Identifying and working with key stakeholders is a critical first step when considering whether to go forward in developing a pro

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OPIOID EPIDEMIC GRANT PROPOSAL 11

Service: Grant Proposal Writing

Topic: Rise of Opioid Epidemic

Subject: Other

Level: University

Description

6-8 pages double space

I. Narrative

A. Problem statement (use a lot of information from the literature review for this section)

1. What is the problem?

2. What is the specific program? Who will benefit?

3. What is the rationale for why this might work to deal with the problem?

B. Project Objectives

1. Specific about the goals and objectives of the project.

2. Goals should be broad, and objectives should be measurable.

C. Project Design

1. Define the tasks of the project.

2. Define the target population.

D. Evaluation

1. How will you measure the effectiveness of the program?

2. What will be considered a "success" of the program?

E. Timeline

F. References

II. Budget- make realistic and reasonable estimates of the monetary needs of the project

A. Problem Statement

The opioid epidemic is a public health crisis arising from the increasing number of casualties and deaths from opioids, including banned drugs and prescriptions in the United States of America (Garg et al. 2013). Drug-overdose is the leading cause of accidental deaths in the United States. It accounts for over 40.000 deaths recorded in a year, a scenario which translates to relatively 115 deaths per day. The cause of the crisis, however multifactorial, can be deduced from the liberation legislations governing the prescription of opiates in treatment of chronic noncancer pain by the federal medical boards from over the past two decades (Hirsch et al., 2008). There has been drastic evolution since then to the present situation in which the crisis has a declining effect in the overall sense of wellbeing as much as increased mortality rates from all causes.

The escalating rates of opioid overdose deaths are thus a substance use disorder that calls for quick action by the United States Public Health. The evident problem is that there lacks a comprehensive strategy to combat dependence on prescription opioids. The strategy can be achieved by collaborating a monitor and surveillance system with the Department of Health and Human Services and other humanitarian organs to reinforce programs and appropriations by the federal government in addressing the opioid crisis.

The program

This proposal spells out plans in response to the epidemic by establishing a ‘Opioid command and control center’ in support of the Department of Health and Human Services as well as reinforcing the existing federal programs. To present times, several approaches toward combating the opioid crisis have had oversight on a single dimension of prescription, access, and supply of opioids, the ‘demand’ side of opioids. Precedent measures range from prescription drug monitoring guidelines, regulating prescriptions, among other regulations. As much as the steps have helped create a significant decline, it is undeniable that the prevalence levels are still much high for opioid abuse and use disorder. There is a steady increase in fatalities realized from drug overdoses.

To adequately address the problem, it is necessary to target the existing parameters supporting opiate use. To mention, it is essential to implement prevention measures, educating health workers and physicians, provide for further education specialized to licensed healthcare practitioners, and exhaust on the reasons why people use opioids_ the 'supply-side' of opioids. Note that millions of people using opioids are under addiction, and this situation can only be mitigated through curbing the initiation of opioid prescriptions. Consequently, there is a need to devote more resources to address the prevention and demand side of the crisis. The federal state, in collaboration with the local communities, plays a crucial role in mitigating opioid and substance abuse.

Program beneficiaries

Death rates across the United States due to opioid prescription and substance abuse are characteristic of different demographic and geographical characteristics. The statistics recorded from day to day addictions are alarming, with millions of American families being affected. Addiction to Opioids is not especially specific to any group as thus, its effects affect children and adults on both genders on almost equal measure. Other vulnerable groups include military veterans, the LGBTQ community, and college students. It is, however, uncommon to realize cases from the elderly populations since they can access legal medications against pain experienced from their natural aging process.

Based on data from the National Survey on Drug Use and Health recorded in the year 2010, it is estimated that 22.6 million Americans aged twelve years or older were illicit drug users then or in the precedent years. Middle-aged Americans form a larger group of persons currently and previously on substance abuse. It is recorded that a majority of families are adversely affected by the opioid use crisis. Expectant women are much vulnerable, a situation that has increased the number of newborns suffering neonatal abstinence syndrome. Besides, substance use disorder in parents and close family members is adversely creating child trauma as much as there is an increase in the rate of maternal mortality. The project is generally intended to benefit affected individuals, families, and communities in the United States.

Rationale

Previously, a Medicaid expansion built into the Patient Protection and Affordable Care Act couldn’t help mitigate prescription opioid abuse. The aftermath is that the opioid crisis aggravated further to allow for increased access to prescription opioids and non-medical prescription opioids (Jan 2019). The situation has radically shifted the drug markets and sharply trajected from initiation levels to high-risk use among opioid addicts. Note that a majority of people addicted to opioid use initially began using the drugs as a result of prescription through medical professionals, and continued exposure led them to high-risk levels of abuse.

There is a need, therefore, to back up mitigation measures aligned by the federal government through a collaborative establishment that incorporates multiple other systems such as the American Society of Interventional Pain. The collaboration is key to reframing the public perception of opioid use, curbing outlawed fentanyl, heroin, and prescription drug abuse while keeping proper use and relevant access to pain-relieving modalities. The process should entail more strict prescription terms and demand for an outline of programs helping in monitoring prescription. It is critical to examine further the trends in opioid initiation, its effect on socio-demographic features, the current state of drug use, and risks associated with overdose.

