JAY C. BUTLER, MD, is former Commissioner and Chief Medical Officer of the Alaska Department of Health and Social Services. During his tenure, he served as incident commander of Governor Bill Walker's Opioid Crisis Response Cabinet. He is a graduate of the University of North Carolina Medical School, has completed post-doctoral clinical trainings at Vanderbilt and Emory Universities, and maintains board certifications in infectious diseases, internal medical, and pediatrics. He was the 2017 President of the Association of State and Territorial Health Officials and is the recipient of the 2018 National American Society of Addiction Medicine's Public Policy Award. In 2019, he became Deputy Director for Infectious Diseases at the Centers for Disease Control and Prevention.MICHAEL R. FRASER, PhD, MS, CAE, FCPP, is Chief Executive Officer of the Association of State and Territorial Health Officials (ASTHO), the national nonprofit organization representing state and territorial leaders of public health agencies of the United States well as the more than 100,000 public health professionals these agencies employ. He has featured in interviews with the Washington Post, New York Times, Politico, and other national and regional media outlets. He is an affiliated faculty at the George Mason University College of Health and Human Services and a Professorial Lecturer in Health Policy and Management at the Milken Institute School of Public Health at George Washington University. His collaborative research and scholarship have published in several academic journals including the American Journal of Public Health and the Journal of Public Health Management and Practice.

• Acknowledgements Forewordsi. Foreword: A Recovery JourneyGreg Williams ii. Foreword: Countering the Opioid EpidemicMeena Vythilingam, Kumiko Lippold, and Brett GiroirText Box ii.1: Ten Evidence Based Strategies for Preventing Opioid Overdose Part I: Fundamentals and Frameworks Chapter 1Introduction: Why a Public Health Guide to Ending the Opioid Crisis?Michael Fraser and Jay Butler Chapter 2The Emergence of an EpidemicElizabeth M. Finkelman and J. Michael McGinnis Chapter 3Public Health Approaches to Preventing Substance Misuse and AddictionJay Butler Chapter 4Public Health Approaches to Overdose Prevention and Harm ReductionMark Lysyshyn and Mark Tyndall Chapter 5Stigma and the Language of AddictionMichael Botticelli and Colleen L. Barry Chapter 6The Neuroscience of Addiction: A Primer for Public Health ProfessionalsJay C. Butler Part II: Connecting Clinical Perspectives and Public Health Practice Chapter 7Non-Opioid Alternatives to Managing Chronic Pain: An Overview for Public Health PractitionersVanila Singh and Rachel Katonak Chapter 8The Role of Community Pharmacy in Addressing and Preventing Opioid Use DisorderNicholas E HagemeierText Box 8.1: Washington State's Medication Take-Back Program Chapter 9SBIRT as a Public Health and Prevention Strategy to Address Substance Misuse and Addiction Alexandra Nowalk and Janice PringleText Box 9.1. Case Study 1. Universal Screening at EMPOWER Center for HealthText Box 9.2. Case Study 2. Integrating SBIRT within Clinical Workflows Chapter 10Expanding Access to Treatment and Recovery Services Using a Hub and Spoke Model of Care Anne Van Donsel, Anthony Folland, and Mark Levine Chapter 11Engaging Payers to Transform Treatment of Substance Use DisordersSamantha ArsenaultText Box 11.1. Shatterproof Substance Use Disorder Treatment Task Force: Payer RepresentativesText Box 11.2. Shatterproof's National Principles of Care Chapter 12Collaborating to Address Substance Use Disorder in Correctional Settings: The Rhode Island Experience Rosemarie A. Martin, Nicole Alexander-Scott, Joseph Wendelken, and Jennifer ClarkeText Box 12.1. Definitions of Criminal Justice Terms Part III: Moving Upstream - Prevention, Partnership & Public Health Chapter 13The Role of Public Health Agencies in Convening Partnerships and Collaborations to Respond to the Opioid CrisisPhilicia Tucker and Michael Fraser Chapter 14Systems Thinking and the Opioid Epidemic in GeorgiaBrigitte Manteuffel, Leigh Alderman, Jane Branscomb, Karen Minyard Chapter 15A Comprehensive Approach to Addressing the Opioid CrisisMichael Fraser and Mark Levine Chapter 16Five Key Strategies for an "Upstream" Approach to Preventing Opioid Misuse and AddictionJohn Auerbach and Benjamin F. Miller Chapter 17Addressing Community Trauma and Building Community Resilience to Prevent Opioid Misuse and Addiction Sheila Savannah and Dana Fields-Johnson, with Ruben Cantu, Sana Chehimi, Alexis Captanian, and Karmen KurtzText Box 17.1. Promoting Community Level Solutions in OhioText Box 17.2. Building Resilience in Huntington, West Virginia Chapter 18Early Childhood Trauma and Substance Misuse and Addiction: An Opportunity for PreventionMelissa Merrick, Derek C. Ford, and Deborah HouryText Box 18.1. Excerpt from Essentials for Childhood: Steps to Create Safe, Stable, Nurturing Relationships and Environments Chapter 19Public Health and the Criminal Justice System: Partnerships to Promote Health and Prevent AddictionGary Tennis, Kenneth Martz, and Jac Charlier Chapter 20Building Effective Public Health and Public Safety Collaborations to Prevent Opioid Overdose at the Local, State, and Federal LevelsJennifer Carroll, Rita K. Noonan, and Jessica Wolff Chapter 21Public Health Surveillance and the Opioid CrisisJeffrey P. Engel, Valerie N. Goodson, Megan Toe, and Michael LandenText Box 21.1: Council of State and Territorial Epidemiologists' Nonfatal Opioid Overdose Standardized Surveillance Case Definition Chapter 22The Role of Prescription Drug Monitoring Programs (PDMPs) in Addressing the Opioid Overdose EpidemicGrant Baldwin, Jan Losby, Wes Sargent, Jamie Mells, and Sarah Bacon.Text Box 22.1. Excerpt from Tracking PDMP Enhancement: The Best Practice Checklist Chapter 23Prescribing Guidelines and Opioid StewardshipMark Bicket and Caleb AlexanderText Box 23.1. Recommendations from the CDC Guideline for Prescribing Opioids for Chronic PainText Box 23.2. Examples of Prescribing Guidelines from Selected National OrganizationsText Box 23.3. Selected Examples of State Opioid and/or Controlled Substance Prescribing Guidelines Chapter 24Developing a Culture of Opioid Stewardship: The Pennsylvania ExampleAllison Michalowski, Sarah Boateng, Michael Fraser, Rachel L. LevineText Box 24.1: Pennsylvania's Opioid Stewardship On-Line Resources Afterword: Our Collaborative Journey About the Authors Index