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Michigan OPEN

Open for Healthcare Professionals

We offer evidence-based best practices and the latest research in an effort to support healthcare professionals and change the trajectory of the opioid epidemic. On this site, you’ll find up-to-date resources for:

Our Evidence

Our team conducts research on numerous aspects of opioid prescribing and pain management. Take a look at our published research.

Our Evidence

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Naloxone Access Card

Use this card to find naloxone near you.

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Stigma and Substance Use Disorders

This free, 1.0 CME course will discuss stigma and how this impacts substance use disorder.

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Updated Guidelines for Hepatitis C in Patients with Substance Use Disorder

This free, 1-hour CME course will discuss latest updates in hepatitis C (HCV) care for patients with substance use disorder (SUD).

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Methadone 101: What Community Professionals Need to Know

This free, 1-hour CME course will review the historical barriers that have shaped access to methadone treatment for opioid use disorder and how they continue to influence care today.

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What’s New: Emerging Substance Use Disorder Trends in Obstetrics

This free, 1-hour CME course will provide an overview of recent trends in substance use among pregnant and postpartum populations, discuss associated maternal and neonatal outcomes, and highlight evidence-based strategies for management.

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Person-Centered Substance Use Disorder Care: Screening, Harm Reduction, & Support Strategies

This free, 1-hour CME course will discuss a person-centered approach to identifying and supporting individuals with Substance Use Disorder (SUD).

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Emerging Drug Trends in Michigan

This free, 1-hour CME course will explore the latest emerging drug trends in Michigan and delve into current patterns affecting communities across the state.

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Routine Prenatal Care Checklist: Through 3rd Trimester

This practical checklist guides comprehensive routine prenatal care through the third trimester, with integrated assessment of substance use, mental health, medical history, and supports to ensure coordinated, person-centered care.

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Routine Prenatal Care Checklist: Initial Visit Through 2nd Trimester

This practical checklist guides comprehensive routine prenatal care from the first prenatal visit through the second trimester, with integrated assessment of substance use, mental health, medical history, and supports to ensure coordinated, person-centered care.

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Comprehensive Care of Patients with Opioid Use Disorder in Pregnancy Guide

Use this guide as a prenatal care roadmap, guiding clinicians from core principles and screening through tailored counseling, medication management, and added supports to deliver comprehensive, coordinated care throughout pregnancy and beyond.

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SUD Treatment Access Card

Use this card to find SUD treatment near you.

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Cannabis Use and Addiction Guide for Teens and Young Adults

Use this guide to educate teens and young adults on cannabis use and addiction.

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Buprenorphine in Primary Care: Key Considerations for Pain Management

This free, 1-hour CME course will explore the use of buprenorphine in primary care pain management.

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Naloxone Saves Lives Youth Flyer

Dispel myths around naloxone and share resources for accessing this life-saving medication with a flyer aimed at youth audiences.

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Optimal Treatment for Pain Management with Over-the-Counter Medications (Dentistry)

This free, 1.25-hour CME course will help identify the appropriate use of acetaminophen and non-steroidal anti-inflammatory drugs (NSAIDS) when treating pain along with designing pain management strategies.

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How Naloxone Works Video

Watch this video to learn how naloxone works to reverse an overdose.

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Warmline: Starting Buprenorphine 4-Day Low Dose Initiation

Instructions for OPEN Warmline patients on how to start buprenorphine via 4-day low dose initiation.

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Warmline- Starting Buprenorphine: Low Dose Initiation

Instructions for OPEN Warmline patients on how to start buprenorphine via 7-day low dose initiation.

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Warmline: Starting Buprenorphine Standard Initiation

Instructions for OPEN Warmline patients on how to start buprenorphine via standard initiation.

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Warmline: Patient Withdrawal Support

Instructions for OPEN Warmline patients on how to manage opioid withdrawal symptoms.

