International Overdose Awareness Day

August 31st, communities around the world will host a variety of activities in support of International Overdose Awareness Day. Inspired by annual community events hosted in Melbourne, Australia, International Overdose Awareness Day was brought to the global stage in 2012 as nations like the United States and Australia were beginning to understand the magnitude of the opioid crisis. Since 2012, IOAD has maintained it’s original purpose to raise awareness, reduce stigma of drug-related death and commemorate those who have been lost to drug overdose.

View Proclamation

IOAD Events Across Tennessee

If you are hosting an IOAD event make sure to register your activity at the official Overdose Day website.

If you’ve already completed the activity, let us know how it went by posting a success story! View TN Together activities to see how you can make a difference year round!


Download the Toolkit

TN Together and the TN Department of Mental Health and Substance Abuse Services have created a toolkit
to spread awareness during IOAD 2022
Download the .zip below to share on social media!

Overdose in Tennessee

What is an Overdose?

All drugs can cause an overdose, including medications prescribed by a doctor or purchased over the counter. However, not all overdoses are fatal. In Tennessee, 74 % of fatal overdoses involved an opioid despite the opioid overdose reversal medication, Naloxone, being available.

An opioid is a class of drugs that include the illegal drug heroin as well as powerful pain relieves available legally by prescription. An opioid overdose can occur when a opioid is taken in excess amounts or in combination with other drugs. This is because opioids affect the brain’s regulation of breathing. During an overdose, opioids can slow breathing until it eventually stops, resulting in death. Most opioid overdoses are slow and occur one to three hours after using the drug.

2020 Nonfatal Overdose Outpatient Visits
2020 Overdose Deaths in TN
2021 Painkiller Prescriptions Filled in TN

Understanding Data

Together, Tennessee recognizes that these numbers matter. 

Every number is a story, and every story is a person.

The Tennessee Department of Health (TDH) is taking a data-driven approach to understanding  this evolving epidemic. Through state support and federal funding the Office of Informatics and Analytics (OIA) is able to support a comprehensive and multi-faceted data-driven response to the opioid crisis in TN.

We use mortality (fatal), morbidity (non-fatal), and prescription data and rigorous public health surveillance and epidemiologic methods to provide accurate and timely information to understand the epidemic. OIA strongly supports dissemination of data through a variety of reports, data-briefs, projects, and collaborative statewide efforts including a data dashboard.

Data Dashboard
Facts About Fentanyl
2020 Mortality Report
Nonfatal Overdose Monthly Briefs

Reducing Stigma

Stigma & The Barriers It Creates.

One of the biggest barriers to preventing overdose deaths is the perceived stigma surrounding overdose and addiction.

When an individual is stigmatized, others view the person as the problem rather than viewing the condition as the problem. This leads the individual to feeling shame and isolation, making it event harder to ask for or accept help.

How Can You Reduce Stigma?

Person-first language is proven to reduce stigma and improve treatment. 

It’s not about being sensitive or politically correct. It’s about access to quality treatment and care. Person-first language is nonjudgemental, neutral, and the diagnosis is purely clinical. 

Knowing the right words to stay can be tricky as language is ever evolving. The End the Syndemic Tennessee Language Guide is a tool to understanding more compassionate language. Download and share the guide below

Addict Addict (1)
Addict (2) Addict (3)
Addict (4) Addict (5)



Naloxone, often known by it’s nasal spray application brand name Narcan, is a proven tool in the battle against drug misuse and overdose death. When too much of an opioid medication is taken, it can slow breathing to a dangerously low rate. If breathing slows too much, overdose death can occur. Naloxone can reverse this potentially fatal situation by allowing the person to breath normally again.

Anytime an overdose is suspected call 911 immediately. Stay with the person until first-responders arrive. Give Naloxone if you have access and are trained. Sometimes multiple doses of Naloxone are needed if potent opioids, such as Fentanyl, are consumed. Start rescue breaths by pinching the person’s nose and breathing into their mouth every five seconds until first-responders arrive or the person becomes alert. If you cannot wait for first-responders, place the person in the recovery position (on their side supported by a bent knee).

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Naloxone Kits Distributed in TN
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Lives Saved
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Tennesseans Trained To Use Naloxone

Regional Overdose Prevention Specialists (ROPS)

Since 2017, Tennessee’s Save A Life project has funded regional overdose prevention specialists throughout the state. These ROPS serve as a point of contact for training and education on opioid overdose and for overdose prevention through the distribution of naloxone. Currently, the Tennessee Department of Mental Health and Substance Abuse Services has a total of 20 ROPS operating in 13 regional divisions across the state.

