GOAL

Maintain Prescription Drug Monitoring Program (PDMP) administration and support the pending transition from St. Louis County to the state.

h DPH maintains the PDMP and its core functionality for health care providers across the state. DPH continues to release quarterly jurisdiction-specific reports and annual whole-system reports. DPH continues to encourage use of the PDMP and increase utilization by providers.

h DPH creates protocols with the state Office of Administration to ensure continuity of operations when transitioning the PDMP to the state.

h DPH develops data usage agreements between the State and County to continue receiving dispensation data for St. Louis County after the transition.

h DPH continues to provide transition support to the state as needed.

Conclusion

In response to the ever-evolving landscape of the substance use epidemic and its impacts on St. Louis County and the surrounding area, this action plan was designed to provide an updated framework from which the Saint Louis County Department of Public Health will work to address a multifaceted crisis of substance use and overdose.

Dedicated partners across the region are carrying out incredible work on this issue. This action plan identifies areas where DPH plans to amplify these current efforts as well as implement response efforts of our own.

The plan outlines DPH’s priority areas for response: to educate community members on the scale of the epidemic, prevent substance use, mitigate the risks faced by individuals who use substances or those who develop substance use disorders, save lives through robust naloxone distribution, encourage treatment, and celebrate recovery. Each of these actions is strengthened by continued growth of and collaboration on a public health data system that allows DPH and other organizations to measure, analyze, and adapt to the changing needs of the community.

Individuals and organizations across St. Louis County have an opportunity to create positive change. Through continued collaboration and communication, we can help mitigate the impacts of substance use and overdose on St. Louis County residents and communities.

Acronyms

ARCA: Assisted Recovery Centers of America

BIPOC: Black/African American, Indigenous and People of Color

BHN: Behavioral Health Network

CDC: Centers for Disease Control

CENTER: Community Engagement, Trauma, Equity and Renewal

CPIP: Community Partners in Prevention

CRUSH: Community Resources

United to Stop Heroin

DHSS: Department of Health and Senior Services

DOTS: Drug Overdose Trust and Safety

DPH: Saint Louis County Department of Public Health

EMS: Emergency Medical Services

ENACT: Expanding Naloxone Access and Community Trainings

EPICC: Engaging Patients in Coordinated Care

LBN: Leave Behind Naloxone (Narcan®)

IHN: Integrated Health Network

LEAD: Law Enforcement Assisted Diversion

MAT: Medication-Assisted Treatment/Therapy

MIMH: Missouri Institute of Mental Health

OFR: Overdose Fatality Review

OUD: Opioid use disorder

PDA: Patient decision aid

PDMP: Prescription Drug Monitoring Program

PWUD: People who use drugs

RHC: Regional Health Commission

SAMHSA: Substance Use and Mental Health Services Administration

SHIELD: Safety and Health

Integration in the Enforcement of Laws on Drugs

SOR: State Opioid Response

SSP: Syringe service program

STR: State Targeted Response

SUD: Substance use disorder