Beyond Narcan: How to Build Overdose Prevention Into Your Workplace Safety Culture

In this episode of Headspace for the Workplace, I sit down with Dr. Virna Little, co-founder and CEO of Zero Overdose, a national initiative bringing overdose safety planning into workplaces, healthcare systems, schools, and communities. Dr. Little and I share a long history through the Zero Suicide Initiative, which aspires to eliminate suicide deaths in healthcare systems. This episode brings that same upstream, systems-level thinking to one of the most urgent and underaddressed safety crises in high-risk industries: overdose. The statistics I share in the opening of this episode stopped my construction clients in their tracks, and they stop me every time: for every 1,000 people who die on a construction job site from physical injuries, approximately 5,000 to 6,000 are dying by suicide, and over 11,000 are dying from overdose. Overdose deaths are outpacing suicide deaths in the construction industry, and yet most workplace safety cultures still treat overdose as a reactive crisis, equipping job sites with Narcan but doing little to prevent the event that requires it. Dr. Little's work with Zero Overdose begins where Narcan ends. Working in rural community health centers, she saw firsthand how workplace injuries, particularly in construction, fishing, and law enforcement, created pathways into opioid dependence that were never adequately planned for at the point of injury. The episode delivers two concrete, immediately actionable takeaways: an overdose safety planning framework that can be integrated into any existing workplace safety culture, and a clear articulation of what leadership must do to make that planning real rather than aspirational. For more information on this episode go to Beyond Narcan: How to Build Overdose Prevention Into Your Workplace Safety Culture — Dr. Sally