49 Summary and Next Steps These plays reflect current practices and thinking by numerous organizations and collaboratives that have sought to define programs and strategies to prevent substance use disorders. Not all plays obviously will be applicable to all jurisdictions, and there will be further developments as innovative approaches are created to address the nation’s opioid crisis. It is our hope that this set of plays, as well as others that are subsequently added, will give local collaboratives a set of ideas on which to base prevention-focused actions appropriate for their communities. The entire body of research on this crisis has made it very clear that collaboration across agencies, organizations and domains/sectors will be essential to finding ways to better-prevent opioid use disorders. It is also clear that community progress toward these ends will require a much more open and consistent sharing of information that helps form a continuity of care across the interests and focuses of the many organizations that can make a difference. The intent of this report is to provide a starting point, and then to become a living document that can be refined and updated to reflect the best evidence-based practices and programs found to have a positive impact. Your comments and contributions will help to make this goal a reality. Mail to nic@stewardsofchange.org We conclude with a quote from a valued colleague, Joshua Rubin, who is Program Officer for Learning Health System Initiatives and who oversees the Opioid Group on the NIC Collaboration Hub. In our view, Josh succinctly encapsulates the problem and envisions a path forward: “The opioid epidemic is a human-created, Kafkaesque nightmare. Combatting this crisis requires unprecedented, multi-stakeholder, cross-sector and cross-disciplinary collaboration. Sharing data is just the beginning; together, we must seek truth, mobilize actionable knowledge, implement what works and do what is right. Our collective work must be supported by the four pillars of community, collaboration, caring and commitment. We share an imperative to eradicate this epidemic, as well as to never let anything like this crisis happen again to our families, our friends, our communities and our nation.”