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Overdose Safety Planning: A New Approach to the Opioid Epidemic

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Defining the Problem

Since the increase in prescription opioid supply in the 1990s, the United States has grappled with a staggering rise in opioid-related overdose deaths. In 2022, there were 107,941 fatal overdoses, 82% of which involved at least one opioid (National Institute on Drug Abuse [NIDA], 2024). Trends from recent years indicate there has been a consistent increase in overdose deaths as well, with the CDC reporting a dramatic increase in death rates from 8.2 per 100,000 standard population in 2002 to 32.6 in 2022, with the COVID-19 pandemic only compounding the crisis (Centers for Disease Control and Prevention [CDC], 2023). This public health crisis touches every community in our country.

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Dr. Virna Little, PsyD, LCSW-R, SAP, CCM, is currently the chief operating officer and co-founder of Zero Overdose, as well as the co-founder of Concert Health, a national organization providing behavioral health services to primary care providers. Prior, Dr. Little worked for 22 years as the senior vice president of a large FQHC network in New York, overseeing over 300 behavioral health and community staff, and for New York City Health and Hospitals as a citywide family violence coordinator. She holds a doctoral degree in psychology, a master’s in social work and a master’s in business administration and healthcare, is a Certified Care Manager (CCM), and a recognized Substance Abuse Professional (SAP).

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Dr. Julian Mitton, MD, MPH, is a health care innovation leader and public health champion committed to advocating for the improved and equitable care of traditionally underserved populations. With a diverse clinical background in population health and behavioral health and advanced training in health services research and implementation science, he has been able to leverage research, leadership, strategic partnerships, and health policy to advocate for underserved communities through clinical innovations and policy change.

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Colby Takeda is the co-founder and CEO of Pear Suite, a digital health company working to empower community health workers and better address the social determinants of health. Colby is a former senior living executive and has dedicated most of his professional career to improving community well-being through population health management programs, policy change, and technology solutions, particularly around the social determinants of health. After completing his undergraduate studies in health sciences, Colby completed a Master of Business Administration (MBA) from the University of Hawai‘i at Mānoa, Shidler College of Business, and a Master of Public Health (MPH) from the University of California, Berkeley School of Public Health.