In America, more than 100 people die every day from an opioid-related drug overdose. The San Antonio Fire Department Mobil Integrated Health (MIH) Division has developed and deployed two distinct programs to address the opioid crisis. The first program provides community education, Narcan kits, and harm reduction education with great success. The second program addresses the need for an opioid dependence referral process for those seeking treatment, which allows MIH to start immediate medication assisted recovery in the patient’s home with the administration of buprenorphine titrated to symptom control, while awaiting placement in an outpatient treatment center.

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