Increase Access to Naloxone - Revision history

Mlabrie21: Mlabrie21 moved page Increase Access to Overdose Reversal Medications to Increase Access to Naloxone

2025-01-24T18:27:19Z

Mlabrie21 moved page Increase Access to Overdose Reversal Medications to Increase Access to Naloxone

← Older revision	Revision as of 11:27, 24 January 2025
(No difference)

Charliekapinos: /* Available Tools and Resources */

2024-10-21T02:33:23Z

Available Tools and Resources

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	**'''"Have A Safety Plan"''' is a SAFE Project resource that instructors drug users on how to create a safety plan to prevent overdoses.<ref>https://www.safeproject.us/safety-plan/</ref>		**'''"Have A Safety Plan"''' is a SAFE Project resource that instructors drug users on how to create a safety plan to prevent overdoses.<ref>https://www.safeproject.us/safety-plan/</ref>
	**'''"Keep the Seats Filled: Learn How to Save a Life with Naloxone and Take the #NoShame Pledge"''' is a SAFE Project resource that explores what Naloxone is, where it can be purchased, how to use it, the signs of an overdose, and information on the #NoShame Pledge.<ref>https://www.safeproject.us/life/</ref>		**'''"Keep the Seats Filled: Learn How to Save a Life with Naloxone and Take the #NoShame Pledge"''' is a SAFE Project resource that explores what Naloxone is, where it can be purchased, how to use it, the signs of an overdose, and information on the #NoShame Pledge.<ref>https://www.safeproject.us/life/</ref>
	**See the wiki titled "Expand Harm Reduction Practices" for more detailed information on what harm reduction is and how substance use treatment/support programs can integrate its practices into their services. <ref>https://www.yoursafesolutions.us/wiki/Expand_Harm_Reduction_Practices</ref>
	**'''SAFE Project Online Courses''' are SAFE Project original online trainings that focus on harm reduction techniques such as: Narcan administration and navigating Fentanyl use safely. <ref>https://safeproject-s-school-262f.thinkific.com/</ref>		**'''SAFE Project Online Courses''' are SAFE Project original online trainings that focus on harm reduction techniques such as: Narcan administration and navigating Fentanyl use safely. <ref>https://safeproject-s-school-262f.thinkific.com/</ref>
	**'''SAFE Workplaces''' provides employers and employees, alike, with the tools and resources necessary to address issues of behavioral health and achieve emotional wellbeing in the workplace.<ref>https://www.safeproject.us/workplaces/</ref>		**'''SAFE Workplaces''' provides employers and employees, alike, with the tools and resources necessary to address issues of behavioral health and achieve emotional wellbeing in the workplace.<ref>https://www.safeproject.us/workplaces/</ref>
			**See the wiki titled "Expand Harm Reduction Practices" for more detailed information on what harm reduction is and how substance use treatment/support programs can integrate its practices into their services. <ref>https://www.yoursafesolutions.us/wiki/Expand_Harm_Reduction_Practices</ref>
	**See the wiki titled "Improve Links to Treatment for People who Experience Non-Lethal overdoses or Naloxone Revivals" for more detailed information on ways to improve linkage to services for those who have experienced a non-lethal overdose or have survived a Naloxone revival. <ref>https://www.yoursafesolutions.us/wiki/Improve_Links_to_Treatment_for_People_who_Experience_Non-Lethal_Overdoses_or_Naloxone_Revivals</ref>		**See the wiki titled "Improve Links to Treatment for People who Experience Non-Lethal overdoses or Naloxone Revivals" for more detailed information on ways to improve linkage to services for those who have experienced a non-lethal overdose or have survived a Naloxone revival. <ref>https://www.yoursafesolutions.us/wiki/Improve_Links_to_Treatment_for_People_who_Experience_Non-Lethal_Overdoses_or_Naloxone_Revivals</ref>

