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Free webinars every month, on the 4th Monday of the month, at 12:00-1:00

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Free webinars every month, on the 4th Monday of the month, at 12:00-1:00

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Watch upcoming and/or recordings by signing up - to sign up, click into a webinar link below:

October 2025:

Webinar: Building an Overdose Spike Response Plan

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State and National Resources — Montana Public Health Institute

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OBJECTIVES covered in three sessions:

1. Identify and apply most appropriate interventions for suspected opioid overdose in the Montana pediatric population.

2. Rule out other mimics of overdose such as altered mental status, stroke, polypharmacy, and trauma.

3. Identify best practice updates per local case review of overdose and outcomes.

4. Identify gaps in inter-agency communications, alert protocols, incident command system, intelligence sharing, and coordination in response to an opioid spike in their region.

5. If appropriate, identify changes that need to be made in the interagency opioid spike mobilization strategy.

6. Identify effectiveness of state-supplied response toolkit and Overdose Detection Mapping Application Program (ODMAP).

7. Identify local networks and resources for emergency/urgent substance abuse, mental health care, and social services.

Training open to: Mental health providers, ER healthcare providers, Nurse educators, human resources, DONs, Providers,  EMS, Law Enforcement, Administration, public health, social work, clergy, Training Staff, local partners, media, and anyone you feel should participate.

Session one and two:

Hands on simulation with a high fidelity manikin in the Emergency Room.

Session Three:

Tabletop discussion and simulation hotwash in hospital conference room.

4 hours of CE’s for EMS and Nursing provided by FlightBridgeED.

SIM-MT Contact:  Maile Allzer, Regional Manager maile@simmt.org  (360) 471-2883

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The Montana opioid crisis is a multifaceted issue, exhibiting regional variations that demand a nuanced approach for effective intervention. A comprehensive program is required, capable of adapting to the specific needs of each community while incorporating universally applicable medical training to combat overdoses. Recognizing the intricacies and hyper-local nature of the opioid crisis, SIM-MT’s proposed STORPI project is designed to address these complexities effectively:

1. First training day morning: First responders, clinicians, and stakeholders participate in an overdose simulation scenario to practice skills. Each practice session includes a debrief session for learning, collaboration and improvement.

2. First training day afternoon: An afternoon regional stakeholder meeting will follow to discuss participants’ simulation experiences, identify response gaps, and to create a community-approved After Action Report. This time will include a presentation by our partner, the Opioid Response Strategy (ORS) team, on spike response tools and resources available to communities.

3. Follow-up: Three months post-training, communities will review their progress with SIM-MT and identify ongoing needs.

4. Advanced Simulation: 6-9 months after initial training, a second simulation event, mirroring the first day, is held to introduce more complex scenarios and an additional tabletop discussion, further enhancing skills and allowing participants to put their After Action Report into practice.

5. Online support: SIM-MT will develop an online platform for ongoing support for all participants, that will include webinars, training opportunities, and community support and interaction.

6. Data collection: Rigorous data collection and analysis are undertaken to quantify the project’s impact. This empirical approach enables informed decision-making and ensures the continual refinement of intervention strategies.

Recognizing the varied impact of the opioid crisis on Montana communities, SIM-MT emphasizes a localized

approach tailored to each community's unique challenges. Collaboration with partners like the Attorney

General's office, Department of Public Health and Human Services, the Overdose Response Strategy team, and

others ensures a comprehensive understanding of the crisis and ongoing support for affected communities.

Specific Goals*

1. Expand training for first responders on the use of naloxone and other FDA approved drugs to reverse Opioid overdoses. (SIM-MT's high-fidelity simulation training will specifically allow practitioners to practice this skill inside of escalating overdose scenarios).

2. Expand the use of warm hand-off programs and recovery services. (Participants will have access to an online platform with expert webinars and other resources to help with this stage of the opioid crisis).

3. Connect people who need help to the help they need and track their progress. (By educating and supporting providers, they can, in turn, help their patients receive the help they need).

4. Provide training on post-discharge planning, including community referrals and support services. (By bringing regional stakeholders together in afternoon discussions, regions can build an after action plan that

includes these pieces).

5. Prevent overdose deaths and provide reporting on our successes. (Simulation training is the gold standard for medical skills improvement and data collection along the way will inform further training).

6. Provide up-to-date and evidence-based education to a wide variety of community members. (By creating customized scenarios, SIM-MT ensures up-to-date and best practice training).

