West HIA
The Shelby County Health Department’s Opioid Response team in Tennessee’s West High Impact Area (HIA) continues to make strides in addressing substance use disorder (SUD), with a focus on opioid use disorder (OUD). West HIA emphasizes harm reduction, data-driven strategies, and community collaboration to improve outcomes and reduce overdose deaths.
Committed to continuous improvement, the West HIA seeks to expand programming and remain responsive to the community's evolving needs. Analysis provides valuable insights to guide the next steps in enhancing effectiveness and ensuring a comprehensive continuum of services. Together, these efforts strengthen support for individuals affected by the opioid crisis and build a more resilient community.
Overdose Monitoring and Response Plan
The West High Impact Area (HIA) created Overdose Monitoring and Response (OMAR) Plans outlining procedures for identifying, monitoring, and addressing overdose spikes or significant changes in overdose patterns. This county-specific plan establishes rapid and appropriate responses by involving local stakeholders, including Emergency Medical Services, police, public health, and community stakeholders. West HIA is committed to continuous improvement efforts of the OMAR Plan through stakeholder engagement.
Multisector Partnerships
The Shelby County Opioid Response Coalition is a vital force in combating opioid overdoses locally. The multisector coalition comprises individuals with a wide range of experiences, including those who have lived with opioid use, lost loved ones to overdoses, and professionals dedicated to treating individuals with substance use disorders (SUD). Recruiting community partners is an ongoing mission essential to success. The shared goal of reducing opioid-related deaths is accomplished through five key pillars: 1) Data Usage & Integration, 2) Prevention & Education, 3) Treatment & Recovery, 4) First Responders & Law Enforcement, and 5) Harm Reduction.
Expanded Syringe Services Programs
In collaboration with A Betor Way (ABW) and Memphis Area Prevention Coalition (MAPC) the West HIA program has expanded syringe service programs (SSP) in Shelby County. SSPs provide comprehensive harm reduction services, sterile syringe distribution and disposal, HIV/HCV testing, overdose prevention education, naloxone distribution, and referrals to treatment and social services.
Please see Tennessee’s SSP resources here.
Syringe Drug Checking Pilot Program
The West HIA program is building on its existing partnership with A Better Way (ABW) to implement a drug-checking pilot project in Memphis. In collaboration with ABW, the Memphis Shelby Health Department, and the National Institute of Standards and Technology (NIST), this initiative aims to empower people who use drugs (PWUD) by offering drug-checking services. The project involves syringe sample analysis, enabling PWUD to make more informed decisions about the substances they use, which enhances safety. Public health and local officials also stay abreast of local drug trends for overall community safety.
Community Outreach, Prevention, and Education
The West HIA conducts START and STOP events to target communities with a high overdose burden and attends various community events. START (Strategic Team Accessing Recovery and Treatment) events are family-friendly spaces aimed at raising awareness about opioids, substance use disorder (SUD), and recovery resources, helping families start conversations and find support. STOP (Street Team for Overdose Prevention) is an initiative connecting individuals to harm reduction services and treatment options. The program provides outreach and education to prevent overdose fatalities. Through these efforts, West HIA continues its mission to support individuals and families affected by substance use and help communities begin the recovery process.
Naloxone Distribution
West HIA initiated naloxone distribution by placing a vending machine in a clinic located in a high-need area. This service allows participants free and unhindered access to naloxone, a life-saving overdose reversal drug. They also have access to fentanyl test strips, a tool for PWUD to check their drug supply for the presence of fentanyl and make informed decisions. The machine was strategically placed to ensure priority populations who are at increased risk of overdose can easily obtain naloxone, thus reducing overdose-related fatalities in the community. West HIA is exploring the possibility of project expansion by increasing the number of machine locations and increasing the types of harm-reduction materials available in the machine(s).
Linkage to Care
The West’s HIA RISE (Recovery, Information, Support, and Engagement) Navigator located in Memphis Shelby County Health Department provides education, brief intervention, case management, and resource referrals for people with substance use disorders (SUD).
Please see linkage to care resources here.
Contact
· Debbie Barrett: Manager, Opioid Response, Shelby County Health Department, Debbie.Barrett@shelbycountytn.gov
· Keith Burgess: RISE Navigator, Shelby County Health Department, Keith.Burgess@shelbycountytn.gov