Project OOPEN: Opioid Overdose Prevention, Education and Intervention

Inclusion Criteria: Meets study definition of elevated risk of future opioid overdose * Reason for visit is opioid overdose (regardless of frequency of use), or * Use of pharmaceutical opioids not prescribed to the patient 2 or more times in the prior month, or * Use of other opioids, alcohol, benzodiazepines or stimulants within two hours of using opioids 2 or more times in the prior month, or * Average daily dose of prescribed opioids consumed is greater than10 mg morphine equivalent analgesic dose or higher for 15 or more days in the last 30. * Enrolled in opioid substitution program (e.g. methadone or suboxone) and receiving doses. * Use of heroin through any route of administration at least 2 times in the last 30 days (or if institutionalized recently, in the most recent month they were not institutionalized) with or without other risks being present. * Use of pharmaceutical opioids at least 2 times in the last 30 days (or if institutionalized recently, in the most recent month they were not institutionalized) with other risks being present. * Average daily dose of prescribed opioids consumed is 30 mg morphine equivalent analgesic dose or higher without other risks being present.(For adult medicine clinic patients only.) Exclusion Criteria: * Unwilling to allow further access to medical or drug treatment records. * Inability to communicate in English. * Current active suicidal ideation. * Significant cognitive or psychiatric impairment (per judgment of clinical staff…