7. Support first responders, through training and online support. (The program includes both training and online support for first responders).

8. Support efforts to provide leadership, planning, coordination, facilities, training and technical assistance to

abate the Opioid epidemic. (Included throughout the project).

9. SIM-MT will conduct evidence-based data collection and research, highlighting gaps in overdose patient care skills, and the overall effectiveness of this project in the communities served. Document our baselines and report on the progress of our efforts each quarter.

10. Support treatment of Opioid Use Disorder (“OUD”) and any co-occurring Substance Use Disorder or Mental Health (“SUD/MH”) conditions through evidence-based or evidence informed programs or strategies that may include, but are not limited to, those that: Support treatment of Opioid Use Disorder (“OUD”) and any co-occurring Substance Use.

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Overdose Response Strategy (ORS)

The Overdose Response Strategy (ORS) is an unprecedented and unique collaboration between public health and public safety, created to help local communities reduce drug overdoses and save lives by sharing timely data, pertinent intelligence, and innovative strategies.

The ORS Team for Montana, which consists of a Public Health Analyst (Jordan Friend) and a Drug Intelligence Officer (Will Janisch), began their work in late 2021, partnering with public safety and public health agencies across the state to address rising overdoses across the state at the local community level.

One of the tools being utilized in Montana is the Overdose Detection Mapping Application Program (ODMAP). ODMAP is a free, nation-wide system that provides near real-time data on suspected overdoses across jurisdictions to support public safety and public health efforts to mobilize an immediate response to a sudden increase, or spike, in overdose events.

Over 120 agencies across Montana are currently utilizing ODMAP to help address the growing overdose problem in Montana. Partners working on drug overdose prevention efforts may be eligible for an ODMAP account and can fill out the ODMAP interest form for support. More information is available in the DPHHS ODMAP User Manual.

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The Overdose Data to Action (OD2A) grant is a 3-year grant from the CDC that focuses on the complex opioid overdose epidemic and highlights the need for comprehensive prevention methods. Surveillance activities are put in place to gather data on suspected overdoses and in return helps monitor trends and assists in creating direct prevention activities.

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Substance Use Disorder Services and Resources

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Medication for Opioid Use Disorder (MOUD), formally known as Medication Assisted Treatment (MAT) is the use of FDA approved Buprenorphine and Methadone in combination with therapy to provide an individually tailored “whole-patient” approach to the treatment of opioid use disorders.

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Overdose Detection Mapping Application Program (ODMAP) interest form for requesting access to the opioid spike map

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Overdose Detection Mapping Application Program (ODMAP) interest form for requesting access to the opioid spike map

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DPHHS is offering one-time incentive payments to recruit employees at Montana’s state-run health care facilities. For more information go to Work4DPHHS.com

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Opioid Project Resources for Professionals - Extension Family & Human Development | Montana State University

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MSU Extension works in collaboration with local partners to identify emerging needs, then we plan and prioritize work to support those needs. We create and extend resources to serve the interests of individuals, families, communities–all Montanans–across generations, across Montana.

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International Association of Chiefs of Police

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Skip to content

About Moat:

Montana has formed the Montana Opioid Abatement Trust (MOAT) to receive national opioid settlement funds. The MOAT funds are to be dedicated to reducing the harm caused by opioid misuse and addiction through prevention, treatment, and recovery initiatives and are allocated on a formula basis to abatement regions.

Upcoming Meeting

The upcoming Flathead County Metro Abatement Region (MOAT) meeting is on June 18th, 2025 from 3:00-5:00pm at 1035 1st Ave W, Kalispell MT.

Upcoming Meeting Agenda and Board Packet:

Not yet available.

Register to Attend the Upcoming Flathead County Metro Abatement Region (MOAT) Meeting:

Submit Written Public Comment:

Bylaws of The Flathead County Metro Abatement Region

Governance Committee

a. Committee members will have the opportunity to ask questions and engage in dialogue with applicants.

VIII. Amendments

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The Montana Opioid Abatement Trust is dedicated to reducing the harm caused by opioid misuse and addiction in Montana through prevention, treatment, and recovery initiatives. Our mission is to support individuals and families affected by opioid addiction, promote community education and awareness, and collaborate with partners to implement evidence-based solutions that address the opioid epidemic in Montana.

