Harm Reduction Clinical Resources

Below are up-to-date resources for clinicians and clinical administrators on harm reduction.

Indigenous Harm Reduction

Taking Care of Each Other: Indigenous Perspectives on Harm Reduction (FNHA)
Recorded webinar by the First Nations Health Authority that includes information on decolonizing addiction and Indigenous harm reduction.

Indigenous Harm Reduction Video Series (FNHA and VCH)
Video series about Indigenous harm reduction to help start discussions in Indigenous communities about harm reduction, substance use, and stigma.

Innovative Frameworks to Expand Harm Reduction: Strategies to Build Relationships with Law Enforcement to Enhance HIV Prevention (HIV-PJA)
PowerPoint presentation on harm reduction and law enforcement; includes strategies for engaging law enforcement in harm reduction efforts.

A Culture of Respect: Providing Clients with Compassionate Care (didgʷálič)
In one year, didgʷálič Wellness Center- owned and operated by the Swinomish Indian Tribal Community- cut tribal opioid overdose deaths in half. Learn about their unique treatment model from the perspective of staff and clients.

Identifying and Addressing Barriers to Care (didgʷálič)
Removing barriers to care is vital for tackling the opioid epidemic. See how the didgʷálič Wellness Center eliminates barriers to create positive patient outcomes.

Ensuring MAT Benefits the Individual & the Community (didgʷálič)
Ever wondered how to offer medication-assisted therapy safely? Learn how the didgʷálič Wellness Center ensures that the medications they offer are beneficial.

Medication-Assisted Treatment (MAT)

TIP 63: Medications for Opioid Use Disorder (SAMHSA)
This Treatment Improvement Protocol (TIP) reviews the use of the three medications used to treat opioid use disorder (OUD)—methadone, naltrexone, and buprenorphine—and the other strategies and services needed to support recovery.

Business Plan for Medication-Assisted Treatment (PCSS)
Medications that treat opioid use disorder are safe, effective, and can be prescribed and/or administered at community health centers, with a sustainable business plan.

Ensuring MAT Benefits the Individual & the Community (didgʷálič)
Ever wondered how to offer medication-assisted treatment safely? Learn how the didgʷálič Wellness Center- owned and operated by the Swinomish Indian Tribal Community- ensures that the medications they offer are beneficial.

Statutes, Regulations, and Guidelines (SAMHSA)
Learn about the federal statutes, regulations, and guidelines that apply to opioid treatment programs (OTPs) and medication-assisted treatment (MAT).

Tribal MAT Policies and Procedures Template (NPAIHB)
Adapted from tribal medication-assisted treatment policies and procedures by the Northwest Portland Area Indian Health Board.

Role of the Clinical Pharmacy Specialist in Medication Assisted Treatment for Opioid Use Disorder (VA)
Handout about the role of Clinical Pharmacy Specialists as integral providers in the provision of comprehensive medication management services for patients with opioid use disorder.

Naloxone

Naloxone Overview (IHS)
Information and training videos about this prescription medication that can temporarily reverse opioid overdose and can save lives.

Patient Education

Using Nasal Spray to Reverse an Opioid Overdose (NPAIHB)
Fact sheet for AI/AN community members that described the signs of an opioid overdose and how to respond; includes step-by-step instructions for administering naloxone nasal spray.

Words Matter When We Talk About Addiction (NPAIHB)
Fact sheet for AI/AN community members on the importance of using non-stigmatizing, supportive language when talking about substance use disorders.

Supporting Someone with Opioid Addiction (NPAIHB)
Fact sheet for AI/AN community members on how support a friend or loved one with opioid use disorder.

A Trickster Tale – Outsmarting Opioids through Education and Action (NPAIHB)
A booklet for tribal community members on preventing, treating, and recovering from opioid use disorder.

Text Message Campaign Card (NPAIHB)
Post card, perfect for clinic settings, to encourage your patients to text ‘opioids’ to 97779 to learn more about opioid misuse prevention, treatment, and recovery.

Healing Ourselves and Our Communities (NPAIHB)
For tribal community members who want to learn more about preventing, treating, and recovering from opioid use disorder.

What People with Opioid Addiction Want You to Know (NPAIHB)
Words of wisdom from tribal community members about what you should know about opioids.

Recovering from Opioid Addiction is Possible (NPAIHB) 
We can heal from opioid use disorder. See how others have walked the road to recovery.

Supporting Someone with Opioid Addiction (NPAIHB)
Support can be lifesaving. Hear the stories of tribal community members who have helped their friends and relatives through tough times.

Medication-Assisted Treatment Myths (NPAIHB)
MAT helps many people with opioid use disorder recover. It is more than twice as effective as counseling alone. Learn the facts here.