B. Project Objectives.

This project has a long-term goal to contain prescription drug abuse as well as curb illicit fentanyl and heroin in the United States by strengthening overall mitigation efforts being provided by the Drug Enforcement Administration, Food and Drug Administration, Physician groups and the federal government. The specific objectives are:

· To control the escalation of opioid use in the United States by strengthening response mechanisms, coordinating response activities by all stakeholders, and reinforcing community mobilization strategies.

· To increase awareness about opioid abuse and provide guidelines and training for the public, schools, and local communities to prevent opioid misuse and abuse.

· To strengthen the federal state mitigation response by establishing coordination systems inclusive of an Opioid Command and Control Centre.

· To combat social stigma caused by addiction, by widening public access to voluntary treatment services and expanding regulatory public education campaigns.

· To expand engagement and outreach activities to legislative enforcement sites.

· To mitigate the prescription, access, and supply of opiate and illicit substances.

· To outline a comprehensive strategy to combat dependence on prescription opioids.

· To expand the recovery support services to families of young adult opioid users.

· To carry out expanded prevention and timely interventions to benefit every community from the outlined activities.

· To enhance substance abuse domestic programs to be compatible with medication-assisted-treatment

The goal of a ‘Opioid Command and Control Centre’ is to reinforce the efforts by the Department of Health and Human Services to control the crisis in the shortest time possible.

C. Project Design

The coordinated response realized from this establishment should address requirements in: reframing the mitigation strategies in place, surveillance and response, public education campaigns and mobilization, access to non-opioid techniques, and logistics. This coordinated dimension will engage proximate collaborations with multisystem within the federal state authority such as the Centers for Disease Control and Prevention, Department of Health and Human service, as well as relevant organizations such as the Food and Drug Administration, National Institutes of Health and the Drug Enforcement Administration. Curbing the Opioid crisis requires close reference to the efforts propelled by the federal state.

The opioid crisis accounts for the increasing number of infants born with neonatal abstinence syndrome, a growing number of children requiring foster care, a widened risk of infectious disease among people who inject drugs and higher overdose death rates in countries of West Virginia, District of Columbia, Pennsylvania, and Ohio (Pearlman,2016). Reports from the National Centre for Health Statistics show that Decreased life expectancy in the United States is linked with increasing overdose mortality. Further, there is economic as well as emotional pressure piled upon families and communities whose residents and members abuse and use opioids (Rios, 2019). It is prudent to oversee that the project objectives strive to help people in all demographics as affected by the opioid crisis

D. Evaluation

This response is based upon the following means of verification.

· The rate of prescription opioid fatalities below acceptable thresholds by the Centers for Disease Control and Prevention.

· Regular flow of data and information through a surveillance system provided through the project.

· Regular electronic update of prescription schedules through the established National All schedules Prescription Electronic Reporting Act.

· A published assessment report on the operational state of the Department of Health and Human Service in the United States that will help establish crisis reformatory interventions.

· Documentation on the national health cluster of the United States for 2020 is collated based on available information provided by the National Centre for Health Statistics.

· Department of Health and Human Services holds a collaborative committee alongside a National Task Force committee on meetings to align Health matters. Copies of the minutes realized from the sessions are shared across all existing humanitarian organs.

· All fatalities to be scrutinized and controlled following the description and procedures established through the project.

The success of the program is inclined to specific objectives, measurable indicators, means of verification, and critical assumptions. This response is a success upon the mitigation of opioid prescription overdoses and the decline of other public health emergencies. The parameters can be measured through the rate of opioid prescription fatalities and other health emergencies below the threshold by the Centers for Disease Control and Prevention and National Institutes of Health. The findings are verified through the Health Information System. It is, however, vital to assume that no major natural calamity or civil strife occurs before the timeline lapse.

E. Timeline

The initial stipulated lapse for the response is approximated to seven (7) months

F. References

Jang, E. Y. (2019). A Background of the Opioid Epidemic and Its Relationship to the Medicaid Expansion. Montview Liberty University Journal of Undergraduate Research, 6(1), 4.

Manchikanti, L., Sanapati, J., Benyamin, R. M., Atluri, S., Kaye, A. D., & Hirsch, J. A. (2018). Reframing the prevention strategies of the opioid crisis: focusing on prescription opioids, fentanyl, and heroin epidemic. Pain Physician, 21(4), 309-326.

Pearlman, J. (2016). Combatting Massachusetts's opioid epidemic: reducing the social stigma of addiction through increased access to voluntary treatment services and expansion of mandatory clinician education programs. American journal of law & medicine, 42(4), 835-857.

Rios, K. S. (2019). Combatting the Opioid Epidemic in Texas by Holding Big Pharma Manufacturers Liable... Mary's LJ, 50, 1353.

Garg, R. K., Fulton-Kehoe, D., Turner, J. A., Bauer, A. M., Wickizer, T., Sullivan, M. D., & Franklin, G. M. (2013). Changes in opioid prescribing for Washington workers' compensation claimants after implementation of an opioid dosing guideline for chronic noncancer pain: 2004 to 2010. The Journal of Pain, 14(12), 1620-1628.

II. Budget

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