TODA General Resources
Where to Report-
TODA Reporting Drug Poisoning Events in Texas (PDF) identifies Texas drug poisoning reporting systems and how to report.
Resources
For Communities
- Texas Health and Human Services (HHSC) Outreach, Screening, Assessment, and Referral (OSAR)
- OSAR programs are available to all persons looking for information about substance use services. OSAR programs can be the starting point for people who want help accessing substance use services and are unsure where to begin.
- Health and Human Services - Substance Use Service Locations (HHSC)
- Texas One Pill Kills (HHSC)
- Texas Targeted Opioid Response (HHSC)
- New Guides to Help Communities Respond to the Opioid Drug Poisoning Crisis (Substance Abuse and Mental Health Services Administration)
- One Pill Can Kill (Centers for Disease Control and Prevention)
- Important Phone Numbers:
- 211 Texas or 877-541-7905 - Free and anonymous, available 24/7, 365 days/year. Get help finding resources in your community, help with food or housing, child care, crisis counseling, or substance abuse treatment.
- 988 Suicide & Crisis Lifeline - Offers 24/7 call, text, and chat access to trained crisis counselors who can help people experiencing suicidal, substance use, and/or mental health crisis, or any other kind of emotional distress. Call, text, or chat 988 if you are worried about a loved one who may need crisis support. Available in Spanish.
- 911 - If you or someone you know is experiencing an emergency, call 911. Trained staff will dispatch emergency medical services, fire, and police as needed.
- FindHelp.org
- Find free or reduced-cost resources like food, housing, financial assistance, health care, and more. Enter your zip code or program in the FindHelp search engine and get connected to nearby resources organized by category.
- Be Well, Texas
- Be Well, Texas expands access to compassionate, evidence-based treatment for people who use substances and with substance use disorders (alcohol or drug) and/or mental illness.
- Need help now? Call Be Well, Texas at 888-8523-935.
- Texas Coalition for Healthy Minds
- Bystander Law in English and Spanish (Good Samaritan Law)
- Institute for Intergovernmental Research Overdose Fatality Review (OFR) Overview (PDF)
- This document provides an introduction to OFR and outlines the purpose and resources needed to facilitate an OFR. OFR is a crucial tool for battling drug poisonings at the community level. Please email toda@dshs.texas.gov for more information.
- Centers for Disease Control and Prevention (CDC) Video on Nalxone Administration
For Providers and Responders
Centers for Disease Control and Prevention (CDC)
- 2022 CDC Clinical Practice Guideline at a Glance | Overdose Prevention | CDC
- 2016 vs 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain (PDF)
- First responders can earn continuing education units (CEUs) by enrolling in and taking the full course (5 modules) on trauma-informed approaches for post-overdose outreach teams here: Introduction to Trauma-Informed Care for Post Overdose Outreach Teams (Web Based) - WB4737
National Highway Traffic Safety Administration Office of EMS
Substance Abuse and Mental Health Services Administration (SAHMSA)
- Coping with the Drug Poisoning Crisis as a Responder.
Texas Department of State Health Services (DSHS)
UTHealth Houston
Information Sources, Dashboards, and Data Products
Substance Abuse and Mental Health Services Administration (SAMHSA):
- Evidence Based Practices Resource Center.
- 2023-2026 SAMHSA Strategic Plan.
- Advisory: Low Barrier Models of Care for Substance Use Disorders.
Centers for Disease Control and Prevention (CDC):
- CDC State Unintentional Drug Overdose Reporting System (SUDORS) dashboard.
- CDC Xylazine webpage.
- Note for Xylazine links: These sites include resources developed by state health departments that address various topics including wound care for those with wounds from xylazine use.
