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Type: Toolkit

Webinar – Distributing Low Barrier Naloxone in Emergency Departments

Emergency departments can learn how to build a simple, efficient, and effective model of dispensing naloxone from the ground up in this free, archived 1-hour webinar with multiple guest speakers in collaboration with National Harm Reduction Coalition.

Comparing Projected Fatal Overdose Outcomes and Costs of Strategies to Expand Community-Based Distribution of Naloxone in Rhode Island

In this decision analytical model study evaluating the distribution of 10 000 additional naloxone kits annually in Rhode Island, the strategy focusing on distribution of naloxone according to geographic need to people who inject drugs resulted in the best outcomes at the lowest cost, averting an estimated 25.3% of opioid overdose deaths at an incremental cost of $27 312 per opioid overdose death averted.

Effects of naloxone: A post-overdose care plan

Being revived through naloxone, while lifesaving, is usually a very unpleasant experience for both the overdosed individuals and the individual who administers naloxone. This resource spells out common side effects of naloxone use on opioid-dependent people and provides a list of suggested items useful for post-overdose care.

NACo Opioid Solutions Strategy Brief: Naloxone to Reverse Opioid Overdose

This strategy brief shares basic evidence of naloxone effectiveness and also highlights innovative methods for distribution.

RTI – Optimizing naloxone distribution to prevent opioid overdose fatalities

The objective of this study was to pilot test a multi-component implementation strategy-the systems analysis and improvement approach for naloxone (SAIA-Naloxone) which included (1) analyzing program data to identify gaps in the naloxone delivery cascade, (2) flow mapping to identify causes of attrition and brainstorm programmatic changes for improvement, and (3) conducting continuous quality improvement to test and assess whether modifications improve the cascade.

Compassionate Overdose Response: Summit Highlights and Key Takeaways

Forty experts participated in consensus-building discussion on a standard of care opioid overdose response protocol. A critical message emerged: those responding to an overdose should aim to restore breathing without causing withdrawal by supporting the person’s breathing, giving low or standard doses of naloxone (0.4 mg intramuscular injection and <4 mg intranasal spray) until spontaneous breathing is restored, and creating a calm environment. Despite fluctuations in the drug supply, standard dose naloxone is effective.

Training Guide: Guide to Developing and Managing Overdose Prevention and Take Home Naloxone Projects, NHRC

Providing overdose prevention, recognition, and response education to people who use drugs, their neighbors, friends, families, and the service providers who work with them is a harm reduction intervention that saves lives. This training guide outlines the process of developing and managing an Overdose Prevention and Education Program.

Integrating supervised consumption into a continuum of care for people who use drugs

Supervised-consumption services are known to be effective in reducing drug-related harms. It is now time to move from asking whether such services are effective to asking whether, how and under what conditions their benefits can be maximized. Integrated and co-located health service models — effectively “one-stop shops” — could improve health outcomes for people who inject drugs by combining the prevention of immediate drug-related harms with access to primary care, mental health care and social service programs.

The Safer Bathroom Toolkit – Canadian Institute for Substance Use Research

Bathrooms can provide private, seemingly safe spaces for people to use substances, especially when they are unable to access supervised consumption or overdose prevention sites. However, there can be serious risks to using substances in bathrooms, including overdosing alone and potentially not receiving lifesaving help in time. Restricting access to bathrooms or implementing measures to discourage substance use in bathrooms does not work. Rather, doing so increases risks for people who use substances, staff, and other people at risk of injury due to unsafe bathroom lighting, layout, and so forth. There are ways of making bathrooms safer for people who use substances. This toolkit will help you to do that.

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