Charliekapinos: /* Available Tools and Resources */

2024-10-21T02:33:00Z

Available Tools and Resources

← Older revision		Revision as of 19:33, 20 October 2024
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	*'''SAFE Project:'''		*'''SAFE Project:'''
			**'''"Have A Safety Plan"''' is a SAFE Project resource that instructors drug users on how to create a safety plan to prevent overdoses.<ref>https://www.safeproject.us/safety-plan/</ref>
			**'''"Keep the Seats Filled: Learn How to Save a Life with Naloxone and Take the #NoShame Pledge"''' is a SAFE Project resource that explores what Naloxone is, where it can be purchased, how to use it, the signs of an overdose, and information on the #NoShame Pledge.<ref>https://www.safeproject.us/life/</ref>
	**See the wiki titled "Expand Harm Reduction Practices" for more detailed information on what harm reduction is and how substance use treatment/support programs can integrate its practices into their services. <ref>https://www.yoursafesolutions.us/wiki/Expand_Harm_Reduction_Practices</ref>		**See the wiki titled "Expand Harm Reduction Practices" for more detailed information on what harm reduction is and how substance use treatment/support programs can integrate its practices into their services. <ref>https://www.yoursafesolutions.us/wiki/Expand_Harm_Reduction_Practices</ref>
			**'''SAFE Project Online Courses''' are SAFE Project original online trainings that focus on harm reduction techniques such as: Narcan administration and navigating Fentanyl use safely. <ref>https://safeproject-s-school-262f.thinkific.com/</ref>
			**'''SAFE Workplaces''' provides employers and employees, alike, with the tools and resources necessary to address issues of behavioral health and achieve emotional wellbeing in the workplace.<ref>https://www.safeproject.us/workplaces/</ref>
	**See the wiki titled "Improve Links to Treatment for People who Experience Non-Lethal overdoses or Naloxone Revivals" for more detailed information on ways to improve linkage to services for those who have experienced a non-lethal overdose or have survived a Naloxone revival. <ref>https://www.yoursafesolutions.us/wiki/Improve_Links_to_Treatment_for_People_who_Experience_Non-Lethal_Overdoses_or_Naloxone_Revivals</ref>		**See the wiki titled "Improve Links to Treatment for People who Experience Non-Lethal overdoses or Naloxone Revivals" for more detailed information on ways to improve linkage to services for those who have experienced a non-lethal overdose or have survived a Naloxone revival. <ref>https://www.yoursafesolutions.us/wiki/Improve_Links_to_Treatment_for_People_who_Experience_Non-Lethal_Overdoses_or_Naloxone_Revivals</ref>

Charliekapinos: /* Available Tools and Resources */

2024-10-21T02:21:17Z

Available Tools and Resources

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	* '''SAMHSA''' provides an overdose prevention and response toolkit. <ref>https://store.samhsa.gov/sites/default/files/overdose-prevention-response-kit-pep23-03-00-001.pdf</ref>		* '''SAMHSA''' provides an overdose prevention and response toolkit. <ref>https://store.samhsa.gov/sites/default/files/overdose-prevention-response-kit-pep23-03-00-001.pdf</ref>

			*'''SAFE Project:'''
			**See the wiki titled "Expand Harm Reduction Practices" for more detailed information on what harm reduction is and how substance use treatment/support programs can integrate its practices into their services. <ref>https://www.yoursafesolutions.us/wiki/Expand_Harm_Reduction_Practices</ref>
			**See the wiki titled "Improve Links to Treatment for People who Experience Non-Lethal overdoses or Naloxone Revivals" for more detailed information on ways to improve linkage to services for those who have experienced a non-lethal overdose or have survived a Naloxone revival. <ref>https://www.yoursafesolutions.us/wiki/Improve_Links_to_Treatment_for_People_who_Experience_Non-Lethal_Overdoses_or_Naloxone_Revivals</ref>

	*'''CDC''' provides a website titled "Reverse Overdose to Prevent Death." This has information on Naloxone and Good Samaritan laws. <ref>https://www.cdc.gov/opioids/overdoseprevention/reverse-od.html</ref>		*'''CDC''' provides a website titled "Reverse Overdose to Prevent Death." This has information on Naloxone and Good Samaritan laws. <ref>https://www.cdc.gov/opioids/overdoseprevention/reverse-od.html</ref>

