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In 2018, Kentucky had the ninth highest age-adjusted drug overdose fatality rate in the United States, at 30.9 deaths per 100,000 people. The corresponding U.S. rate for the same time period was 20.7 per 100,000 people. Opioids continue to be involved in a large proportion of overdoses—approximately 75% of Kentucky resident overdose deaths in the last five years. Additionally, the proportion of Kentucky resident overdose deaths involving fentanyl has doubled from 20% in 2015 to 40% in 2019. Poisoning was the leading cause of injury-related mortality for Kentucky residents age 24-64 years from 2016-2019. For data requests, click here. To view the drug overdose county profiles, click here.

Drug Overdose PreventionPrograms

This initiative leverages prescription drug monitoring data through linkage with electronic health records and public heath surveillance data to develop prescriber- and patient-targeted interventions, thereby addressing both supply and demand in the context of opioid overuse and misuse.


Svetla Slavova, PhD, Principal Investigator Douglas Oyler, PharmD, Co-Principal Investigator

The project aims to: 1) analyze gabapentin prescribing in Kentucky since July 1, 2017, when gabapentin became a Schedule V controlled substance; 2) evaluate the effect of Kentucky’s 2017 SB32, which amended KRS 218A.202 to require the Administrative Office of the Courts to forward drug conviction data to the Kentucky Cabinet for Health and Family Services for inclusion in KASPER (Kentucky All Schedule Prescription Electronic Reporting); and 3) develop continuing education for use of drug…

Recovery housing, commonly referred to as sober living homes, recovery homes, or recovery residencies, are safe, healthy, family-like substance-free living environments that support individuals in recovery from substance use disorders, commonly referred to as addiction. At present, little is known about recovery housing in the state of Kentucky.

More information coming soon.

P1: Surveys of Clinical and Pharmacy Practice Involving Abuse-Deterrent Formulations

Lead: Patricia Freeman, RPh, PhD, FAPhA, FNAP, University of Kentucky (project years 1, 2, and 3)

The Kentucky Injury Prevention and Research Center, as a bona fide agent for the Kentucky Department for Public Health, will collaborate with state, university, and community partners to implement the Centers for Disease Control and Prevention’s Overdose to Action (OD2A) surveillance strategies, including timely analysis of drug overdose emergency department encounters, fatal drug overdoses using multiple data sources, and an innovative public health surveillance strategy using remnant serum…

The Rural Center of Excellence supports evidence-based, evidence-informed, and promising practice-based programs and interventions to prevent and treat substance use disorders in rural communities in the context of recovery housing.

Drug Overdose PreventionRecent Reports

The dashboard uses the Drug Overdose Fatality Surveillance System data. It reports the top substances and substance classes found in the post-mortem toxicology testing of KY resident drug overdose decedents in the most recent available quarter of data. The dashboard also shows general drug classes, substances, and demographics over the last four quarters of available data.

KIPRC’s Kentucky Drug Overdose and Related Comorbidity County Profiles, 2016 to 2020, is a dashboard of annual counts and rates for each of Kentucky’s 120 counties (as well as the Kentucky total) for indicators related to overdose and substance use disorder, including overdose deaths and ED visits, substance use disorder ED visits and inpatient hospitalizations, neonatal abstinence syndrome…

This report is based on 2017-2020 data from possession and trafficking citations, drug overdose-related deaths, emergency department visits, hospitalizations, submissions to the state police lab, and general drug overdose-related events across the state and at the Kentucky State Police Post level.

Yearly update on the trends of Inpatient Hospitalizations for nonfatal drug overdoses among Kentucky residents from 2016 to 2020. Published in September of 2021.

KyOD2A Happenings: Volume 2, Issue 2