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Safer Injection Pocket Guide

Your health matters. Use this pocket guide to learn how to prevent infections, reduce risk of overdose, and stay safer while injecting.

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From Data to Health: Responsibly Leveraging Michigan’s Automated Prescription System

Use this two-page document to share how safe and secure access to data from Michigan’s prescription drug monitoring program can improve patient health, clinical care, and research.

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Acute Care Prescribing and the Opioid Epidemic

This free, 45-minute CME course will discuss the role of acute care prescribing in the current U.S. opioid epidemic, explore the risks for opioid-naive surgical patients, and learn about key opportunities to improve prescribing practices.

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Epidemiology and Effects of Opioid Prescribing by U.S. Dentists

This free, 1-hour CME course explores how using best practice guidelines and understanding individual prescribing habits can help reduce opioid prescriptions and support safer pain management strategies.

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Standardized Screening in Acute Care

This free, 45-minute CME course will discuss OPEN’s evidence-based work in selecting a screening tool, how to implement a standardized screening process, and ways providers can intervene to connect patients to treatment.

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Medications for Opioid Use Disorder Treatment Options

Learn more about Medication for Opioid Use Disorder (MOUD) treatment options.

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Co-occurring Psychiatric and Substance Use Disorder

This free, 1-hour CME course will explore the complexities of co-occurring psychiatric disorders and substance use disorders (SUD).

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Mosaic Approaches to ADHD and Stimulant Use Disorder

This free, 1-hour CME course will address gaps in knowledge about effective strategies for managing individuals with ADHD and co-occurring SUD, discuss best practices for evaluation, and explore the trajectory of stimulant use disorder in adolescents diagnosed with ADHD.

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Understanding Alcohol Use Disorder and Treatment Options

This free, 1-hour CME course will provide an in-depth overview of Alcohol Use Disorder (AUD), including its definition and diagnostic criteria.

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Exploring Long-acting Injectable Buprenorphine

This free, 1-hour CME course will equip healthcare teams with essential information on FDA-approved monthly and weekly injectable buprenorphine formulations for the treatment of OUD, along with guidance on integrating them into clinical practice.

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Cut to the Chase: Acute Pain Management in Opioid Use Disorder

This free, 1-hour CME course will help providers understand general principles and strategies for managing OUD and coordinating care with a specialist.

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Kratom 101

This free, 1-hour CME course will outline the signs and symptoms of Kratom use and how to respond.

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Transforming Rural Surgery: Enhancing Surgical Outcomes and Pain Management Strategies

This free, 1-hour CME course will analyze the impact of systemic issues faced in rural healthcare settings related to effective pain management after surgery.

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Neurobiology of Addiction Video

Watch this video to learn how addiction alters the brain and ways to treat through a multidisciplinary approach.

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Meeting People Where They Are: Enhancing Engagement in OUD Care for Disadvantaged Populations

This free, 1-hour CME course will review the data around disparities in OUD outcomes and treatment among disadvantaged groups and discuss clinical approaches and models of care to address these inequities.

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New Highs: Understanding Cannabis Use in Today’s Youth and Young Adults

This free, 1-hour CME course will examine the different types of cannabis products and provide recent data on rates of cannabis use among youth and young adults.

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OPEN 6-Year Impact Report

Learn about OPEN’s impact across all of our initiatives since 2020.

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Pediatric Postoperative Pain Management: Toolkit Review and Best Practice

This free, 1-hour CME course will review and share resources for enacting the best practices for prescribing opioids or non-opioid medications for pediatric patients.

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Stimulants + Overamping

Learn about stimulants, safer use practices, and how to respond to overamping and other health complications.

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Prevention Impact Report

Learn more about OPEN’s impact within our Prevention initiative.

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Harm Reduction Impact Report

Learn more about OPEN’s impact within our Harm Reduction initiative.

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Youth Engagement Impact Report

Learn more about OPEN’s impact within our Youth Engagement initiative.

