Drug overdose deaths in the United States have reached unprecedented levels in recent years and continue to rise. Counselors are uniquely positioned to respond to this crisis but may be reluctant or not equipped to do so due to a variety of factors, including scope of practice concerns. Responding to this crisis, however, is a clinical necessity and an ethical imperative for all practicing counselors, regardless of specialty area. A review of proposed responses at the macro/systemic, professional, and personal levels is presented, with concrete examples within each level, to assist counselors in identifying and implementing professional activity, advocacy, and engagement to address the unprecedented national public health emergency. Specific considerations for advocacy and for clinical practice are proposed to further assist counselors and motivate action.

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