Harm Reduction

Harm Reduction is a public philosophy and set of practical strategies that seeks to reduce the negative consequences associated with substance use. In Tennessee, there are numerous organizations and state sponsored activities that actively practice the principles of harm reduction – some of which have already been mentioned.

This section will highlight some programs and services important to Harm Reduction: Syringe Service Programs (SSPs), Medication Assisted Treatment (MAT), and End the Syndemic Tennessee- all of which serve a meaningful role in Tennessee communities.

What Is A Syringe Services Program?

Syringe Service Programs (SSPs) are community-based prevention programs that can provide a range of services, including:

  • Linkage to substance use disorder treatment
  • Access to and safe disposal of sterile syringes and injection equipment
  • Vaccination, testing, and linkage to care and treatment for infectious diseases
  • Access to and training on naloxone
  • And much more

More than 30 years of research show that SSPs protect communities by reducing syringe litter, increasing access to recovery services, and reducing transmission of HIV, hepatitis C and other infectious diseases. Click the graphic below to learn more about how SSPs benefit communities 

Medication Assisted Therapy (MAT)

Medication-assisted treatment (MAT) is the use of medications with counseling and behavioral therapies, to provide a “whole -patient” approach to treatment of substance use disorders.

MAT is primarily used for the treatment of addiction to opioids such as heroin and prescription pain relievers that contain opiates. The prescribed medication operates to normalize brain chemistry, block the euphoric effects of alcohol and opioids, relieve physiological cravings, and normalize body functions without the negative effects of the misused drug. 

While MAT may be a viable option for some patients, it is simply a tool in the toolkit when treating substance use disorders, and appropriate therapy should be chosen in consultation with a licensed healthcare provider.

Common Medications to Treat Opioid Addiction

Common Medications to Treat Alcohol Use Disorder

Join End the Syndemic Tennessee

End the Syndemic Tennessee is a community-based strategic planning process bringing together advocates, community partners, and organizations across the state to set priorities to address HIV, sexually transmitted infections, substance use disorder, and viral hepatitis. Join a regional planning group to contribute your ideas, network with others, and transform prevention and treatment efforts in Tennessee. Together we can end the syndemic.

Additional Resources

The Tennessee REDLINE is a toll-free information and referral line that provides accurate, up-to-date alcohol, drug, problem gambling, and other addiction information and referrals to all citizens of Tennessee at their request. 

The REDLINE provides referrals for co-occurring alcohol and drug disorders that arise along with mental health disorders.

The Tennessee Suicide Prevention Network (TSPN) is a statewide organization working tirelessly to eliminate the stigma of suicide.

Staff and volunteers are often counselors, mental health professionals, physicians, clergy,  journalists, social workers, law enforcement personnel as well as survivors of suicide and suicide attempts. Suicide does not discriminate against age, race, means, or profession. We would like our volunteers to be just as diverse in background as the people we strive to reach.

Click here for more information.

The Tennessee Statewide Crisis Line is available toll-free 24/7 hours a day 365 days a year.

This is a resource for anyone experiencing a mental health crisis. All calls are routed to a trained crisis counselor in your area, who will provide you support and guidance, and work to connect you with appropriate community supports.

Call 855-274-7471

There is no “typical” demographic of a person who is at risk for suicide. No age group, ethnicity, or background is immune. Fortunately, many troubled individuals display behaviors deliberately or inadvertently signal thier suicidal intent. Recognizing the warning signs and learning what to do next may help save a life.

If you or a loved one is experiencing suicidal thoughts or tendencies call the National Suicide Prevention Helpline.

Call 1-800-273-8255 or Text 741741

Las llamadas son gratuitas desde cualquier teléfono en los Estados Unidos.

Nuestras líneas funcionan las 24 horas todos los días de la semana, de modo que usted puede ponerse en contacto con una persona capacitada en cualquier momento en que lo necesite.

Su llamada es confidencial; esto significa que la persona que le escucha hará todo lo posible por no divulgar su identidad.

Prestamos servicios en inglés (1-800-273-8255) y en español (1-888-628-9454)

Somos la única red nacional de respuesta a situaciones de crisis con financiación del Gobierno Federal.

The Tennessee department of Mental health and Substance Abuse Services is proud to offer the TNRecover app.

This app is designed for people in recovery from substance use disorder or for people looking to get more information on preventing addiction. The TN recover app is available for download in the Apple Store for iOS devices or the Google Play Store for Android devices.

Text SAVE to 30678 to download the free TN Recover app.

Contact the Regional Overdose Prevention Specialist (ROPS) in your are.

Click here to view ROPS contact map.