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Pain Management Impact Report

Learn more about OPEN’s impact within our Pain Management initiative.

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Substance Use Disorder Care Impact Report

Learn about OPEN’s impact with Substance Use Disorder care.

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Bringing Our Patients COMFORT: Implementation of a New Clinical Practice Guideline for Pain Management after Childbirth

This free, 1-hour CME course will discuss the latest evidence-based clinical practice guidelines for pain management after childbirth, which promotes excellent pain control, reduces harmful opioid prescribing and more equitable, patient-centered care.

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Voices of Resilience: Personal Stories Breaking the Stigma of Substance Use Disorder

This free, 1.5-hour CME course will discuss stigma and give examples of success stories, recovery journeys, and the importance of seeking treatment for SUD.

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Naloxone Vending Machine Implementation Guide

Use this guide to implement a naloxone vending machine at your organization.

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Xylazine Wound Care

Learn more about xylazine and how to care for xylazine-associated wounds.

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Candy or Medication

Can you tell which is candy and which is medication? Test your identification skills and learn why it’s crucial to differentiate them to prevent accidental health risks.

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Stigma Reduction

Learn how understanding and addressing stigma can make a profound impact on care, recovery, and wellbeing.

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Neurobiology of Addiction Guide

Use this guide to learn how addiction alters the brain and how to treat through a multidisciplinary approach.

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Optimizing Maternal and Neonatal Health: Strategies for Screening, Diagnosing, and Treating Substance Use Disorders in Pregnancy

This 1-hour training focuses on actionable strategies for screening, diagnosing, and treating substance use disorder in pregnancy.

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Strategies for Managing Complex Pain During Clinic Closures

This free, 1-hour CME course focuses on actionable strategies for managing complex pain during clinic closures.

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Alcohol Use Disorder Guide for Healthcare Professionals

Use this guide to learn more about Alcohol Use Disorder and how to treat it.

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Urine Drug Testing Guide – Ordering and Interpretation

Use this guide to help order urine testing and interpret the results.

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Crosswalk between Procedure Codes and Surgical Procedures

Use this crosswalk to understand the link between individual surgical procedures and all Current Procedural Terminology codes for major surgery in the 2014-2022 AHRQ algorithm.

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Pediatric Surgical Pain Management Toolkit for Families

This toolkit will help families prepare their child for postoperative pain management.

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Pediatric Surgical Pain Management Toolkit for Healthcare Professionals

This toolkit will help Healthcare Professionals guide their patient and their family through postoperative pain management.

 

Thump! Ouch! Marcus Gets Hurt

Read Thump! Ouch! Marcus Gets Hurt to help your child feel comfortable managing their pain.

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Kratom Definition + Clinical Management Guide

Clinicians can use this brief educational guide to learn about what Kratom is, why and how it is used, and clinical management.

Youth Action Planning for Healing After Surgery

Use this worksheet with your care team to help prepare and manage pain after your surgery.

Painless: The Opioid Musical on The Today Show

Watch Painless: The Opioid Musical‘s segment on The Today Show.

Painless: The Opioid Musical Cast Recording

Listen to the official cast recording of Painless: The Opioid Musical.

Medication for Opioid Use Disorder Training in the ED

This free 1.75-hour CME course will explain and illustrate the fundamentals of medications for opioid use disorder (MOUD) and successfully and safely prescribe MOUD in the Emergency Department.

Novel Psychoactive Substance of 2023

This free, 1 hour CME course will discuss an overview of Novel Psychoactive Substances.

Alcohol Use Disorders: Epidemiology and Clinical Best Practices

This free, 1 hour CME course will discuss Alcohol Use Disorder including best practices for screening and brief interventions in clinical or community health settings.

Kratom, Aggression and Psychosis

This free, 1 hour CME course will discuss what Kratom is and why people use it, diagnosis, and treatment for Kratom use. 

PrEP Part 2: PrEP is EZ

This free, 45-minute CME course will discuss HIV PrEP.

