Resources Policy, Program Planning and Evaluation
Guides & Outbreak Detection Frameworks
Downloadable resources for response and implementation.
Association of State and Territorial Health Officials (ASTHO)
Responding to an Overdose Spike: A Guide for Public Health Departments: Provides a practical, step-by-step framework for detecting sudden increases in overdoses, using data-driven thresholds, stakeholder coordination, and tailored response actions, to help jurisdictions effectively prepare for and manage overdose surges.
National Association of City and County Health Officials (NACCHO)
Overdose Spike Response Framework: Provides a comprehensive guide for local health departments to proactively plan, coordinate with multi-sector partners, and execute effective public health responses to rapid increases in overdose events, tailored to local context and resource availability.
Public Health and Safety Team (PHAST)
Public Health and Safety Team (PHAST) Toolkit: This document provides guidance for data-driven overdose response coordination among public health, criminal justice, law enforcement, and first responders. The Public Health and Safety Team (PHAST) Toolkit was developed to assist city, county, or municipal public health and public safety agencies interested in working collaboratively to reduce overdose deaths.
Massachusetts Drug Supply Data Stream (MADDS)
Massachusetts Drug Supply Data Stream (MADDS): The Massachusetts Drug Supply Data Stream (MADDS) is a community‑public health‑public safety collaboration that analyzes seized illicit drug samples, especially fentanyl and novel synthetics, to provide timely, aggregate surveillance data that inform interventions and harm reduction strategies.
Pennsylvania Department of Health Office of Drug Surveillance and Misuse Prevention EpiCenter Alert Guidance Document
Pennsylvania Department of Health Office of Drug Surveillance and Misuse Prevention EpiCenter Alert Guidance Document: Provides a structured framework and best practices for setting up, configuring, and managing overdose alert notifications within the EpiCenter syndromic surveillance platform to ensure timely, actionable public health responses.
State of Nevada's Syndromic Surveillance Alert & Investigation Plan
State of Nevada’s Syndromic Surveillance Alert & Investigation Plan: Outlines a strategic framework for integrating near real‑time data (via BioSense, ESSENCE, emergency department and OTC sales monitoring) to enhance situational awareness, outbreak detection, and public health responsiveness across state, local, tribal, and territorial jurisdictions.
Michigan Department of Health and Human Services Michigan Syndromic Surveillance System (MSSS) User Manual
Michigan Department of Health and Human Services Michigan Syndromic Surveillance System (MSSS) User Manual: Provides comprehensive guidance on utilizing the MSSS platform for real-time monitoring of emergency department and urgent care visit data, enabling public health officials to detect and respond to unusual increases in symptom presentations.
Montgomery County Public Health Incident Action Plan Community Overdose Action Team (COAT)
Montgomery County Public Health Incident Action Plan Community Overdose Action Team (COAT): Outlines a coordinated, multi-agency response to address a surge in opioid overdoses, detailing objectives, resource allocations, and safety protocols for the operational period.
Evaluation & Program Planning Resources
For planning, evaluating, and improving overdose response programs.
CDC Approach to Program Evaluation & Visualization
CDC Approach to Program Evaluation: The CDC’s approach to program evaluation systematically assesses public health programs to determine their effectiveness and efficiency, guiding improvements through data-driven insights and stakeholder engagement.
CDC Program Evaluation Framework Action Guide
CDC Program Evaluation Framework Action Guide: A comprehensive resource to assist new or early career evaluators with applying the CDC Program Evaluation Framework across a range of programs and settings.
Logic models: A tool for effective program planning, collaboration, and monitoring
Logic models: A tool for effective program planning, collaboration, and monitoring: This guide, an installment in a four-part series on logic models, describes the role of logic models in effective program planning, collaboration, and monitoring.
Updated Guidelines for Evaluation Public Health Surveillance Systems
Updated Guidelines for Evaluation Public Health Surveillance Systems: This report provides updated guidelines for evaluating surveillance systems based on CDC’s Framework for Program Evaluation in Public Health, research and discussion of concerns related to public health surveillance systems, and comments received from the public health community.