U.S. Department of Health and Human Services Overdose Prevention Strategy
Data Products:
- Syndromic Surveillance Reports
- Suspected Drug Poisoning Emergency Department Visits in Texas, October 2025
- Suspected Drug Poisoning Emergency Department Visits in Texas, September 2025
- Suspected Drug Poisoning Emergency Department Visits in Texas, August 2025
- Suspected Drug Poisoning Emergency Department Visits in Texas, July 2025
- Suspected Drug Poisoning Emergency Department Visits in Texas, June 2025
- Suspected Drug Poisoning Emergency Department Visits in Texas, May 2025
- Suspected Drug Poisoning Emergency Department Visits in Texas, April 2025
- Suspected Drug Poisoning Emergency Department Visits in Texas, March 2025
- Suspected Drug Poisoning Emergency Department Visits in Texas, February 2025
- Suspected Drug Poisoning Emergency Department Visits in Texas, January 2025
Library
Department of State Health Services (DSHS)
- TODA Reporting Drug Poisoning Events in Texas (PDF in English)
Texas Health and Human Services (HHSC)
- Texas Substance Use Resources (PDF in English)
- Recursos en Texas sobre el consumo de sustancias (PDF in Spanish)
Naloxone Resources
Develop Knowledge and Readiness for Vending Machine Implementation
Dispose of Unneeded Medication
Donate Your Expired Naloxone
Find Free and Reduced-Cost Naloxone
General Resources
- How to Use NARCAN Nasal Spray
- Texas Targeted Opioid Response
- Overdose Bystander Law: HB 1694 Educational Brief
- Texas Opioid Abatement Fund Council
Order Free Naloxone
News, Events, and Highlights
TODA Partners with Naloxone Texas to Expand Community Naloxone Access and Distribution
Published 07/14/2025
Texas Overdose Data to Action (TODA) and Naloxone Texas are providing free naloxone vending machines, dispenser stands, and wall boxes to expand naloxone distribution in Texas communities. Communities can reference the Naloxone Distribution Checklist to assess readiness and learn TODA-recommended best practices. Communities can apply for naloxone containers through the Naloxone Distribution Container Application.
Containers should be available beginning September 2025.
Not sure if there is a naloxone distribution hub in your community? Check out our Naloxone Locator Map.
For additional information or questions regarding TODA’s naloxone distribution efforts, please contact us at toda@dshs.texas.gov.
Monthly Non-fatal Drug Poisoning Reports Available for 2025
Published 07/02/2025
Injury and Violence Prevention Epidemiology (IVPE) and the Texas Overdose Data to Action (TODA) program published data reports on suspected drug poisoning related emergency department visits in Texas for the months of January – May 2025. The programs will release new reports monthly to provide timely, applicable data to stakeholders working to fight drug poisonings.
View the monthly reports:
- Suspected Drug Poisoning Emergency Department Visits in Texas, January 2025
- Suspected Drug Poisoning Emergency Department Visits in Texas, February 2025
- Suspected Drug Poisoning Emergency Department Visits in Texas, March 2025
- Suspected Drug Poisoning Emergency Department Visits in Texas, April 2025
- Suspected Drug Poisoning Emergency Department Visits in Texas, May 2025
TODA Announces Naloxone Locator Map
Published 3/27/2025
TODA is pleased to announce the completion of the Naloxone Locator Map. Please see the following excerpt from the Governor’s office press release for more information:
Governor Greg Abbott announced the launch of an online interactive map by the Texas Department of State Health Services (DSHS) that pinpoints where Texans can acquire for free or purchase life-saving naloxone (NARCAN) as part of the statewide "One Pill Kills" campaign. This new tool will help Texans locate over-the-counter NARCAN to prevent fentanyl poisonings and help save lives.
“This NARCAN locator map is another tool in our fight against fentanyl-related poisonings that have affected Americans in such a devastating way,” said DSHS Commissioner Jennifer Shuford, MD, MPH. “Health care providers, first responders, and members of the public can pick up and have this life-saving medication on hand and ready for use for when an opioid overdose emergency occurs.”
The new online map includes a search bar where visitors can type in an address or zip code to see nearby naloxone locations. Information displayed for each location includes the type of site (e.g. community health clinics, recovery support services, vending machines), their hours, phone number, website, and more.
Learn more about TODA, read the full press release, and use the interactive map. For additional information or questions, email toda@dshs.texas.gov.
TODA Supported Toxicology Expansion Program (STEP) and Drug Poisoning Supplemental Announcement
Published 3/11/2025
The TODA Supported Toxicology Enhancement Program (STEP) offers free expanded comprehensive toxicology testing for eligible counties. TODA STEP is a partnership between DSHS and NMS Labs. The program’s goals are:
- Support comprehensive toxicology testing for Texas medical examiners and justices of the peace.
- Increase ability of offices to identify specific drugs associated with unintentional and undetermined drug poisoning deaths.
- Cover a variety of test codes for drug poisoning deaths when ordered under a TODA-supported account.
To learn more about STEP and check eligibility, please email toda@dshs.texas.gov
TODA also developed a Drug Poisoning Supplemental for offices conducting death investigations to use for reporting scene information for drug poisonings. The supplemental supports the streamlining and standardization of death investigations for medical examiner offices and justices of the peace. Please email toda@dshs.texas.gov to request a copy.
The Texas Department of State Health Services does not endorse external links to other websites or documents created by other agencies. These links and documents are informational and may not be accessible to persons with disabilities.