Post X-Waiver: Improving Buprenorphine Access at the Community Pharmacy

This free, 1 hour CME course will discuss general prescribing practices, barriers encountered by patients and pharmacists, and strategies to overcoming these barriers when dispensing buprenorphine prescriptions.

SUD/MOUD in Our Communities, Break the Stigma to Break the Cycle

This free, 1 hour CME course will discuss the stigmas associated with SUD and OUD within Michigan communities and steps we can take to mitigate the effects. 

Taking a Sexual History: Learning to Start PreP

This free, 15-minute CME course will review the importance of PrEP. 

Xylazine: What We Know, What We Don’t and What We Can Do Now

This free, 1-hour CME course will discuss the fundamentals of Xylazine.

Substance Use and Co-Occurring Psychiatric Disorders

This free, 1-hour CME course will discuss different types of co-occurring psychiatric and substance use disorders and best practices for management.

Substance Use During Adolescence: An Overview of Trends, Risk Factors and Consequences

This free, 1 hour CME course will discuss the trends, risk factors and findings of substance use during adolescence.

Telehealth for Substance Use Disorder Treatment in a Post-Pandemic World

This free, 1-hour CME course will discuss telehealth for SUD treatment, post COVID-19 pandemic.

A Modern Understanding of the Addicted Brain

This free, 1-hour CME course outlines the basics the human brain works and how substance use alters normal brain function.

Educational Webinars YouTube Playlist

Missed a webinar or want to go back and rewatch one? Visit our YouTube playlist to find our past webinars.

Fentanyl Test Strips Step-by-Step Instructions

Learn how to use fentanyl test strips to reduce risk of an overdose.

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Fentanyl Test Strip Pocket Guide

Learn how to use fentanyl test strips to reduce risk of an overdose.

Managing Pain After Childbirth Toolkit

A practical guide for clinicians to learn more about implementing the COMFORT (Creating Optimal Pain Management for Tailoring Interventions after Childbirth) Clinical Practice Guideline.

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Opioid Use in Michigan: A Review of County-Level Opioid and Poverty-Related Data

Utilize our new Landscape Map and accompanying whitepaper to help reduce the impact of the opioid crisis.

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Managing Pain After Childbirth

Learn ways to manage pain after childbirth such as: over-the-counter medications, non-medication strategies, and opioids, if prescribed.

Adult Surgery Pain Management Guide for Patients

Learn how to prepare for surgery and to help manage pain after surgery.

Adult Surgery Pain Management Guide for Healthcare Providers

As a healthcare provider, learn evidence-based approaches to help manage your patient’s pain after surgery.

Dental Prescribing: Summary of Best Practices

Stay up to date with OPEN’s summary of best practices for prescribing after dental surgery.

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Take A.C.T.I.O.N. Naloxone Training

Take our Naloxone Training and learn how to take A.C.T.I.O.N to reverse an overdose.

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Managing Pain After Dental Surgery

Learn ways to manage pain after dental surgery such as: over-the-counter medications, non-medication strategies, and opioids, if prescribed.

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Managing Pain After Surgery (Adults)

Learn ways to manage pain after surgery such as: over-the-counter medications, non-medication strategies, and opioids, if prescribed.

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Non-Medication Pain Management

Learn how to help manage or reduce your pain and anxiety through various techniques. 

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Pediatrics Non-Medication Pain Management

Learn how to help manage your child’s pain and anxiety after surgery.

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Medication Safe Storage & Disposal

Learn how to safely store and dispose of medications.

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Learn the Facts: Naloxone

Learn about naloxone and how to safely administer it.

4 Evidence-based Reasons To Improve Opioid Prescribing Practices After Surgery

Explore 4 evidence-based reasons to improve opioid prescribing practices after surgery.

4 Evidence-based Reasons To Improve Opioid Prescribing Practices After Dental Surgery

Explore 4 evidence-based reasons to improve opioid prescribing practices after dental surgery.