BasilSavitsky: /* Key Information */

2024-07-24T22:51:21Z

Key Information

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	Training first responders to administer Naloxone may reduce time to overdose rescue, possibly decreasing overdose-related injury and death. Law enforcement officers who participate in Naloxone administration and overdose training report having increased knowledge and confidence in dealing with opioid overdose emergencies after the program is finished. <ref>https://www.countyhealthrankings.org/take-action-to-improve-health/what-works-for-health/strategies/naloxone-education-distribution-programs</ref>		Training first responders to administer Naloxone may reduce time to overdose rescue, possibly decreasing overdose-related injury and death. Law enforcement officers who participate in Naloxone administration and overdose training report having increased knowledge and confidence in dealing with opioid overdose emergencies after the program is finished. <ref>https://www.countyhealthrankings.org/take-action-to-improve-health/what-works-for-health/strategies/naloxone-education-distribution-programs</ref>

			'''Personal Impact of Overdose'''
			Survival of an overdose has lasting physical, psychological, and personal health implications for the individual that increase in likelihood and severity of each overdose. These include<ref>https://store.samhsa.gov/sites/default/files/d7/priv/sma18-4742.pdf</ref>:
			*Opioid-Induced Respiratory Depression (OIRD) - most dangerous health consequence; acute respiratory compromise, dizziness, confusion, and ineptness.
			* Brain injury - hypoxia-related brain injuries, complications caused by the OIRD
			* Hypoxia injuries can contribute to:
			* short-term memory loss,
			* changes in cognitive and physical functioning,
			* increased risk of stroke, mental disorientation,
			* loss of bodily movement or lower-extremity paralysis,
			*gait changes,
			*incontinence,
			*slow reaction time,
			*reduced motor skills,
			* kidney failure,
			*cardiac complications,
			*neurological consequences and seizures,
			* nerve damage,
			*fluid buildup in lungs and pneumonia, and
			*temporary motor paralysis
			*Increased risk of comorbid mental illness
			*Interruptions in education or career goals
			*Family and relationship conflicts

	'''The Dangers of Dual Use'''		'''The Dangers of Dual Use'''

BasilSavitsky: /* Key Information */

2024-06-17T21:26:22Z

Key Information

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	= Key Information =		= Key Information =

	Opioid overdose education and Naloxone distribution programs increase knowledge on how to effectively respond when someone is experiencing an overdose. Participation in the Naloxone distribution programs is linked to a reduction in overdose deaths and an increase in confidence when responding to overdose. <ref>https://www.countyhealthrankings.org/take-action-to-improve-health/what-works-for-health/strategies/naloxone-education-distribution-programs</ref> Research documents that communities ~~that~~ have programs aimed at training bystanders to respond to opioid overdoses have experienced a more rapid reduction in opioid overdose death rates than communities without these programs. <ref>https://www.countyhealthrankings.org/take-action-to-improve-health/what-works-for-health/strategies/naloxone-education-distribution-programs</ref>		Opioid overdose education and Naloxone distribution programs increase knowledge on how to effectively respond when someone is experiencing an overdose. Participation in the Naloxone distribution programs is linked to a reduction in overdose deaths and an increase in confidence when responding to overdose. <ref>https://www.countyhealthrankings.org/take-action-to-improve-health/what-works-for-health/strategies/naloxone-education-distribution-programs</ref> Research documents that communities which have programs aimed at training bystanders to respond to opioid overdoses have experienced a more rapid reduction in opioid overdose death rates than communities without these programs. <ref>https://www.countyhealthrankings.org/take-action-to-improve-health/what-works-for-health/strategies/naloxone-education-distribution-programs</ref>

	Those who are close to opioid users have greater knowledge about overdose and how to respond appropriately after they have completed training in ~~naloxone~~ administration compared to peers who learn via an information booklet. Current and former opioid users who complete overdose response training are as adept as medical experts in the identification of an overdose and are equally able to tell when Naloxone is appropriate. Opioid users who participate in only a brief 5-minute training or who have learned about Naloxone administration through social networks are able to respond appropriately to an overdose.		Those who are close to opioid users have greater knowledge about overdose and how to respond appropriately after they have completed training in Naloxone administration compared to peers who learn via an information booklet. Current and former opioid users who complete overdose response training are as adept as medical experts in the identification of an overdose and are equally able to tell when Naloxone is appropriate. Opioid users who participate in only a brief 5-minute training or who have learned about Naloxone administration through social networks are able to respond appropriately to an overdose.

