On June 28, 2018, the County Executive signed an executive order declaring opioid addiction and overdose a public health emergency in St. Louis County.

An action plan, developed over several months, was also released in conjunction with the declaration. The community-wide effort, led by the St. Louis County Department of Public Health, and involving 25 partner organizations, focuses on five key areas in the fight against opioid addiction including education, prevention and recovery.

Executive Order

In 2017, St. Louis County created a first-of-its-kind Prescription Drug Monitoring Program to help stem the abuse of opioids. Additionally, all St. Louis County Police officers are trained in, and outfitted with naloxone, a drug that can reverse the effects of an opioid overdose. While these tactics have saved lives, continued aggressive action is necessary. Carrying out this action plan with the help of our regional partners, is the next step in this fight.

Opioid Action Plan

The Action Plan addresses the opioid addiction and overdose epidemic with initiatives in the areas of education and prevention, harm reduction and rescue, treatment, recovery, and public health data. The plan outlines how governmental and nongovernmental organizations will collaborate to strengthen ongoing work and put in place new and innovative initiatives.

The plan aims to:

1. Raise awareness about the opioid addiction and overdose epidemic and share how our community is affected

2. Prevent people from becoming addicted to opioids

3. Increase the availability of naloxone (Narcan®) to rescue people experiencing an overdose

4. Increase the number of people connected to treatment with a focus on high risk populations

5. Enable people in recovery to transition into stable housing, employment, and family life


Behavioral Health Response 314-469-6644

Behavioral Health Response provides support for mental health and substance abuse crises 24 hours a day, 7 days a week.


The Behavioral Health Treatment Services Locator is a confidential and anonymous source of information for people seeking treatment facilities for substance abuse/addiction and/or mental health problems.

Opioid State Targeted Response

The State Targeted Response website provides a list of treatment facilities where people without health insurance can get treatment at no cost.

St. Louis County Prescription Drug Monitoring Program

The St. Louis County PDMP, operated by Saint Louis County Department of Public Health (DPH), monitors the prescribing and dispensing of schedule II-IV controlled substances to assist in the identification and prevention of prescription drug misuse and abuse.

Anyone Can Campaign

The Anyone Can campaign spreads awareness that anyone can be affected by addiction, anyone can get help for themselves or a loved one, and anyone can save a life with naloxone. The campaign also lists resources for accessing naloxone and treatment.

Talk About It Campaign

The Talk About It campaign gives parents the tools and resources they need to start vital conversations about drugs and alcohol and protect their families.

Missouri Department of Mental Health

Information about drug abuse for people struggling with addiction, families, healthcare providers, and the general public can be found on DMH's website.

Naloxone Resources

You can purchase naloxone, which reverses the effects of an opioid overdose, without a prescription from most Missouri pharmacies. For free naloxone, contact any of these organizations

NCADA 314-962-3456

Missouri Network for Opiate Reform and Recovery (MO Network): 1-844-732-3587

St. Louis Empowerment Center 314-652-6100


Thank you to the many organizations that helped craft the action plan. Their input and continued commitment to building a healthier community are invaluable.

Behavioral Health Network of Greater St. Louis

Behavioral Health Response

BJC HealthCare

City of St. Louis Department of Health

Department of Justice, Opioid Community of Practice

Drug Enforcement Administration

Jefferson County Health Department

Mercy Health System

Missouri Department of Mental Health

Missouri Hospital Association

Missouri Network for Opiate Reform and Recovery

Missouri Opioid-Heroin Overdose Prevention Education Project (MO-HOPE)

Missouri State Medical Association 


Saint Louis County Department of Human Services

Saint Louis County Department of Public Health

Saint Louis County Justice Services

Saint Louis County Office of the Medical Examiner

Saint Louis County Police Department

Saint Louis University

SSM Health

St. Charles County Department of Public Health

St. Louis Area EMS and Fire Departments

St. Louis Area Business Health Coalition

St. Louis area pharmacies

St. Louis College of Pharmacy

St. Louis Regional Health Commission

Substance Abuse and Mental Health Services

University of Missouri-St. Louis, Missouri Institute of Mental Health,-
State Targeted Response team

Washington University