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Sharps and Liquids Safe Disposal

Learn how to safely dispose of needles, lancets, and liquid medications.

Pediatric Best Practices Card

Easily share best practices for managing a child’s pain after surgery.

Transitional Pain Service Financial Tool

Explore our free financial tool to tailor insights to your organization on the potential costs and benefits of starting a transitional pain service.

Managing Addiction Stigma in Treating Pain and OUD

This video details ways to manage addiction stigma while treating pain and OUD.

Ending Addiction Stigma

This video will explain the importance of ending addiction stigma and fully supporting OUD patients.

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Painless: The Opioid Musical Lyrics Sheet

Use these lyrics to follow along with Painless and reference them for discussion about the stories that are told in the musical.

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Painless: The Opioid Musical Toolkit

Equip educators with everything they need to effectively bring Painless: The Opioid Musical to life.

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Pain and Opioid Data Collection Recommendations

Explore OPEN’s process to create and evaluate opioid prescribing recommendations.

Recovery Roundtable Discussion

Learn from people in recovery about SUD and OUD.

Law Enforcement Officers Roundtable Discussion

Learn from Law Enforcement Officers as they discuss SUD and OUD.

Intranasal Naloxone for First Responders Instructional Video

Teach first responders how to use intranasal naloxone.

First Responder Overdose Response – Take ACTION

Equip first responders on how to handle an opioid overdose with naloxone.

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Opioid Withdrawal Support/Comfort Medications

This resource will help providers successfully provide withdrawal comfort and support.

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Starting Buprenorphine: Low Dose Initiation

This document offers a guideline to starting buprenorphine at a low dose.

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Starting Buprenorphine: Standard Initiation

This document is a guideline to starting buprenorphine at a standard dose.

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Sample Buprenorphine Treatment Agreement

Use this sample agreement as a starting point when prescribing buprenorphine.

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Levels of Scientific Evidence Guide

Explore the five Levels of evidence to use while making educated determinations about prescribing and care.

Pediatric Planning For Surgery and Pain Management Worksheet

Use and share this worksheet with your child’s care team to help prepare and manage pain after your child’s surgery.

Current Michigan Opioid Policies

Explore the current policies related to opioids in Michigan.

Opioid Prescribing for Wisdom Tooth Extraction

Check out this one-minute video about non-opioid pain management options for children and teens after wisdom teeth removal. Video captions are in Arabic.

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Permanent Medication Disposal Box Implementation Guide

Learn how to implement a permanent medication disposal box program in your community.

Words Matter Video – Shatterproof

Changing our language improves outcomes for those struggling with addiction. Watch this brief video to learn more.

Addiction Language Guide – Shatterproof

Comprehensive addiction language guide to reduce use of stigmatizing language.

 

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Risky Substance Use in Surgery Guide for Healthcare Professionals

Learn more about how risky substance use impacts patients having surgery and best practices for identification and coordination of care for those with risky use.

 

 

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Medication Disposal

Learn how to facilitate discussion on safe disposal of unused opioids with your healthcare provider.

Acetaminophen and NSAIDs Reference Sheet – Surgery

Learn more about prescribing acetaminophen and NSAIDs for pain management after surgery.

Guideline for Prescribing Opioids for Chronic Pain (CDC)

Intended to improve communication between providers and patients about the risks and benefits of opioid therapy for chronic pain, improve the safety and effectiveness of pain treatment, and reduce the risks associated with long-term opioid therapy, including opioid use disorder and overdose.

How to Perform Rescue Breathing – Take ACTION Overdose Training

Learning to perform rescue breathing on someone who is experiencing an opioid overdose.

Intranasal Naloxone for Laypeople – Take ACTION Training

Learn to use intranasal naloxone to reverse an opioid overdose.

Naloxone Community Layperson Training – Take ACTION Training

Naloxone training for community laypeople.