Homeland Security Exercise and Evaluation Program (HSEEP)
Homeland Security Exercise and Evaluation Program (HSEEP): Provides a set of fundamental principles for exercise programs, as well as a common approach to program management, design and development, conduct, evaluation, and improvement planning.
Evaluation: A Systematic Approach
Evaluation: A Systematic Approach: Provides a comprehensive, theory-driven framework for designing, conducting, and applying program evaluations to assess effectiveness, improve implementation, and inform decision-making in public policy and social programs.
Clinical and Prescription Data Guidance
CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022
This guideline provides recommendations for clinicians providing pain care, including those prescribing opioids, for outpatients aged ≥18 years.
WA State Bree Collaborative Opioid Prescribing Metrics
Presents nine evidence-based quality metrics focused on guideline-concordant opioid prescribing practices, overdose morbidity, and opioid use disorder prevalence to support structured evaluation and improvement efforts across health systems and payers.
Leveraging Prescription Drug Monitoring Program (PDMP) Data in Overdose Prevention and Response:
This document offers key information about PDMPs and highlights examples of how some Overdose Data to Action (OD2A) recipients are using PDMP data in their prevention and response work.
General Overdose Related Resources & Contact Information
Additional tools and points of contact for collaboration.
Increase in Fatal Drug Overdoses Across the United States Driven by Synthetic Opioids Before and During the COVID-19 Pandemic
Increase in Fatal Drug Overdoses Across the United States Driven by Synthetic Opioids Before and During the COVID-19 Pandemic: Published December 17, 2020, reports that between mid-2019 and mid‑2020 the U.S. experienced a sharp rise in fatal drug overdoses, particularly involving synthetic opioids like illicit fentanyl, with overdose deaths increasing an estimated 38% during that period and accelerating further during the early months of the COVID‑19 pandemic, alongside substantial increases in psychostimulant-related overdoses.
The U.S. Department of Health and Human Services (HHS) Overdose Prevention Strategy
The U.S. Department of Health and Human Services (HHS) Overdose Prevention Strategy: Outlines a comprehensive, evidence-based approach encompassing primary prevention, harm reduction, treatment, and recovery to reduce overdose-related harms by promoting cross-sector collaboration, stigma-free care, and data-driven interventions tailored to evolving substance use trends.
Opportunities for Prevention and Intervention of Opioid Overdose in the Emergency Department
Opportunities for Prevention and Intervention of Opioid Overdose in the Emergency Department: Article highlighting how emergency physicians not only reverse overdoses but also have a critical opportunity to engage in preventive strategies, such as safer prescribing practices, naloxone distribution, and linkage to opioid use disorder treatment
Points of Contact for Each HIDTA Area
Points of Contact for Each HIDTA Area: The latest contact information for Drug Intelligence Officers (DIOs) and Public Health Analysts (PHAs)
Synthea
Synthea: Open-source synthetic patient generator that models the medical history of synthetic patients.
This approach allows public health teams to simulate overdose trends and test how policy or system changes may influence overdose anomaly detection without using real patient data.
Legality of Drug Checking Equipment in the United States
Legality of Drug Checking Equipment in the United States: Provides a comprehensive overview of state laws governing health data exchange for public health purposes, highlighting key variations in data sharing authority, consent requirements, and data use agreements across all U.S. states.
Spatiotemporal Analysis
Understanding the spatiotemporal evolution of opioid overdose events using a regionalized sequence alignment analysis: This study introduces a novel regionalized sequential alignment analysis that examines opioid overdose events by comparing the spatiotemporal trajectories of overdose patterns across neighborhoods with similar socioeconomic characteristics, enabling finer-grained detection of evolving local dynamics.
Continue The Toolkit
< Previous: Dashboards and Surveillance Systems
Next: Use Cases >
