2025 HRS: America's Decades-Long Opioid Crisis and the Radical Transformation of the Illicit Drug Supply: Implications for Public Health
Healthcare teams lack awareness and knowledge about harm reduction services, including 1) prevention and response efforts, 2) available resources, 3) promising practices, 4) disease testing and prevention, 5) addiction and recovery services, 6) local and state partnerships, and 7) the current status of the drug overdose epidemic.
Individuals seeking help face significant challenges, including transportation barriers, the inability to leave work without risking job loss, and responsibilities for children, pets, or other dependents. Navigators responsible for linking clients to care also encounter obstacles, such as clients having more immediate or pressing needs like housing or employment, a brief window of time when clients are ready and willing to seek help, and the lack of readily available information on clients' accessibility needs in existing programs.
Online resources play a critical role in addressing these challenges by offering flexible, accessible support options that can bridge the gap between immediate needs and long-term care.
Target Audience
The target audience for this conference includes physicians, nurses, social workers, public health professionals, certified alcohol and drug counselors, community health workers, licensed professional clinical counselors, adult support counselors, and target case managers.
Learning Objectives
Upon completion of this learning activity, participants will be able to,
- Learn how the illicit drug market is serving as a social determinant of health with the capacity to influence individual drug preferences, consumption patterns, and health outcomes
- Understand the pharmacologic effects associated with a changing drug supply and its impact on consumers’ drug use behavior, overdose risk, and quality of life
- Discover how syringe services programs can function as medical homes and the benefits they offer for community response in rural and thinly settled communities without adequate health care access
Jon Zibbell, PhD

Senior Public Health Scientist, Behavioral Health Research Division
RTI International
Adjunct Professor
Center for the Study of Human Health, Anthropology
Emory University
Atlanta, Georgia
Dr. Jon Zibbell, PhD. is a senior scientist in the Center for Behavioral Health Epidemiology, Implementation & Evaluation Research at RTI International where he conducts behavioral epidemiological research on risk factors and health outcomes associated with the illicit drug use. Dr. Zibbell is a medical anthropologist with 20+ years of field experience conducting mixed methods research with people who inject drugs (PWID). He is PI of a National Institute on Drug Abuse (NIDA)-funded, Fentanyl Overdose Response and Community Engagement (FORCE) study in the proposed study sites in North Carolina. Dr. Zibbell is also multiple PI (MPI) for the NIH-funded fentanyl test strip (FTS) study conducted in Greensboro, NC, and Morgantown, WV. Before coming to RTI, Dr. Zibbell worked as a Centers for Disease Control and Prevention (CDC) health scientist in the Divisions of Viral Hepatitis and Unintentional Injury Prevention where he conducted epidemiological and surveillance research on viral hepatitis and drug overdose. As a CDC health scientist, Dr. Zibbell was the lead qualitative investigator for fentanyl outbreak investigations in Massachusetts and Ohio in 2016 and qualitative lead for CDC’s Scott County HIV outbreak investigation in Austin, IN. Dr. Zibbell was a member of the 2015 White House Heroin Task Force and helped the Obama Administration develop its heroin response strategy. He was also appointed to the CDC committee that developed HHS guidelines for the federal government’s funding of syringe service programs. In addition to research, Dr. Zibbell has conducted rapid ethnographic needs assessments for community-based harm reduction programs and continues to assist states and community organizations in developing evidence-based approaches to reduce morbidity and mortality associated with the HCV and overdose epidemics. Dr. Zibbell has published extensively on the negative health outcomes associated with substance use disorders and injection drug use and he holds a joint, adjunct appointment in the Center for the Study of Human Health and the Department of Anthropology at Emory University.
In support of improving patient care, this activity has been planned and implemented by UK HealthCare CECentral Kentucky Cabinet for Health and Family Services, and Kentucky Department for Public Health. University of Kentucky HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
CME
This enduring material is designated for a maximum of 1.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate with the extent of their participation in the activity.
This training has been approved by the KBML as meeting the statutory requirements of HB1. ID# 0624-H8.0-UKCE3cc.
CPE
This knowledge-based activity will award 1.25 contact hour (0.125 CEUs) of continuing pharmacy education credit in states that recognize ACPE providers.
ASWB ACE
As a Jointly Accredited Organization, UK HealthCare CECentral is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. UK HealthCare CECentral maintains responsibility for this course. Social workers completing this course receive 1.25 continuing education credit.
CNE
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.25 nursing contact hour.
EMS
The Kentucky Board of Emergency Medical Services (KBEMS) certifies that this educational activity is designated for 1.25 KBEMS contact hour.
CHES
Sponsored by Department of Public Health, Western Kentucky University, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 1.25 total Category I continuing education contact hour. Maximum advanced-level continuing education contact hours available are 0. Continuing Competency credits available are up to 0. Provider ID# 105862 Event ID# 61077
CADC
This activity has been approved for 1.25 hour to meet the continuing education requirements for credential renewal.
CCHW
This training is approved by the Office of Community Health Workers Program to provide 1.25 continuing education unit for Certified Community Health Workers.
Other
UK Healthcare CECentral certifies this activity for 1.25 hour of participation.
Available Credit
- 1.25 ACPE
In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
This knowledge-based activity will award 1.25 contact hour(s) (0.100 CEUs) of continuing pharmacy education credit in states that recognize ACPE providers.
- 1.25 AMA PRA Category 1 Credit™
In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
This Enduring activity is designated for a maximum of 1.25 AMA PRA Category 1 Credit™. Physicians should claim only credit commensurate with the extent of their participation in the activity.
- 1.25 ANCC (UK Healthcare CECentral)
In support of improving patient care, UK HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.25 nursing contact hour(s).
- 1.00 ASWB
As a Jointly Accredited Organization, UK HealthCare CECentral is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. UK HealthCare CECentral maintains responsibility for this course.
Social workers completing this course receive 1.00 clinical continuing education credit(s).
- 1.25 Certified Community Health WorkThis training is approved by the Office of Community Health Workers Program to provide 1.25 continuing education unit(s) for Certified Community Health Workers.
- 1.25 Certified Health Education Specialist Credit (Western Kentucky University Department of Public Health)Sponsored by Department of Public Health, Western Kentucky University, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 1.25 total Category I continuing education contact hour(s). Maximum advanced-level continuing education contact hours available are 1.25. Continuing Competency credit is 1.25. Provider ID# 105862, Event ID# Provider ID# 105862 Event ID# 61077.
- 1.25 EMS (Kentucky Board of Emergency Medical Services)The Kentucky Board of Emergency Medical Services (KBEMS) certifies that this educational activity is designated for 1.25 KBEMS contact hour(s). Approval Number: KBEMS-2025-UKHCCE-0008
- 1.25 ParticipationUK Healthcare CECentral certifies this activity for 1.25 hour(s) of participation.