	Training first responders to administer Naloxone may reduce time to overdose rescue, possibly decreasing overdose-related injury and death. Law enforcement officers who participate in Naloxone administration and overdose training report having increased knowledge and confidence in dealing with opioid overdose emergencies after the program is finished. <ref>https://www.countyhealthrankings.org/take-action-to-improve-health/what-works-for-health/strategies/naloxone-education-distribution-programs</ref>		Training first responders to administer Naloxone may reduce time to overdose rescue, possibly decreasing overdose-related injury and death. Law enforcement officers who participate in Naloxone administration and overdose training report having increased knowledge and confidence in dealing with opioid overdose emergencies after the program is finished. <ref>https://www.countyhealthrankings.org/take-action-to-improve-health/what-works-for-health/strategies/naloxone-education-distribution-programs</ref>
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	'''The Dangers of Dual Use'''		'''The Dangers of Dual Use'''

	The extent of fatalities associated with ~~opioid~~ is well-documented. However, it is less understood that opioid overdoses are seldom due to opioid use alone. The majority of overdoses are a result of mixing an opioid with some other drug. The best way to avoid an opioid overdose is not taking opioids. It is also critical to increase awareness of the need to avoid knowingly mixing opioids with other drugs. Some safety precautions are listed below:		The extent of fatalities associated with opioids is well-documented. However, it is less understood that opioid overdoses are seldom due to opioid use alone. The majority of overdoses are a result of mixing an opioid with some other drug. The best way to avoid an opioid overdose is not taking opioids. It is also critical to increase awareness of the need to avoid knowingly mixing opioids with other drugs. Some safety precautions are listed below:

	*Don't use alone		*Don't use alone
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	*When injecting drugs of unknown strength and purity (street heroin), start with a small "tester" shot to gauge the strength of the drug before injecting a full dose		*When injecting drugs of unknown strength and purity (street heroin), start with a small "tester" shot to gauge the strength of the drug before injecting a full dose
	*When using a drug or drug combination for the first time, start with a small dose to gauge your innate tolerance		*When using a drug or drug combination for the first time, start with a small dose to gauge your innate tolerance
	*Make sure ~~your friends (or at least~~ someone) knows what drug combinations you have taken		*Make sure someone knows what drug combinations you have taken
	*Have a plan in place in case something goes wrong		*Have a plan in place in case something goes wrong
	*Have Narcan on hand		*Have Narcan on hand

BasilSavitsky: /* Promising Practices */

2024-06-17T21:21:22Z

Promising Practices

← Older revision		Revision as of 14:21, 17 June 2024
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	= Promising Practices =		= Promising Practices =

	*'''Aetna.''' ~~Many~~ people who are prescribed Narcan ~~(nearly 35%)~~ don’t pick it up because they can’t afford the co-pay.<ref>https://www.healthcaredive.com/news/aetna-launches-new-policies-to-combat-opioid-crisis/512866/</ref> Having insurers eliminate the co-pay is one strategy to help address that. Aetna was the first national payer to waive copays for Narcan for its fully insured commercial members. This improved access by eliminating potential financial barriers to the lifesaving drug. <ref>https://www.healthcaredive.com/news/aetna-launches-new-policies-to-combat-opioid-crisis/512866/</ref>		*'''Aetna.''' Nearly 35% people who are prescribed Narcan don’t pick it up because they can’t afford the co-pay.<ref>https://www.healthcaredive.com/news/aetna-launches-new-policies-to-combat-opioid-crisis/512866/</ref> Having insurers eliminate the co-pay is one strategy to help address that. Aetna was the first national payer to waive copays for Narcan for its fully insured commercial members. This improved access by eliminating potential financial barriers to the lifesaving drug. <ref>https://www.healthcaredive.com/news/aetna-launches-new-policies-to-combat-opioid-crisis/512866/</ref>

