Opioid Advisory Group

2018 NACo Achievement Award Winner

Boulder County, Colo., CO

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About the Program

Category: Health (Best in Category)

Year: 2018

Since 1989, Boulder County Public Health (BCPH) has operated a syringe access program aimed at reducing transmission of bloodborne pathogens (HIV and hepatitis C) among people who use injection drugs. In 2017, more than 1,700 clients were served and 325,000 needles were distributed. Between 2001 and 2016, there were a total of 374 opioid-related overdose deaths in Boulder County (278 from prescription opioids and 96 from heroin). In 2016, Public Health assessed the burden of opioids misuse based on the responses of many partner agencies to the issue. Findings of the assessment resulted in highlighting the need for a more coordinated, community-based response. In December 2016, the Boulder County Opioid Advisory Group (OAG) was formed with diverse stakeholders from prevention, community services, harm reduction, law enforcement, criminal justice, clinical providers, businesses, faith organizations, and treatment and recovery organizations. In less than two years, substantive changes have been made at the policy and infrastructure levels. There has been a 36% decrease in opioid prescribing at the largest local hospital emergency department, 191 reports of lives saved through naloxone by community members and law enforcement, and a 27% increase in opioid treatment admissions. Opioid-related fatal overdoses decreased 48% between 2015 and 2017.

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