Reach of Community-Selected Strategies to Reduce Opioid-Related Overdose Deaths in the HEALing Communities Study.

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Title: Reach of Community-Selected Strategies to Reduce Opioid-Related Overdose Deaths in the HEALing Communities Study.
Authors: Hall, Megan E. (AUTHOR), Glasgow, LaShawn (AUTHOR), Holloway, JaNae (AUTHOR), Chahine, Rouba A. (AUTHOR), Davis, Jill (AUTHOR), Harris, Miriam T. H. (AUTHOR), Knudsen, Hannah K. (AUTHOR), Neufeld, Jessica L. (AUTHOR), Oga, Emmanuel (AUTHOR), Lounsbury, David W. (AUTHOR), Sabounchi, Nasim (AUTHOR), Davis, Alissa (AUTHOR), Smith, Marissa (AUTHOR), Chase, Rachel P. (AUTHOR), Ellison, Sylvia A. (AUTHOR), Harness, Judy (AUTHOR), Surratt, Hilary L. (AUTHOR), Walsh, Sharon L. (AUTHOR), Nakayima, Peace Julie (AUTHOR), Chandler, Redonna (AUTHOR)
Source: Substance Use & Misuse. 2026, Vol. 61 Issue 2, p200-208. 9p.
Subjects: Drug overdose, Death, Human services programs, Research funding, Statistical sampling, Descriptive statistics, Cluster sampling, Sociodemographic factors, Data analysis software
Abstract: Introduction: Despite recent declines, the U.S. opioid overdose crisis persists. The HEALing Communities Study (HCS) aimed to reduce opioid overdose deaths through community-level adoption of evidence-based practices (EBPs), including overdose education and naloxone distribution (OEND) and medications for opioid use disorder (MOUD). This paper describes the reach of OEND and MOUD strategies implemented by the 33 HCS wait-list control communities. Methods: We conducted descriptive statistical analysis of reach data collected from July 2022 through December 2023 to (1) summarize overall EBP implementation and reach and (2) compare the demographic representation of individuals reached to community demographic population estimates. Results: Communities implemented 474 EBPs (251 OEND, 223 MOUD), reporting an average reach of 16,482 individuals monthly. For OEND, percent reached exceeded community population representation for individuals aged 18-34 years (40% vs 31%) and 35-54 years (41% vs 31%) and non-Hispanic Black individuals (20% vs 15%). For MOUD, percent reached exceeded the opioid use disorder population representation for individuals aged 35-54 years (58% vs 52%) and non-Hispanic White individuals (88% vs 80%); however, there was lower representation for individuals aged 18-34 years (28% vs 38%) and non-Hispanic Black individuals (6% vs 13%). Distributions by sex were comparable for OEND and MOUD. Conclusions: Findings signal the promise of community-engaged interventions to reach diverse groups with OEND and reflect the challenges of overcoming longstanding barriers to MOUD access. This work provides practical examples for monitoring the reach of EBPs across multiple research sites and communities and for assessing representativeness, a valuable marker of equity. Trial Registration: Clinical Trials.gov : Identifier: NCT04111939 [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Reach of Community-Selected Strategies to Reduce Opioid-Related Overdose Deaths in the HEALing Communities Study.
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  Data: <searchLink fieldCode="AR" term="%22Hall%2C+Megan+E%2E%22">Hall, Megan E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Glasgow%2C+LaShawn%22">Glasgow, LaShawn</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Holloway%2C+JaNae%22">Holloway, JaNae</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chahine%2C+Rouba+A%2E%22">Chahine, Rouba A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Davis%2C+Jill%22">Davis, Jill</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Harris%2C+Miriam+T%2E+H%2E%22">Harris, Miriam T. H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Knudsen%2C+Hannah+K%2E%22">Knudsen, Hannah K.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Neufeld%2C+Jessica+L%2E%22">Neufeld, Jessica L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Oga%2C+Emmanuel%22">Oga, Emmanuel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lounsbury%2C+David+W%2E%22">Lounsbury, David W.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sabounchi%2C+Nasim%22">Sabounchi, Nasim</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Davis%2C+Alissa%22">Davis, Alissa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Smith%2C+Marissa%22">Smith, Marissa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chase%2C+Rachel+P%2E%22">Chase, Rachel P.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ellison%2C+Sylvia+A%2E%22">Ellison, Sylvia A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Harness%2C+Judy%22">Harness, Judy</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Surratt%2C+Hilary+L%2E%22">Surratt, Hilary L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Walsh%2C+Sharon+L%2E%22">Walsh, Sharon L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nakayima%2C+Peace+Julie%22">Nakayima, Peace Julie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chandler%2C+Redonna%22">Chandler, Redonna</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2026, Vol. 61 Issue 2, p200-208. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Drug+overdose%22">Drug overdose</searchLink><br /><searchLink fieldCode="DE" term="%22Death%22">Death</searchLink><br /><searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Cluster+sampling%22">Cluster sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Sociodemographic+factors%22">Sociodemographic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Introduction: Despite recent declines, the U.S. opioid overdose crisis persists. The HEALing Communities Study (HCS) aimed to reduce opioid overdose deaths through community-level adoption of evidence-based practices (EBPs), including overdose education and naloxone distribution (OEND) and medications for opioid use disorder (MOUD). This paper describes the reach of OEND and MOUD strategies implemented by the 33 HCS wait-list control communities. Methods: We conducted descriptive statistical analysis of reach data collected from July 2022 through December 2023 to (1) summarize overall EBP implementation and reach and (2) compare the demographic representation of individuals reached to community demographic population estimates. Results: Communities implemented 474 EBPs (251 OEND, 223 MOUD), reporting an average reach of 16,482 individuals monthly. For OEND, percent reached exceeded community population representation for individuals aged 18-34 years (40% vs 31%) and 35-54 years (41% vs 31%) and non-Hispanic Black individuals (20% vs 15%). For MOUD, percent reached exceeded the opioid use disorder population representation for individuals aged 35-54 years (58% vs 52%) and non-Hispanic White individuals (88% vs 80%); however, there was lower representation for individuals aged 18-34 years (28% vs 38%) and non-Hispanic Black individuals (6% vs 13%). Distributions by sex were comparable for OEND and MOUD. Conclusions: Findings signal the promise of community-engaged interventions to reach diverse groups with OEND and reflect the challenges of overcoming longstanding barriers to MOUD access. This work provides practical examples for monitoring the reach of EBPs across multiple research sites and communities and for assessing representativeness, a valuable marker of equity. Trial Registration: Clinical Trials.gov : Identifier: NCT04111939 [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/10826084.2025.2549496
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