State Harm Reduction Strategies to Address Substance Use and Related Outcomes Among Women of Childbearing Age

Nevada’s Substance Abuse Prevention and Treatment Agency (SAPTA) is housed under the Nevada Division of Public and Behavioral Health (DPBH) within the Department of Health and Human Services (DHHS). The Maternal, Child, and Adolescent Health (MCAH) program also resides within DPBH. MCH entities and providers have had a long-standing collaborative relationship with SAPTA, which has strengthened over the past two years with shifting substance use trends. Alcohol, tobacco, and opioids remain the most used substances in Nevada. Deaths involving synthetic opioids other than methadone (including fentanyl and fentanyl analogs) continue to rise to a rate of 9.9 per 100,000 individuals in 2018, while prescription opioid-related overdose deaths have declined to a rate of 4.6 (NIDA, 2020)