Provider Education

Words Matter When Providers Talk About Addiction (NPAIHB)
Fact sheet for clinicians on using non-stigmatizing language when talking about substance use disorders.

A Culture of Respect: Providing Clients with Compassionate Care (didgʷálič)
Learn about how the didgʷálič Wellness Center incorporates harm reduction into their successful approach for treating individuals with opioid use disorder.

Healing Our Patients with Opioid Use Disorder (NPAIHB) 
Clinical insights for healthcare providers on effective strategies for treating opioid use disorder and supporting Native patients as they walk the road to recovery.

didgʷálič Wellness Center (didgʷálič) 
In one year, didgʷálič Wellness Center- owned and operated by the Swinomish Indian Tribal Community- cut tribal opioid overdose deaths in half. Learn about their unique treatment model from the perspective of staff and clients.

Identifying and Addressing Barriers to Care (didgʷálič) 
Removing barriers to care is vital for tackling the opioid epidemic. See how the didgʷálič Wellness Center- owned and operated by the Swinomish Indian Tribal Community- eliminates barriers to create positive patient outcomes.

Ensuring MAT Benefits the Individual & the Community (didgʷálič) 
Ever wondered how to offer medication-assisted therapy safely? Learn how the didgʷálič Wellness Center ensures that the medications they offer are beneficial.

Role of the Clinical Pharmacy Specialist in Medication Assisted Treatment for Opioid Use Disorder (VA)
Handout about the role of Clinical Pharmacy Specialists as integral providers in the provision of comprehensive medication management services for patients with opioid use disorder.

Syringe Services

Guide to Developing and Managing Syringe Access Programs (HRC)
Comprehensive manual for starting and managing syringe access programs; guidance offered in several areas including: planning and design, operational issues, organizational issues, external issues and population-specific considerations.

Compassion, Action, and Healing: Working with Injection Drug Users in Native Communities (NNAAPC)
Important information relevant to people who inject drugs and those who work with this population.

Syringe Access in the Native American Community (HRC Podcast)
Kris Fourstar of Fort Peck Tribal Health and harm reduction pioneer Pawnee Brown discuss developing and implementing syringe exchange programs on reservations.

Getting off Right: A Safety Manual for Injection Drug Users (HRC)
Easy-to-read survival guide for people who inject drugs (PWID); a compilation of medical facts, injection techniques, and strategies to keep PWID healthier and safer.

The Syringe Access Fund (AU)
A national grantmaking collaborative that supports service providers and policy projects that reduce use of shared syringes and ensure their safe disposal.

North American Syringe Exchange Network (NASEN)
Organization that offers useful information about starting and supplying syringe exchange programs.

Participant Orientation Agreement and Screening (Project NICE)
Sample participant orientation agreement and screening form from Project NICE Syringe Services Program.

Technical Assistance and Capacity Building

Technical Assistance and Capacity Building (Indian Country ECHO)
Free service designed to optimize IHS, tribal, and urban clinic policies, enhance care delivery for patients, and build community capacity to prevent and treat complex medical conditions, like substance use disorders and HIV/AIDS.

Harm Reduction Coalition (HRC)
A national advocacy and capacity-building organization in the U.S. that promotes the health and dignity of individuals and communities impacted by drug use.

Training

Indian Country ECHO
Free service for I/T/U clinicians and programs to enhance care delivery for patients with complex conditions, including substance use disorders and HIV/AIDS; offers a variety of online clinics, trainings, technical assistance, and capacity building.

didgʷálič Immersion Trainings (Coming Soon!)
Free 2-day in-person training to enhance your capacity to effectively treat patients with opioid use disorder (OUD); trainings are designed for health care teams practicing at I/T/U clinics. didgʷálič uses a harm reduction, patient-centered approach to care.

Steps to Obtain your MAT Waiver (PCSS)
Physicians require 8 hours of training to apply to the Drug Enforcement Agency for a waiver to prescribe buprenorphine, one of three medications approved by the FDA for the treatment of opioid use disorder. Learn more on this website.

Tribal Resources

Growing Your Tribal Community’s Capacity to Address Opioid Use Disorder: Advice for Tribal Leaders, Policymakers, and Program Staff Based on Lessons Learned from the Swinomish Indian Tribal Community (Coming soon!)
In one year, the Swinomish Indian Tribal Community cut tribal opioid overdose deaths in half. This document describes how they developed their successful treatment approach, as well as important lessons learned along the way.

Tribal Opioid Response National Strategic Agenda (NPAIHB)
To assist tribes in successfully addressing the opioid epidemic, the Northwest Portland Area Indian Health Board, along with partners, developed this strategic agenda. Recommendations are based on input from tribal policymakers, service providers, and individuals with opioid use disorder (OUD).