Development of the Framework

The framework was informed by an extensive review of state opioid plans and national frameworks, including the National Governor’s Association’s Finding Solutions to the Prescription Opioid and Heroin Crisis: A Road Map for States, Trust for America’s Health’s Prescription Drug Abuse: Strategies to Stop the Epidemic, and research from the National Association of State Alcohol and Drug Abuse Directors. The framework also builds on ASTHO’s 2017 President’s Challenge on Substance Misuse and Addictions, a national effort to unite and rally state health officials, affiliates, and other cross-sector partners to act and use proven public health approaches to prevent substance misuse, addictions, and the related consequences. Given the scale and complexity of the opioid epidemic, the Challenge calls for a multi-prong, government-wide, and multi-sector approach that relies on both public and private commitment to reverse the epidemic of substance use disorder plaguing our nation.

ASTHO also invited input from a diverse group of stakeholders and experts representing state and territorial health agencies, federal agencies, and national organizations.