“Has fentanyl peaked?” is the wrong question.

On May 21, the New York Times published an article titled “Has Fentanyl Peaked?” The premise is that the “opioid crisis…may finally be turning around” based on the fact that preliminary data from the CDC shows that drug overdose deaths slightly declined in 2023, now down to 107,543 estimated deaths

(Podcast) Nashville’s Overdose Co-Response Unit Brings Harm Reduction to Law Enforcement

Click here to listen on Spotify As the drug overdose deaths continue to climb, we have heard more and more Sheriffs and law enforcement officers across the state say “we can’t arrest ourselves out of this problem.” That the criminal justice system plays an important role, but not the only

(Podcast) The Buprenorphine Waiver is Gone…Now What?

Click here to listen on Spotify There have been huge changes at the federal level regarding the prescribing of medications for opioid use disorder, particularly regarding buprenorphine. For two decades since the DATA 2000 law, addiction clinicians had to get a specialized waiver through the DEA to prescribe buprenorphine, and

(Podcast) Decoding Autopsies: What Medical Examiners See That Others Miss

Click here to listen on Spotify When the CDC reports that almost 4,000 Tennesseans died of a drug overdose in 2023, it can be easy to forget that each one of those numbers represents a human being that was found deceased, investigated by law enforcement, and analyzed by a medical

(Podcast) What’s Changing on College Campuses in Tennessee?

In 2020, the TN Together Student Survey found that the average age for first using a substance was 13 to 14 years old. Identifying and intervening at that age is thus crucial. Most of the time, however, the problem isn’t caught until later: usually when the person is college aged.

(Podcast) How Peer Recovery Patches Treatment Gaps

If you’ve been listening to this podcast for a while, you know that there is strong evidence for the effectiveness of addiction treatment, and that the biggest obstacle we face in combating the overdose crisis is an overall lack of access to that treatment. Health insurance is of course a

New Policy Brief: The Need for Point-of-Care Testing of All Illicit Substances

A drug test cup.

KEY POINTS An estimated 107,477 overdose deaths occurred in the United States within the last year, with about 4,000 of those deaths being Tennesseans. Over 80 percent of these deaths are attributable to opioids such as fentanyl, for which there does not exist tests approved by the Food and Drug

(Podcast) Methamphetamine and the Overdose Crisis

SMART Policy Podcast: Meth's Role in the Overdose Crisis.

We are now in the fourth wave of the overdose crisis. Fentanyl is the still the most common drug involved in these deaths, but stimulants, primarily methamphetamine, is increasingly prevalent. In fact, the vast majority of all overdose deaths now involve multiple drugs. Meth, cocaine, heroin; worse still, newer contaminants

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