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Opioid Resources | Blue Cross and Blue Shield of Montana

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Addressing the opioid epidemic affecting our communities requires a multifaceted approach in the health care system. According to the Centers for Disease Control and Prevention:

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https://www.montana.edu/extension/health/opioid_resources/opioid_fact_sheet.html

https://www.aarp.org/health/drugs-supplements/opioid-deaths-rising/

https://www.montana.edu/extension/powderriver/documents/OpioidUseandMisuse.pdf

https://www.va.gov/PAINMANAGEMENT/Opioid_Safety/OSI_docs/10-791-Safe_and_Responsible_Use_508.pdf

https://www.healthquality.va.gov/guidelines/Pain/cot/ChronicPainManage_PatientGuide_CST3102023.pdf

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AARP Montana and Mountain Pacific Partner To Offer Opioid Resources

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With the impacts of opioids remaining in the news in recent months, AARP Montana and Mountain-Pacific Quality Health have teamed up to provide new information on opioid safety, pain management, and reducing harm in our communities. It has been called the “most consequential preventable public…

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*SAMHSA

Responding to an Opioid Overdose

Family members, caregivers, or people who spend time with individuals using opioids need to know how to recognize the signs of an overdose and how to administer life-saving services until emergency medical help arrives. Individuals experiencing an opioid overdose will not be able to treat themselves. Naloxone [NARCAN® is one brand] is a medication approved by the Food and Drug Administration (FDA) to prevent opioid overdose. The State of Montana promotes and distributes naloxone for free across the state, based on Legislation passed in 2017.

Watch this video to learn how to administer Narcan in case of an emergency. How to Use NARCAN® (naloxone) Nasal Spray
NOTE: Naloxone ONLY affects OPIOID overdoses.
This family of drugs includes prescription painkillers such as heroin, fentanyl, oxycodone (OxyCodone-R-), hydrocodone (Vicodin-R-)methadone, codeine and morphine drugs like heroin. Naloxone will NOT reverse overdose results from non-opioid drugs, like cocaine, benzodiazepines, alcohol or stimulant overdoses involving cocaine and amphetamines.

Good Samaritan Law Protections

The Good Samaritan Law protects those who seek assistance for themselves or others in the case of a drug-related overdose. Designed to promote life-saving naloxone use, the Montana State Code 2023 states:

"(a) a person who, acting in good faith, seeks medical assistance for another person who is experiencing an actual or reasonably perceived drug-related overdose if the evidence supporting an arrest, charge, or prosecution was obtained as a result of the person's seeking medical assistance for another person; or

(b) a person who experiences a drug-related overdose and is in need of medical assistance if the evidence supporting an arrest, charge, or prosecution was obtained as a result of the drug-related overdose and the need for medical assistance.
See the full Montana State Legislative law here: https://leg.mt.gov/bills/mca/title_0500/chapter_0320/part_0060/section_0090/0500-0320-0060-0090.html In Missoula:
Where can you get naloxone (NARCAN®)?

All Nations Health Center : 830 W Central Ave, Missoula, MT 59801

Cedar Creek Integrated Health: 2620 Connery Way, Missoula, MT 59808

Hope Rescue Mission (indoor): 2811 Latimer St, Suite 223, Missoula - FREE

Missoula Food Bank & Community Center vending machine (indoor): 1720 Wyoming St, Missoula, MT 59801 - FREE

Missoula Public Health: 301 W Alder St, Missoula, MT 59802 - FREE

Mountain Line Transfer Center vending machine (outdoor): 200 W Pine St, Missoula, MT 59802 - FREE

Open Aid Alliance: 715 Ronan St., Missoula, MT 59801- FREE

The Poverello Center vending machine (indoor): 1110 W Broadway St, Missoula, MT 59802 - FREE

Western Montana mental Health Center: 1325 Wyoming St, Missoula, MT 59801

Local pharmacies offer the purchase of NARCAN® at approximately $45 per two-dose box

Looking for Resources and Support?

About Dose of Hope

Dose of Hope is a project to provide life-saving naloxone medication to the general public for emergency overdose poisoning incidents. Dose of Hope is a project guided by the Missoula Drug Safety Committee and United Way of Missoula County. The Drug Safety Committee is made up of organizations including: United Way of Missoula County, Missoula Public Health, Open Aid Alliance, Missoula County Community Justice Department, St. Patrick Hospital, Mountain Pacific Quality Health and the University of Montana School of Pharmacy.

