Substance Use

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The opioid epidemic has become a crisis in Missouri and nation-wide, with opioid-related deaths multiplying and treatment difficult to find and afford. Addiction can impact anyone, regardless of who they are, who they know, or how much money they make.

In 2020, Missouri saw 1,386 drug overdose deaths, 142 of these were in the DHSS Southwest Region. This represents in 21% increase statewide and 15% increase in Southwest Missouri compared to 2019. Approximately ¾ of these deaths involved opioids – an increase statewide by 30%. 

According to the latest research, Narcan is effective in reversing overdose in 93.5% of cases – and in one study, 84.3% of those who experienced overdose and were saved by Narcan were alive a year later.  


Get the app

Image of Apple App Store badge that links to the Revive app. Opens in new window Image of Google Play badge that links to the Revive app. Opens in new window

Revive is an app designed to prevent overdose deaths. Get step-by-step rescue instructions to follow on what to do when you or someone you're with is experiencing an opioid overdose. 

The app also features information about where to access naloxone in Greene County, Good Samaritan laws, information about treatment and recovery services and more.

Get Naloxone

Naloxone, commonly known by the brand name Narcan, is a medication that temporarily reverses the effects of an opioid overdose. Naloxone is approved for use in people of all ages, including adults, children and newborns. Including naloxone in your first aid kit ensures you are prepared for overdose emergencies at home, work or other places you may gather.

For individuals

Contact a Community Health Advocate with questions about naloxone, or to get help with community resources.

[email protected]

For a more comprehensive view of naloxone availability in Greene County, download the Revive app.

For agencies

Contact a Community Health Advocate with questions about naloxone, or to get naloxone training for your business.

If your agency is interested in obtaining or distributing naloxone, make a request at For more information about naloxone distribution, drug overdose prevention, substance use treatment and recovery services, visit the Missouri Institute of Mental Health.


Signs of an overdose

It is critical to recognize the signs and symptoms of an opioid overdose so you are prepared for action should this event occur.

Overdose symptoms

  • Unusual sleepiness or unresponsiveness
  • Slow breathing or absent breathing
  • Low blood pressure or slow heartbeat
  • Cold or clammy skin
  • Tiny pupils
  • Nails and lips are blue/purple

The first step to recognizing an overdose is understanding exactly what an overdose is and what it looks like.

What is an overdose?
An overdose occurs after someone consumes one or multiple substances at a toxic level. This excessive consumption interferes with the brain and body's ability to function properly and can have fatal results. While drug overdoses are not always fatal, they can result in negative short-term or long-term health outcomes.

What does an overdose look like?
Drug overdoses can occur at any time or any place. Time does not slow down in the event of an overdose to help a person prepare or act accordingly. Therefore, it is imperative to know what symptoms of an overdose look like to better prepare yourself and others ahead of time in case of a life-threatening situation.

Overdose Fatality Review Committee

What is the Overdose Fatality Review Committee?
The purpose of the Overdose Fatality Review Committee is to review overdose cases to create data-driven recommendations for targeted community interventions. A case review examines the life of a person who died of an overdose, taking into account their drug history, comorbidity, major life events, encounters with law enforcement and other factors to facilitate a deeper understanding of the missed opportunities for prevention and intervention that may have prevented an overdose death.

Impacts of the Overdose fatality Review Committee:

  • Decrease drug overdose deaths in our community
  • Decrease drug misuse and nonfatal overdoses
  • Increase coordination and collaboration of services, response and prevention

Who will be the members of the Overdose fatality Review Committee?
The Overdose Fatality Review Committee will be a multidisciplinary team and include members who can share information about a decedent or contribute to the analysis of available data to make recommendations that will help prevent future overdose deaths. All staffing levels are important and needed on the review board to ensure the most complete understanding of how agencies and systems work together, including what gaps exist and what steps may be needed to implement recommendations. Key representatives from the following agencies will include, but are not liited to:

  • Local law enforcement
  • Coroner/Medical Examiner
  • Prosecutor
  • Behavioral health
  • Physician/Hospital systems
  • Public health

Substance use in the community
According to the 2022 Community Health Needs Assessment, more than 4% of the Springfield Community has a substance use disorder, a rate higher than the rates for Missouri and the United States. Unfortunately, this translates to an overdose mortality rate that is also higher than the rest of the state and nation, at more than 27 deaths per 100,000 residents in the Springfield Community. The Community Health Needs Assessment identified substance use as a priority for our community due to the prevalence of substance use disorders in our community.

To ensure we are addressing this priority, Springfield-Greene County Health and community partners developed a Community Health Important Plan (CHIP) and within this plan, we identified the strategy to establish an Overdose Fatality Review Committee. We are currently working to establish this committee.

Prescription Drug Monitoring Program

Missouri Senate Bill 63 authorized a statewide Prescription Drug Monitoring Program under Section 195.600, RSMo. This database is now online, allowing the Prescription Drug Monitoring Program to serve an essential function in combatting prescription drug misuse by collecting data from pharmacies about prescriptions for controlled substances that have been dispensed across Missouri. This data is available to authorized users by means of an electronically-accessible database. 

Anyone who prescribes or dispenses medication in Springfield and Greene County should enroll. Physicians and pharmacists can also provide access to delegates - additional users authorized to request reports on behalf of their supervisory provider - who must also be enrolled. Pharmacists, prescribers or delegates may register for this database by visiting