Michigan Opioid Collaborative – Addressing OUD Stigma Presentation

Emily McCall and Tim Shewcraft from the Michigan Opioid Collaborative (MOC) share information about stigma and MOC’s resources for MOUD providers. Tim, a peer recovery coach, shares his personal experience with stigma and the impacts that provider stigma can have on a patient’s OUD treatment.

Emergency Department Naloxone Implementation Guide

Learn how to facilitate and implement unique and tailored naloxone distribution programs in your Emergency Department.

How Do You Treat Pain? (For Teens)

A one-page flyer created by the Pediatric Trauma Group at C.S. Mott Children’s Hospital focused on non-medication options for teens.

Non-Drug Options for Pain Management and Comfort in Children

A document created by Michigan Medicine Child Life providing greater detail on non-medication strategies.

Medication Tracking Log

Help keep track of the use of medications your child is taking after surgery.

 

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Michigan Opioid Laws

Learn about the current opioid prescribing laws in Michigan.

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Medication Take Back Day Event Implementation Guide

Learn how to successfully host a Medication Take Back Event in your community.

COVID’s Impact on the Opioid Crisis

This video will discuss the impact of COVID-19 on the opioid crisis.

COVID’s Impact on the Treatment of Opioid Use Disorder

This video will discuss the impact COVID-19 had on the treatment of Opioid Use Disorder.

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Pediatric Opioid Prescribing Recommendations – Urology Surgery

Use OPEN’s evidence-based prescribing recommendations for tailored pain management after urology surgery in pediatric patients.

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Pediatric Opioid Prescribing Recommendations – Plastics Surgery

Use OPEN’s evidence-based prescribing recommendations for tailored pain management after plastics surgery in pediatric patients.

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Pediatric Opioid Prescribing Recommendations – Otolaryngology Surgery

Use OPEN’s evidence-based prescribing recommendations for tailored pain management after otolaryngology surgery in pediatric patients.

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Pediatric Opioid Prescribing Recommendations – General Surgery

Use OPEN’s evidence-based prescribing recommendations for tailored pain management after general surgery in pediatric patients.

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Pediatric Opioid Prescribing Recommendations – Dental Surgery

Use OPEN’s evidence-based prescribing recommendations for tailored pain management after dental surgery in pediatric patients.

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Adult Opioid Prescribing Recommendations – Vascular Surgery

Use OPEN’s evidence-based prescribing recommendations for tailored pain management after vascular surgery in adult patients.

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Adult Opioid Prescribing Recommendations – Urology Surgery

Use OPEN’s evidence-based prescribing recommendations for tailored pain management after urology surgery in adult patients.

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Adult Opioid Prescribing Recommendations – Thoracic Surgery

Use OPEN’s evidence-based prescribing recommendations for tailored pain management after thoracic surgery in adult patients.

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Adult Opioid Prescribing Recommendations – Orthopaedic Surgery

Use OPEN’s evidence-based prescribing recommendations for tailored pain management after orthpaedic surgery in adult patients.

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Adult Opioid Prescribing Recommendations – Obstetrics and Gynecology

Use OPEN’s evidence-based prescribing recommendations for tailored pain management after obstetrics and gynecology surgery in adult patients.

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Adult Opioid Prescribing Recommendations – Melanoma Surgery

Use OPEN’s evidence-based prescribing recommendations for tailored pain management after melanoma surgery in adult patients.

Adult Opioid Prescribing Recommendations – General Surgery

Use OPEN’s evidence-based prescribing recommendations for tailored pain management after general surgery in adult patients.

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Adult Opioid Prescribing Recommendations – Dental Surgery

Use OPEN’s evidence-based prescribing recommendations for tailored pain management after dental surgery in adult patients.

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Adult Opioid Prescribing Recommendations – Breast Cancer Surgery

Use OPEN’s evidence-based prescribing recommendations for tailored pain management after breast cancer surgery in adult patients.