	*'''Connecticut.''' Several communities have made it mandatory for first responders to receive overdose training. <ref>https://www.newstimes.com/local/article/More-responders-using-wonder-drug-Narcan-to-5925616.php</ref>		*'''Connecticut.''' Several communities have made it mandatory for first responders to receive overdose training. <ref>https://www.newstimes.com/local/article/More-responders-using-wonder-drug-Narcan-to-5925616.php</ref>

BasilSavitsky: /* Impactful Federal, State, and Local Policies */

2024-06-17T21:17:27Z

Impactful Federal, State, and Local Policies

← Older revision		Revision as of 14:17, 17 June 2024
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	In 2015, the White House announced a treatment-based initiative. The $2.5 million budget was allocated to a program that engaged law enforcement officers and public health professionals to collect data on the movement of heroin along the East coast and to train first responders on when it is adequate to administer Naloxone. <ref>http://www.slate.com/articles/news_and_politics/crime/2015/08/good_samaritan_drug_laws_they_save_lives_and_more_states_should_pass_them.html</ref> Various federal organizations have come together to encourage good faith prescription of Naloxone to ordinary citizens. They also encourage bystanders to become "Good Samaritans" by summoning emergency responders without fear of negative legal consequences.		In 2015, the White House announced a treatment-based initiative. The $2.5 million budget was allocated to a program that engaged law enforcement officers and public health professionals to collect data on the movement of heroin along the East coast and to train first responders on when it is adequate to administer Naloxone. <ref>http://www.slate.com/articles/news_and_politics/crime/2015/08/good_samaritan_drug_laws_they_save_lives_and_more_states_should_pass_them.html</ref> Various federal organizations have come together to encourage good faith prescription of Naloxone to ordinary citizens. They also encourage bystanders to become "Good Samaritans" by summoning emergency responders without fear of negative legal consequences.

	State laws make it difficult for citizens to obtain prescriptions for ''''injection'''' Narcan, due to policies on third-party prescriptions and on prescriptions via standing orders. The third party-prescription law prohibits the prescription of drugs to someone other than the person who will receive them, while the standing order law prohibits the prescription of drugs to a person not personally examined by the prescribing physician. There are a variety of cases in which the complexity of Naloxone policies are advancing:		State laws make it difficult for citizens to obtain prescriptions for ''injection'' Narcan, due to policies on third-party prescriptions and on prescriptions via standing orders. The third party-prescription law prohibits the prescription of drugs to someone other than the person who will receive them, while the standing order law prohibits the prescription of drugs to a person not personally examined by the prescribing physician. There are a variety of cases in which the complexity of Naloxone policies are advancing:

	*The California State Board of Pharmacy passed a policy that allows pharmacists to give out Naloxone without a prescription in case of emergencies. <ref>https://nabp.pharmacy/news/news-releases/california-pharmacists-may-now-dispense-naloxone-without-prescription/</ref>		*The California State Board of Pharmacy passed a policy that allows pharmacists to give out Naloxone without a prescription in case of emergencies. <ref>https://nabp.pharmacy/news/news-releases/california-pharmacists-may-now-dispense-naloxone-without-prescription/</ref>

BasilSavitsky: /* Impactful Federal, State, and Local Policies */

2024-06-17T21:17:06Z

Impactful Federal, State, and Local Policies

← Older revision		Revision as of 14:17, 17 June 2024
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	In 2015, the White House announced a treatment-based initiative. The $2.5 million budget was allocated to a program that engaged law enforcement officers and public health professionals to collect data on the movement of heroin along the East coast and to train first responders on when it is adequate to administer Naloxone. <ref>http://www.slate.com/articles/news_and_politics/crime/2015/08/good_samaritan_drug_laws_they_save_lives_and_more_states_should_pass_them.html</ref> Various federal organizations have come together to encourage good faith prescription of Naloxone to ordinary citizens. They also encourage bystanders to become "Good Samaritans" by summoning emergency responders without fear of negative legal consequences.		In 2015, the White House announced a treatment-based initiative. The $2.5 million budget was allocated to a program that engaged law enforcement officers and public health professionals to collect data on the movement of heroin along the East coast and to train first responders on when it is adequate to administer Naloxone. <ref>http://www.slate.com/articles/news_and_politics/crime/2015/08/good_samaritan_drug_laws_they_save_lives_and_more_states_should_pass_them.html</ref> Various federal organizations have come together to encourage good faith prescription of Naloxone to ordinary citizens. They also encourage bystanders to become "Good Samaritans" by summoning emergency responders without fear of negative legal consequences.

