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Public Health Practice

Engaging Communities to Address the Opioid Crisis in Ohio: Lessons Learned

Abstract

Community engagement is considered essential in addressing community health problems. This paper details lessons learned from community engagement efforts implemented to reduce opioid overdose deaths in nine Ohio communities participating in Wave 2 of the HEALing (Helping to End Addiction Long-term) Communities Study (HCS). We describe community engagement strategies implemented during the Wave 2 intervention period, including coalition-building, fostering community collaboration, prioritizing health equity and policy advocacy, stigma reduction education, and elevating voices of people with lived experience (PWLE). We provide reflections from the perspective of Community Engagement Facilitators (CEFs) on how these strategies informed the implementation of evidence-based practices (EBPs) within communities. Our community engagement approaches and reflections highlight three key lessons for future community engagement efforts: 1) An intentional and constant focus on community collaboration is a necessary and essential ingredient for successful community engagement; 2) introducing opportunities to define and discuss equity within the local community can lead to recognition of subgroups for directed intervention; 3) Engaging persons with lived experience (PWLE) can foster trust around stigmatizing issues.

Keywords: Community health/engagement, Opioid use disorder (OUD), Stigma reduction, People with lived experience (PWLE), Coalition building

How to Cite:

Farmer, A., Joseph, B., Green, K., Yamoah, O., Egan, K., Elmore, B., Fye, J., Crawford, T., Wilson, L. A., Harness, J., Roberts, S. M., Freisthler, B. & Salsberry, P., (2026) “Engaging Communities to Address the Opioid Crisis in Ohio: Lessons Learned”, Ohio Journal of Public Health 8(1), 1-8. doi: https://doi.org/10.18061/ojph.6411

Authors

  • Amy Farmer (College of Medicine, The Ohio State University)
  • Brittany Joseph orcid logo (College of Medicine, The Ohio State University)
  • Kendra Green (College of Medicine, The Ohio State University)
  • Owusua Yamoah orcid logo (Mary Ann Swetland Center for Environmental Health, Case Western Reserve School of Medicine)
  • Kathleen Egan (Division of Public Health Services, Wake Forest University School of Medicine)
  • Brandon Elmore (ERIK | Translational Data Analytics Institute, The Ohio State University)
  • James Fye (College of Medicine, The Ohio State University)
  • Tara Crawford orcid logo (College of Medicine, The Ohio State University)
  • Laura Ashley Wilson orcid logo (Ohio Colleges of Medicine Government Resource Center, The Ohio State University)
  • Judy Harness orcid logo (College of Medicine, The Ohio State University)
  • Sara M. Roberts (Case Western Reserve University School of Medicine)
  • Bridget Freisthler orcid logo (College of Social Work, University of Tennessee)
  • Pamela Salsberry (College of Public Health, The Ohio State University)

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