Naloxone distribution is supported and encouraged by the State of Montana which provides naloxone (NARCAN®) for free to communities for distribution. Fentanyl test strips provided by the University of Montana student group - Students for Sensible Drug Policy.

Funding to purchase Dose of Hope vending machines and maintenance costs provided by the Independent Emergency Room Physicians Trust.

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Dose of Hope | United Way of Missoula County

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SAMHSA Family members, caregivers, or people who spend time with individuals using opioids need to know how to recognize the signs of an overdose and how to administer life-saving services until emergency medical help arrives. Individuals experiencing an opioid overdose will not be able to treat themselves.

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Opioid Use/Misuse in Older Adults - Extension Family & Human Development | Montana State University

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o∙pi∙oid (noun) an opium-like compound that binds to one or more of the three opioid receptors of the body (adjective) relating to opioid compounds.

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ORS Trends, Analysis & Threats WebinarJoin the ORS for a bi-monthly webinar series delivering briefings on current and emerging drug trends from experts with leading forensic and toxicology labs. Click the link below to register and view upcoming dates. Date: First Wednesday, every other month Time: 2:00-3:00 PM EST REGISTER HERENew York ORS Team Develops

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Narcan nasal spray is available to individuals at locations identified on the map below, formal training is not required, basic instructions are available, and additional resources are being developed to for community use purposes. Montana’s Good Samaritan Law provides legal protection to those who administer naloxone, even if they are using substances too. Naloxone is also available from these Pharmacy Locations pending insurance approval.

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Narcan nasal spray is available to individuals at locations identified on the map below, formal training is not required, basic instructions are available, and additional resources are being developed to for community use purposes. Montana’s Good Samaritan Law provides legal protection to those who administer naloxone, even if they are using substances too. Naloxone is also available from these Pharmacy Locations pending insurance approval.

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Please leave your details here if you would like your organization to be listed as a "Community Distributor for Naloxone": community Naloxone distributors

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Narcan nasal spray is available to individuals at locations identified on the map below, formal training is not required, basic instructions are available, and additional resources are being developed to for community use purposes. Montana’s Good Samaritan Law provides legal protection to those who administer naloxone, even if they are using substances too. Naloxone is also available from these Pharmacy Locations pending insurance approval.

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Suspect a poisoning? Get expert help. Use the webPOISONCONTROL online tool, or call. Both optio

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Get free Poison Control help online or call 800-222-1222 if you swallow, splash, or get stung by something that may be harmful.

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Narcotics Training & Intelligence| Rocky Mountain HIDTA | United States

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The Rocky Mountain High Intensity Drug Trafficking Area: the home for narcotics intelligence, training, and monitoring in Colorado, Montana, Utah, and Wyoming

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DPHHS is offering one-time incentive payments to recruit employees at Montana’s state-run health care facilities. For more information go to Work4DPHHS.com

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DPHHS is offering one-time incentive payments to recruit employees at Montana’s state-run health care facilities. For more information go to Work4DPHHS.com

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Guidance for Documenting Overdose-related EMS Incidents

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Understanding the Opioid Overdose Epidemic

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CDC is committed to fighting the opioid overdose epidemic and supporting states and communities.

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The hub for CDC’s Overdose Data to Action program, including information and resources.

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Tribal funding information to track and prevent ACEs, overdose, suicide, and violence.

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Implementing and Overdose Spike Response Plan

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Implementing and Overdose Spike Response Plan

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Sign in to your OneDrive cloud storage and Office Online.

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Editable template, in addition to PDF above:

Overdose Spike Local Alert Press Release Template.docx

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Spike Response Press Release Example - Billings

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Overdose Spike Response Plan Partner List Template.xlsx

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CT MT Mental, Emotional and Behavioral Health Resourse List

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https://dphhs.mt.gov/BHDD/naloxone/wheretogetNaloxone

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Montana’s Peer Network is a statewide peer run 501c3 non-profit recovery organization with a mission to lead the development of the peer support workforce and creates pathways for wellness and recovery in communities throughout Montana.

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Kayla has lived experiences raising a child diagnosed with developmental disabilities while having her own diagnosis and is in recovery from mental health challenges.

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Montana Suicide Prevention and Mental Health Crisis Lifeline

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Montana Suicide Prevention and Mental Health Crisis Lifeline

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If you or someone you know is in crisis, please call 988 to be connected to the National Suicide Prevention Lifeline or 911 if a person is in immediate danger.