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In practice, overdose fatality review (OFR) involves a series of confidential individual death reviews by a multidisciplinary team to effectively identify system gaps and innovative community-specific overdose prevention and intervention strategies.

Guide design

It is designed for multiple audiences including public health, public safety, criminal justice, drug treatment, and social services. The goal of the toolkit is to provide the reader with the needed information to build a successful OFR process with a strong foundation in coalition, data collection, and prevention.

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Check out the toolkit!

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This guide is a companion document to the Center for Disease Control’s Public Health and Safety Teams (PHAST) toolkit. Both OFR and PHAST encourage multidisciplinary collaboration by using the data-driving “SOS” process. In this context, SOS stands for shared understanding, optimized capacity, and shared accountability.

Shared Optimized Shared

Shared understanding. OFRs increase members’ understanding of area agencies’ roles and services as well as the community’s assets and needs, substance use and overdose trends, current prevention activities, and system gaps.

Optimized capacity. OFRs increase the community’s overall capacity to prevent future overdose deaths by leveraging resources from multiple agencies and sectors to increase system-level response.

Shared accountability. OFRs continually monitor local substance use and overdose death data as well as recommendation implementation activities. Status updates on recommendations are shared at each OFR team meeting and with a governing committee, reinforcing accountability for action.

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Launch your ofr
Launch your OFR

Launch your OFR

Learn more about OFR, and find resources and practical steps to start an OFR.

Strengthen Your OFR
Launch your OFR

Strengthen your ofr

Find out what other OFRs are doing, lessons learned, and national standards and tools.

Resource Library
Resource Library

Resource Library

Access OFR tools including videos, podcasts, fact sheets, manuals, templates, and sample materials from your OFR peers.