali, PharmD, Jenny Arnold, PharmD, et al., Journal of the American Pharmacists Association (Jan-Feb 2023)
    • Publication: Decreased Antimicrobial Prescribing Rate Following Academic Detailing of Resident Physicians in Outpatient Clinic | Shannon L. Andrews, MD, Amy A. Gravely, MA, Amanda Beaudoin, DVM, PhD, Meghan K. Rothenberger, MD, et al., Antimicrobial Stewardship & Healthcare Epidemiology (March 2023)
    • Publication: Can Academic Detailing Reduce Opioid Prescriptions in Chronic Non-cancer Pain? | Ketil Arne Espnes, Toruun Hatlen Nøst, Marte Handal, et al.,  BioMed Central Primary Care (March 2023)
    • Publication: A Realist Synthesis of Educational Outreach Visiting and Integrated Academic Detailing to Influence Prescribing in Ambulatory Care: Why Relationships and Dialogue Matter | Karen Luetsch, PhD, Geoff Wong, MA, MBBS, MD(Res), FHEA, FRCGP, Debra Rowett BPharm, Adv Prac Pharm, FPS, BMJ Quality & Safety (May 2023)
    • Publication: Effects of an Academic Detailing Service on Benzodiazepine Prescribing Patterns in Primary Care | Meagan Lacroix, MPH, Fred Abdelmalek, Karl Everett, PhD, Lena Salach, MA, Lindsay Bevan, MS, et al., PLOS ONE (July 2023)
    • Publication: Co-occurring Implementation Strategies: The Effects of Academic Detailing for Opioid Use Disorder Campaign on the Advancing Pharmacological Treatments for Opioid Use Disorder (ADaPT-OUD) Study | Wendy A. Miller, Adam J. Gordo, MD MPH FACP DFASAM, Barbara A. Clothier, Princess E. Ackland, PhD, LP, MSPH, et al., Implementation Research and Practice (September 2023)
    • Publication: Academic Detailing to Improve Appropriate Opioid Prescribing: A Mixed-Methods Process Evaluation | Natasha Kithulegoda, MPH, PhD, Cherry Chu, MSc, Mina Tadrous, PharmD, MS, PhD, Tupper Bean, MHSc, MBA, et al., CMAJ Open (October 2023)
    • Publication: Feasibility and Acceptability of Virtual Academic Detailing on Opioid Prescribing | Mary H. Smart, PharmD, Monika Rao Mandava, Todd A. Lee, PharmD, PhD, A. Simon Pickard, PhD, International Journal of Medical Informatics (December 2020)
    • Publication: Improving the Delivery of Chronic Opioid Therapy Among People Living With Human Immunodeficiency Virus: A Cluster Randomized Clinical Trial | Jeffrey H. Samet, MD, MA, MPH, Judith I. Tsui, MD, MPH, Debbie M. Cheng, ScD, Jane M. Liebschutz, MD, MPH, FACP, et al., Clinical Infectious Diseases (July 2020)
    • Publication: Effect of Academic Detailing on Promoting Appropriate Prescribing of Antipsychotic Medication in Nursing Homes | Mina Tadrous, PharmD, MS, PhD, Kinwah Fung, MSc, Laura Desveaux, PhD, Tara Gomes, PhD, et al., JAMA Network Open (May 2020)
  • Publication: Physician Reluctance to Intervene in Addiction: A Systematic Review | Melinda Campopiano von Klimo, MD, Laura Nolan, Michelle Corbin, MBA, et al., JAMA Network Open (July 2024)
  • Publication: Comparative Effectiveness of Different Treatment Pathways for Opioid Use Disorder | Sarah E. Wakeman, MD, Marc R. Larochelle, MD, MPH, Omid Ameli, MD, MPH, et al., JAMA Network (Feb. 2020)
  • Publication: From the CDC: The Prevention for States Program: Preventing Opioid Overdose Through Evidence-Based Intervention and Innovation | Amber B. Robinson, Aleta Christensen, Sarah Bacon, PhD, Journal of Safety Research (Feb. 2019)
  • Publication: Effect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain: The SPACE Randomized Clinical Trial | Erin E. Krebs, MD, MPH, Amy Gravely, MA, Sean Nugent, et al., JAMA Network (March 2018)
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