	State laws make it difficult for citizens to obtain prescriptions for injection Narcan, due to policies on third-party prescriptions and on prescriptions via standing orders. The third party-prescription law prohibits the prescription of drugs to someone other than the person who will receive them, while the standing order law prohibits the prescription of drugs to a person not personally examined by the prescribing physician. There are a variety of cases in which the complexity of Naloxone policies are advancing:		State laws make it difficult for citizens to obtain prescriptions for ''''injection'''' Narcan, due to policies on third-party prescriptions and on prescriptions via standing orders. The third party-prescription law prohibits the prescription of drugs to someone other than the person who will receive them, while the standing order law prohibits the prescription of drugs to a person not personally examined by the prescribing physician. There are a variety of cases in which the complexity of Naloxone policies are advancing:

	*The California State Board of Pharmacy passed a policy that allows pharmacists to give out Naloxone without a prescription in case of emergencies. <ref>https://nabp.pharmacy/news/news-releases/california-pharmacists-may-now-dispense-naloxone-without-prescription/</ref>		*The California State Board of Pharmacy passed a policy that allows pharmacists to give out Naloxone without a prescription in case of emergencies. <ref>https://nabp.pharmacy/news/news-releases/california-pharmacists-may-now-dispense-naloxone-without-prescription/</ref>

BasilSavitsky: /* Relevant Research */

2024-06-17T21:02:52Z

Relevant Research

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	= Relevant Research =		= Relevant Research =

	* A study ~~in Massachusetts~~ found that cities ~~that~~ have Naloxone distribution programs have lower overdose death rates than those without a program. <ref>http://www.bmj.com/content/346/bmj.f174</ref>		* '''This Massachusetts study''' found that cities which have Naloxone distribution programs have lower overdose death rates than those without a program. <ref>http://www.bmj.com/content/346/bmj.f174</ref>

	*A University of Washington study ~~evaluating~~ the initial results of ~~Washington~~ state’s Good Samaritan policy ~~found in a survey that drug~~ users who were aware of the law were 88 percent more likely to call 911 in the event of an overdose than before.<ref>http://www.slate.com/articles/news_and_politics/crime/2015/08/good_samaritan_drug_laws_they_save_lives_and_more_states_should_pass_them.html</ref> <ref>http://adai.uw.edu/pubs/infobriefs/ADAI-IB-2011-05.pdf</ref>		*'''A University of Washington study''' evaluated the initial results of the state’s Good Samaritan policy. Drug users who were aware of the law were found to be 88 percent more likely to call 911 in the event of an overdose than before the policy took effect.<ref>http://www.slate.com/articles/news_and_politics/crime/2015/08/good_samaritan_drug_laws_they_save_lives_and_more_states_should_pass_them.html</ref> <ref>http://adai.uw.edu/pubs/infobriefs/ADAI-IB-2011-05.pdf</ref>

	*This article was published in the Annals of Emergency Medicine and is directed to physicians in Emergency Departments. It highlights successes that have been achieved in recent years and calls for specific patient-centered action by emergency physicians. <ref>https://www.annemergmed.com/article/S0196-0644(19)30606-7/fulltext</ref>		*'''This article''' was published in the Annals of Emergency Medicine and is directed to physicians in Emergency Departments. It highlights successes that have been achieved in recent years and calls for specific patient-centered action by emergency physicians. <ref>https://www.annemergmed.com/article/S0196-0644(19)30606-7/fulltext</ref>

	= Impactful Federal, State, and Local Policies =		= Impactful Federal, State, and Local Policies =