Evidence map›Paper›PMID 40311556›Full record

ArticleDrug and alcohol dependence2025

An economic analysis of community costs incurred to implement the communities that HEAL intervention to reduce opioid overdose deaths in four states.

HEALing Communities Study Consortium, Joshua A Barocas, Arnie Aldridge, Karrie F Adkins, Carolina Barbosa, Tracy A Battaglia, Joshua Bush, Mathieu Castry, Grace Corry, Thomas Clarke and 31 more

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

41 authors.

HEALing Communities Study Consortium
Joshua A BarocasUniversity of Colorado School of Medicine, Department of Medicine, USA. Electronic address: joshua.barocas@cuanschutz.edu.
Arnie AldridgeRTI International, USA.
Karrie F AdkinsUniversity of Kentucky, USA.
Carolina BarbosaRTI International, USA.
Tracy A BattagliaBoston Medical Center, USA; Boston University Chobanian & Avedisian School of Medicine, USA; Yale Cancer Center, Yale School of Medicine, USA.
Joshua BushUniversity of Kentucky, USA.
Mathieu CastryBoston Medical Center, USA.
Grace CorryWeill Cornell Medicine, USA.
Thomas ClarkeNational Institute on Drug Abuse, USA.
Nabila El-BasselColumbia University School of Social Work, USA.
Wilson FigueroaThe Ohio State University, USA.
Darcy A FreedmanCase Western Reserve University, USA.
Bridget FreisthlerThe Ohio State University, College of Social Work, USA.
Brent GibbonsRTI International, USA.
Erin B GibsonTufts Medical Center, USA.
LaShawn GlasgowRTI International, USA.
Kristin HarlowThe Ohio State University College of Medicine, USA.
Timothy R HuertaThe Ohio State University, USA.
Timothy HuntColumbia University School of Social Work, USA.
Richard JohnsonNew North Citizens' Council, USA.
Elizabeth LarimoreUniversity of Kentucky, USA.
Benjamin P LinasBoston Medical Center, USA; Boston University Schools of Medicine and Public Health, USA.
Jackson M LuckeyHertie School of Governance, USA.
Ivan MontoyaUniversity of Miami Miller School of Medicine, USA.
Sean M MurphyWeill Cornell Medicine, USA.
Emmanuel OgaRTI International, USA.
Erica OnuohaWeill Cornell Medicine, USA.
Steve OrmeRTI International, USA.
Danielle RyanWeill Cornell Medicine, USA.
Bruce R SchackmanWeill Cornell Medicine, USA.
Eric E SeiberThe Ohio State University, USA.
Mendel SingerCase Western Reserve University, USA.
Drew SpeerUniversity of Kentucky, USA.
Laura StarbirdUniversity of Pennsylvania School of Nursing, USA.
Yjuliana TinUniversity of Colorado School of Medicine, Department of Medicine, USA.
Jennifer VillaniNational Institute on Drug Abuse, USA.
Sharon L WalshUniversity of Kentucky, College of Medicine, USA.
Colleen WatsonRTI International, USA.
Gary A ZarkinRTI International, USA.
Kathryn McCollisterUniversity of Miami Miller School of Medicine, USA. Electronic address: KMcColli@med.miami.edu.

Funding

MassHEAL - Reducing overdose deaths by 40% (2019-2023)UM1DA049412 · NIDA · BOSTON MEDICAL CENTER · PI SAMET, JEFFREY H. · 2019 to 2023
$82.9M
Kentucky CAN HEAL (Communities and Networks Helping End Addiction Long-term)UM1DA049406 · NIDA · UNIVERSITY OF KENTUCKY · PI WALSH, SHARON L. · 2019 to 2022
$81.7M
CHASE: An Innovative County-Level Public Health Response to the Opioid Epidemic in New York StateUM1DA049415 · NIDA · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI EL-BASSEL, NABILA, GILBERT, LOUISA · 2019 to 2023
$77.3M
Optimizing HEALing in Ohio Communities (OHiO)-Health Equity SupplementUM1DA049417 · NIDA · OHIO STATE UNIVERSITY · PI FREISTHLER, BRIDGET J, WINHUSEN, T JOHN · 2019 to 2023
$66.3M
HEALing Communities Study Health Equity ResearchUM1DA049394 · NIDA · RESEARCH TRIANGLE INSTITUTE · PI GLASGOW, LASHAWN, KNOTT, CHARLES · 2019 to 2023
$40.6M
NIDA NIH HHS UM1 DA049394NIDA NIH HHS UM1 DA049406NIDA NIH HHS UM1 DA049412NIDA NIH HHS UM1 DA049415NIDA NIH HHS UM1 DA049417
6 · The paper itself

Abstract

backgroundThe HEALing Communities Study (HCS) was conducted across four states with the goal of decreasing opioid-related overdose deaths by increasing community-level adoption of evidence-based practices (EBPs). Providing communities with training, technical assistance, and resources to aid them in addressing opioid overdoses was central to the Communities That HEAL (CTH) intervention. The intervention included 1) community engagement (CE) to facilitate data-driven EBP selection and implementation, 2) a menu of EBPs to implement, and 3) communication campaigns.

methodsWe performed an economic cost analysis for the 33 communities implementing CTH over a 30-month intervention period in Kentucky, Massachusetts, New York, and Ohio. Cost data were obtained from community members, consultants, and research faculty and staff. This study focuses on the communities' perspective and reports costs paid directly with HCS funds and the opportunity costs of community members' time and other unreimbursed resources. We report average costs across communities and for each component of the CTH.

resultsThe average cost per community of CE was $1030,405, EBPs was $668,030, and communication campaigns was $235,915. The total community cost of CE was $34,003,373, of EBP implementation was $22,044,987, of communications campaign was $7785,182.

conclusionsOur study provides insight into the scope and value of resources incurred to implement community-based interventions to reduce opioid overdose deaths across four states.

Indexed as

Drug OverdoseOpiate OverdoseOpioid-Related DisordersCommunity ParticipationCosts and Cost AnalysisEvidence-Based PracticeHumansKentuckyMassachusettsNew YorkOhioUnited StatesCommunity engagementEconomic analysisHelping to End Addiction Long-term (HEAL)®Opioid overdose deaths

Identifiers

PMID40311556
PMCPMC12374488

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.