OFR Practitioner's Guide Menu
An effective facilitator is a neutral convener who is a good listener, develops trust with partners, encourages group participation and engagement, leads but does not direct discussion, and guides the group towards collective problem solving to craft recommendations.
The facilitator is responsible for ensuring that members agree with the following guiding principles:
An OFR meeting is a combination of information sharing, group brainstorming and problem solving, strategic planning, and decision making. The meeting facilitator actively participates in the discussion, moving it from information sharing to problem solving using the following strategies.
Meeting agenda and measuring success
Check out the toolkit!
10 Tips to Facilitate a Successful Overdose Fatality Review
Selecting a facilitator that maintains trust of the team and can navigate difficult conversations is a key element in the success of an OFR team. This document offers ten tips for successful meeting facilitation.Facilitating an overdose fatality review (OFR) team is a unique skill. It requires effective management of committee dynamics, personalities, and agendas, as well as setting aside personal opinions.
Addiction Language Guide
This guide was developed by Shatterproof as part of the National Movement to end Addiction Stigma. This publications provides the reader research about language and its impact, provides recommended alternative language and phrases, and various resources to help implement language changes across organizations and systems.Shatterproof guide on addiction and stigmatizing language research, recommendations, rationale, and resource.
Centers for Disease Control and Prevention (CDC): Social Determinants of Health
This resource may be used by people in public health, community organizations, research organizations, and health care systems to assess SDOH and improve community well-being. Information and tools available on this website were generated or funded by CDC within the last 10 years.This website connects you to CDC resources for social determinants of health (SDOH) data, research, tools for action, programs, and policy.
COSSUP Overdose Fatality Reviews and COVID-19 Virtual Case Review Meetings
Developed in partnership with OFR practitioners, this document is offered to provide guidance to OFR teams on if and how to do OFR virtual meetings.This resource is to provide overdose fatality review (OFR) teams with guidance during COVID-19 response.
Guidance for Facilitators: Beyond Facilitation—The Cultivation of an Overdose Fatality Review Team
The success of an OFR is directly related to its leadership. While champions of the process are needed, it is the role of facilitator that will make or break the team. This guidance document covers real-life examples facilitators can use to motivate the team to move recommendations forward and address the overall purpose of OFRs: to prevent overdose deaths.Learn how an overdose fatality review (OFR) team facilitator can best help cultivate the OFR team to take the actions needed to prevent overdose deaths and make meaningful community changes.
Office for Victims of Crime: The Vicarious Trauma Toolkit
The reactions and experiences of victim service providers and first responders are included in the model. The VTT also introduces the roles and responsibilities of organizations in addressing the negative impact of this occupational challenge on their employees.The Vicarious Trauma Toolkit (VTT) introduces a new model for examining and conceptualizing the impact of vicarious trauma.
OFR Facilitation Checklist
This checklist outlines effective facilitation strategies to build trust among members to identify recommendations to prevent future overdose deaths.This overdose fatality review (OFR) checklist offers steps to take before the meeting, during the meeting, and after the meeting to ensure successful facilitation of the OFR team meeting.
OFR Timeline Samples
This document is a compilation of several local OFR teams' timeline displays used in virtual case reviews.View a compilation of OFR team timeline display samples and description of software used to make the timeline displays.
Overdose Fatality Review (OFR) and COVID-19 Response
OFR teams across the country want to maintain momentum and stay connected with their overdose prevention colleagues during the COVID-19 response. Virtual meetings can help meet this goal.
To view a PDF version of the slide deck that was used during this presentation, click here.Learn from a panel of OFR professionals how they are meeting virtually to focus on OFR activities other than case reviews.
Sample Facilitator Job Description
It includes the following sections: Purpose; Primary Functions; Knowledge-Skills-Abilities; Organizational Structure; and Specifications.This document offers a sample Overdose Fatality Review Facilitator position summary that can be used as a template by OFR teams.
Sample Interview Questions: Facilitator Role
An effective facilitator is a neutral convener who is a good listener, develops trust with partners, encourages group participation and engagement, leads but does not direct discussion, and guides the group towards collective problem solving to craft recommendations.This document offers sample interview questions for the facilitator role in an overdose fatality review (OFR) team.
Sample List: Facilitator Qualities
List of effective facilitation qualities.Sample List: Facilitator Qualities
Sample Template: Meeting Minutes
Template for OFR meeting minutes.Sample Template: Meeting Minutes
Sample: Governing Committee Report Outline
Example of an outline of information to share with a governing committee.Sample: Governing Committee Report Outline
Sample: OFR Agenda
Sample OFR meeting agenda.Sample: OFR Agenda
Substance Abuse and Mental Health Services Administration (SAMHSA): Overcoming Stigma, Ending Discrimination Webcast
The panelists discuss methods to shift away from the use of negative concepts as an organizing paradigm to address socially discrediting health problems. Additionally, this webcast is accompanied by a Resource Guide.This webcast discusses the ways that discriminatory perceptions are harmful to individuals suffering from substance use disorder.
Substance Abuse and Mental Health Services Administration (SAMHSA): Why Addiction is a 'Disease' and Why It’s Important
Traumatic Brain Injury and Opioid Use Toolkit
The toolkit, presented by the Indiana Department of Health, has five sections:
- Patient and Family Resources
- Provider Resources
- TBI and Opioid Use Webinars, Slides, and Videos
- Repository of Resources from Outside Agencies
- Repository of Primary Literature
Uncovering the Connection Between a History of Problematic Substance Use and Brain Injury Matters in Overdose Fatality Review
This webinar will share lessons learned through Maryland’s collaboration with state and local public health and prevention professionals as well as the brain injury community to increase awareness of the link between brain injury and opioid use. Specific strategies to assist Overdose Fatality Review teams (OFRs) conduct OFR through a brain injury informed lens will be shared, and policy and clinical interventions to reduce fatal overdose among individuals who use drugs and are living with a history of brain injury will be discussed.
Anastasia B. Edmonston, M.S., CRC, currently works for the Maryland Behavioral Health Administration. Her work focuses on training behavioral health professionals and others on the topics of traumatic brain injury and person-centered thinking and planning and their intersection with brain injury, substance use, and mental health. She has worked in the field of rehabilitation services for individuals with traumatic and acquired brain injuries for more than 30 years—in both inpatient and outpatient services—as a case manager, a program coordinator, an advocate, and a vocational rehabilitation counselor. She obtained her master of science degree in rehabilitation counseling from Boston University, is a certified rehabilitation counselor and earned a postgraduate certificate from the University of Maryland, Baltimore County in instructional systems development. She is a certified mental health first aid instructor and person-centered thinking trainer. Additional biography information is available at
- Acquired Brian Injury Screening Tool
- Harm Reduction Analysis Through a Brain Injury Informed Lens
- Lifetime History of Traumatic Brain Injury (from the OSU TBI-ID) and other Acquired Brain Injuries
- Looking for Clues: Overdose Fatality Review Through a Brain Injury Informed Lens
- Opioids and Brain Injury Facts for Individuals and Families
- Opioids and Brain Injury Facts for Public Health & Substance Use Professionals
- Presentation Slides
- State Program Directory—National Association of State Head Injury Administrators (NASHIA)