TODA General Resources

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.
• Note:  OSARs screen and refer individuals to treatment and provide both naloxone (for those using fentanyl/opioids with xylazine) and xylazine test strips to requesting eligible agencies (i.e., substance use prevention, intervention, treatment, or recovery agencies). 

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.

Centers for Disease Control and Prevention (CDC)

• 2022 CDC Clinical Practice Guideline at a Glance | Overdose Prevention | CDC
• 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

• EMS Harm Reduction and SUD Treatment | EMS.gov

Substance Abuse and Mental Health Services Administration (SAHMSA)

• Coping with the Drug Poisoning Crisis as a Responder.

Texas Department of State Health Services (DSHS)

• Agency Action Plan to Address Substance Use | Texas DSHS

UTHealth Houston

• HEROES Courses - Continuing Education - McWilliams School of Biomedical Informatics at UTHealth Houston

White House

• Fentanyl Adulterated or Associated with Xylazine Response Plan (PDF)

Department of State Health Services (DSHS) Texas School Health Program

• Required Reporting Forms
• Funding Opportunities 
• Guidelines for Schools: Reporting Opioids Antagonist Administration

PAXIS and Texas Health and Human Services (HHSC): PAX Texas Good Behavior Game

• PAXIS and HHSC have partnered to offer free trainings to those working with children or families throughout Texas in both in and out of school settings. PAX is evidence-based, trauma-informed, culturally responsible, improved education outcomes, better mental health, and less substance use.

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.
• Incorporating Peer Support into Substance Use Disorder Treatment Services.

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 

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)