Oregon’s Alcohol/Overdose Strategic Prevention Framework - Partnerships for Success (SPF-PFS) advances Oregon’s long-term vision of a comprehensive, coordinated statewide behavioral health system that ensures effective substance misuse policies, practices, and investments across the continuum of prevention, treatment. and recovery; prioritizes equity; and results in healthy and thriving individuals, families, and communities.
Improving access to high quality, affordable, and culturally and linguistically appropriate substance use disorder services remains a stubborn and persistent challenge in Oregon. Oregon’s substance use disorder rate (19.4% in 2021) is significantly higher than the U.S. rate (16.5%), with about one in ten Oregonians having a drug use disorder (9.8%) (NSDUH). Polysubstance use, involving more than one drug and/or alcohol, accounted for more than half (54.6%) of overdose deaths in 2021 (2020 Oregon Death Certificate Data).
Oregon Health Authority-Public Health Division’s overarching goal is to “Reduce the onset and progression of substance/polysubstance misuse among high priority populations disproportionately impacted by alcohol and overdose in Oregon. Towards this goal, the project will implement two primary strategies:
1) Strengthen state capacity to identify and address alcohol misuse and overdose as a polysubstance use crisis impacting overlapping priority populations in Oregon.
2) Prioritize and co-develop strategies to build capacity with underserved communities experiencing the highest inequitable impacts of overdose and alcohol misuse
To ensure investments are directed to those populations most impacted by alcohol/overdose in Oregon, the Oregon Health Authority will allocate at least 50% of new SPF sub-recipient funding for interventions and capacity building supports to Black/African American communities. The remaining 50% of sub-recipient funding will be available to support communities experiencing high rates of poverty and economic disinvestment, which may include other racial and ethnic minorities and AI/AN populations. Communities most impacted by overdose/alcohol in Oregon primarily reside in Multnomah and Lane counties, with other highly impacted counties located adjacent to the I-5 corridor and coastal counties along Highway 101, encompassing both metro and rural communities.
Four key state-wide partners will support project implementation, including OHA Health Systems/ Behavioral Health Division, Oregon Alcohol Drug Policy Commission, Oregon Conference of Local Health Officials, and Planning Design and Evaluation Services. Training, technical assistance and capacity building through OHA’s Alcohol and Other Drug Prevention and Overdose Education and Prevention grantee will also support new SPF sub-recipients. In addition, the project will leverage the capacity of OHA’s far reaching equity partnerships, including OHA’s CBO Equity Community Engagement Program which directly funds 150 CBOs to implement community-driven, culturally, and linguistically responsive projects; and other substance use prevention networks throughout the 5-year grant period.