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Driver Diagram for Reducing Opioid Deaths
A driver diagram is a visual display of a theory of what “drives,” or contributes to, the achievement of a project aim. It shows the relationship between the overall aim of the
project, the primary drivers that contribute directly to achieving the aim, the secondary drivers that are components of the primary drivers, and a set of ideas for activating the
drivers. It is important to note that a driver diagram is a high-level summary of a strategic approach, and just a starting point for more detailed action planning.
In this driver diagram the aim is to reduce opioid deaths in the six localities within Hampton and Peninsula Health Districts. The primary drivers include identifying at-risk
populations, providing community outreach and education, and connecting at-risk population members to health care and community supports. The secondary drivers are
shown in relation to each primary driver. The action ideas present a set of community action strategies and a menu of evidence-informed interventions that can be tailored to
advance each of the multiple drivers.
Aim Primary Drivers Secondary Drivers Action Ideas
Community Action Strategies:
Use data and community insight to
Follow these action steps to implement one or more evidence-
identify at-risk groups and disparities informed interventions from the menu that follows.
Identify populations at risk for Focus on one or more at-risk populations
opioid mortality Engage willing partners
Tailor community interventions to
address identified needs Assess population needs
Design evidence-informed interventions (see menu)**
Reduce Opioid Develop capacity for implementation
Implement and optimize based on feedback
Deaths Evaluate progress and impact
Increase awareness of opioid risks Scale, sustain, and spread
and preventive practices
Provide community outreach Evidence-Informed Intervention Menu:**
and education for at-risk
Select interventions based on needs of the focus population,
community members and
community will, and community capacity, building on existing
community professionals Promote preventive practices and community initiatives wherever possible.
early intervention across community
settings 1. Community outreach and education
2. Community-based naloxone distribution and training
3. Medication assisted treatment (MAT)
4. Prescription drug monitoring programs
5. Integrated behavioral health services (primary care,
mental health, substance use)
Assure access to substance use 6. Safe disposal of unused medications
services and related health care 7. Peer support and recovery communities
services 8. School-based prevention programs
Connect at-risk populations to 9. Training for health care providers
preventative health care and Assure access to emergency 10. Mental health supports to address underlying issues
community supports response for adverse events 11. Harm reduction centers
12. Supportive housing and employment programs
13. Community health worker supports
14. Community linkages (Project LEAD, Untie Virginia)
Assure access to health-related
social supports
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