Strengthening Communities Through the Overdose Data to Action Capacity Building Initiative (OD2A) | CDC Foundation

 

Partnering for Overdose Prevention

The Overdose Data to Action Capacity Building Initiative (OD2A Capacity Building Initiative) helps strengthen drug overdose prevention efforts by turning data into action. Using data from monitoring, process and outcome evaluations, qualitative insights such as interviews and focus groups and other sources, this approach enables funded jurisdictions to reduce overdose deaths and mitigate substance use-related harms by responding swiftly to community needs and sustaining the strong partnerships that are vital to the program’s success.

The CDC Foundation supports the OD2A Capacity Building Initiative program by recruiting and hiring critical personnel, bolstering the capacity of state, local and territorial health departments and community-based organizations (CBOs). These include State Unintentional Drug Overdose Reporting System (SUDORS) abstractors, epidemiologists, peer navigators, program implementation specialists, data visualization specialists, next of kin social workers and other highly trained overdose prevention and response professionals.

The OD2A Capacity Building Initiative has:

  • Deployed over 200 field staff across 66 jurisdictions
  • Managed recruitment, training and onboarding
  • Provided specialty training to enhance jurisdictional capacity in:
    • Peer learning
    • Linkage to care and resources
    • Inclusive-driven overdose response
    • Recovery support certification

This multifaceted support ensures that OD2A Capacity Building Initiative teams are well-equipped to tackle the evolving overdose epidemic.
 

OD2A staff photo 2026


The 2026 OD2A Annual Recipient Meeting was held June 15–18 in Atlanta, GA bringing together representatives from OD2A state and local jurisdictions to collaborate, share best practices and strengthen overdose prevention efforts nationwide.

Sessions highlighted critical areas of focus, including addressing populations highly impacted by overdose, expanding overdose prevention through naloxone access and dashboards for action and public health evaluation: scaling and sustaining super navigators.

A recent update from the Centers for Disease Control and Prevention (CDC) announced that provisional data indicates a 27 percent decrease in predicted drug overdose deaths in 2024 compared to 2023 on average. CDC also cited the Overdose to Data (OD2A) program as an example of one of the programs helping to contribute to the overall decline.


 

Our Work in Action

 

Empowering Communities Through Public Health Education


Dallas County Health and Human Services Presentation at Barack Obama Male Leaders Academy

In alignment with the OD2A initiative, public health educators implemented a data-driven, school-based intervention designed to reduce substance use risk and promote mental health among youth in grades 6–12. The comprehensive initiative combines evidence-based prevention education with harm reduction strategies to increase awareness, build resilience and connect students and school personnel with critical resources.

OD2A Barack Obama Male Leaders Academy Presentation


Key activities include delivering interactive classroom presentations and discussions on the risks associated with fentanyl, vaping, alcohol, marijuana and other substances, while also promoting mental health awareness and reducing stigma. Public health educators provide students with information on local counseling services, crisis lines, treatment options and other community support resources to encourage early intervention and help-seeking behaviors.

The program also distributes naloxone and educates school nurses and staff on overdose response. In addition, educators develop culturally relevant educational materials and facilitate student engagement activities that reinforce healthy decision-making, resilience and protective behaviors.

The CDC Foundation evaluates the effectiveness of the program through pre- and post-assessments, participant feedback and other performance measures to assess how much participants have learned, changes in attitudes and the overall impact of the intervention. By integrating prevention education, harm reduction and community resource navigation, this initiative supports OD2A's goal of reducing overdose risk and improving the health and well-being of students and school communities.

Measurable Reach and Results

  • Educated 510+ students, teachers and staff on substance misuse risks, fentanyl awareness and healthy coping mechanisms.
  • Expanded Harm Reduction Access by providing eight doses of Narcan and a dedicated Narcan first aid kit to school nurses, significantly increasing campus emergency preparedness.
  • Elevated Resource Literacy by linking youth to local crisis lines, counseling services and culturally relevant educational materials.
     

Data Driven Insights in Ohio 


As an Ohio SUDORS (State Unintentional Drug Overdose Reporting System) abstractor, the team consistently reviews and abstracts information from overdose death investigations, including death certificates, coroner and autopsy reports, toxicology findings, medical records, treatment records and other relevant documents. This information is synthesized and entered into the National Violent Death Reporting System (NVDRS) to ensure accurate, high-quality data for public health surveillance and analysis.

As of July 2026, the team had processed 1,295 unintentional overdose deaths from the first half of 2025 and 1,142 deaths from the second half of 2025. Throughout the reporting period (June 2025 to June 2026), the team consistently met or exceeded 95 percent of performance targets focused on timeliness, completeness and data collection processes.

Key accomplishments included initiating more than 96 percent of overdose death investigations within 120 days of death, achieving 100 percent demographic data abstraction, exceeding circumstance data abstraction goals with rates above 93 percent and obtaining coroner reports for 100 percent of cases.

Through collaboration with coroners, medical examiners, hospitals, law enforcement, treatment facilities and Medicaid records teams, SUDORS provides critical data that helps identify overdose trends, emerging substances and patterns of combined drug intoxication across Ohio. These insights support prevention efforts and inform public health decision-making statewide.

The main insight is the year over year trend of overdose death cases. Further analyses can derive trends in emerging drugs and combined intoxication prevalence rates.

SUDORS Abstractor Kheyan Wilcox

Kheyan Wilcox, SUDORS Abstractor 


Highlights from the Field


2025 OD2A Virtual Site Visit Highlights

In 2025, the CDC Foundation successfully completed virtual site visits across jurisdictions participating in the OD2A Capacity Building Initiative program. These visits showcased remarkable innovation, jurisdictions resilience and strategic impact across key core strategies.

Prevention Strategies in Action

  • Kentucky: Championing local community outreach, school-based prevention and expanded overdose prevention efforts to reduce overdose risk and increase health literacy. 
  • Baltimore County, Maryland: Driving targeted, inclusive prevention interventions and community partnerships to address substance misuse and connect at-risk populations with essential resources.

Surveillance and Data Innovation Strategies

  • New Jersey: Enhancing real-time overdose surveillance systems and data integration to rapidly identify emerging drug threats and inform swift public health responses.
  • Washington: Advancing multi-source data collection, linkage and visualization strategies to better track both fatal and non-fatal overdose trends and drive evidence-based decision-making.
     

This OD2A Capacity Building Initiative program is supported by the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $17,000,000, with 100 percent funded by CDC/HHS. A portion of this funding supported the project described above. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, CDC/HHS, the U.S. Government, or the CDC Foundation.

Program Description: To advance workforce development, enhance training delivery, ensure performance accountability and measure the effectiveness of overdose prevention and monitoring efforts.
Funding Partners:
  • Centers for Disease Control and Prevention
Program Location:
  • United States of America