Harm Reduction Journal,
Год журнала:
2022,
Номер
19(1)
Опубликована: Окт. 3, 2022
Abstract
The
Substance
Abuse
and
Mental
Health
Services
Administration’s
(SAMHSA)
Harm
Reduction
grant
program
expanded
access
to
several
harm
reduction
strategies
mitigate
opioid
overdose
fatalities,
including
expanding
naloxone.
Interviews
with
first
responders
in
a
frontier
remote
(FAR)
state
were
conducted
understand
their
job
responsibilities
relation
response
prevention
perceptions
of
training
laypersons
administer
This
study
includes
22
interviews
law
enforcement,
EMS
and/or
fire
personnel,
members
reduction-focused
community
organizations.
finds
widespread
support
for
increasing
naloxone
administration
throughout
Montana,
due
rural
responders’
inability
meet
the
needs
residents
an
overall
lack
resources
address
addiction
effects
fentanyl.
Participants
from
organizations
convey
lay
persons,
but
also
illuminate
that
real
perceived
cultural
opposition
could
reduce
likelihood
laypeople
enroll
training.
adds
literature
because
it
focuses
on
FAR
area
would
benefit
layperson
education
its
geographic
expansiveness
area’s
medications
use
disorder
or
other
treatment
services.
Expanding
approaches,
like
naloxone,
might
be
residents’
best
chance
surviving
overdose.
Journal of Drug Issues,
Год журнала:
2020,
Номер
50(4), С. 455 - 471
Опубликована: Июнь 1, 2020
Police
officers
and
emergency
personnel
are
on
the
frontlines
of
opioid
crisis.
This
research
examines
police
officer
attitudes
about
naloxone
administration,
drug
treatment,
their
role
in
handling
drug-related
incidents
through
an
online
survey.
Although
view
themselves
as
adequately
trained
administering
naloxone/Narcan,
almost
half
(43%)
believe
there
should
be
a
limit
how
often
someone
who
overdoses
receives
Narcan
majority
(83%)
naloxone/Narcan
providing
excuse
to
continue
use.
Officers
also
treatment
ineffective.
Negative
differed
function
frequency
overdose
responses;
responded
more
calls
administered
frequently
demonstrate
pessimistic
toward
use
naloxone/Narcan.
exposed
need
education
training
addiction
issues
decrease
stigma
elicit
greater
empathy
people
struggling
with
addiction.
Many
law
enforcement
agencies
across
the
United
States
equip
their
officers
with
life-saving
drug
naloxone
to
reverse
effects
of
an
opioid
overdose.
Although
can
be
effectively
trained
administer
naloxone,
and
hundreds
carry
overdoses,
little
is
known
about
what
happens
on
scene
during
overdose
call
for
service
from
officer's
perspective,
including
perceive
duties
responsibilities
as
incident
evolves.The
qualitative
study
examined
officers'
experiences
response,
perceived
roles,
before,
during,
after
incident.
In-person
interviews
were
conducted
17
in
four
diverse
between
January
May
2020.Following
overdose,
described
that
victims
are
required
go
a
hospital
or
they
taken
jail.
Officers
also
administration,
searching
belongings
person
who
overdosed
seizing
any
paraphernalia.These
findings
point
pressing
need
rethinking
standard
operating
procedures
these
situations
so
intentions
Good
Samaritan
Laws
upheld
people
get
assistance
without
being
deterred
asking
future
help.
Harm Reduction Journal,
Год журнала:
2020,
Номер
17(1)
Опубликована: Янв. 9, 2020
Abstract
Background
In
response
to
the
opioid
epidemic,
naloxone
distribution
programs
aim
prevent
overdose
death
by
making
available
and
training
people
use
it.
Peers
of
individuals
at
risk
are
well-positioned
administer
death.
Methods
We
conducted
key
informant
interviews
with
18
past
or
current
heroin
drug
who
had
administered
a
peer
during
an
emergency.
Interviews
explored
individuals’
experiences
administration
their
recommendations
for
program
policy
improvement.
Data
were
systematically
coded
analyzed
themes.
Results
Participants
sought
rescue
kits
because
they
perceived
high
overdose.
They
described
satisfaction
felt
prepared
incidents.
Overwhelmingly,
participants
be
effective
emphasized
need
make
it
widely
available.
Findings
suggest
that
engagement
in
prevention
strategies
other
than
differs
gender,
females
more
likely
males
multiple
different
strategies.
do
not
have
lasting
impact
on
behaviors.
Conclusions
support
feasibility
users
provide
improvement,
including
well-advertised
Good
Samaritan
laws
links
treatment
disorder.
Harm Reduction Journal,
Год журнала:
2023,
Номер
20(1)
Опубликована: Окт. 27, 2023
Abstract
Background
Opioid
overdose
deaths
are
of
great
concern
to
public
health,
with
over
one
million
lives
lost
since
1999.
While
many
efforts
have
been
made
mitigate
these,
Black
communities
continue
experience
a
greater
burden
fatalities
than
their
white
counterparts.
This
study
aims
explore
why
by
working
community
members
in
Indianapolis
through
semi-structured
interviews.
Methods
Semi-structured
one-on-one
in-depth
interviews
were
conducted
spring
and
summer
2023
residents
(
N
=
23)
zip
codes
46202,
46205,
46208,
46218
Indianapolis.
Ten
interview
questions
used
facilitate
conversations
about
opioid
overdoses,
recovery,
fatality
prevention
tools
such
as
calling
911
naloxone,
law
enforcement,
racism.
Data
analyzed
using
grounded
theory
thematic
analysis.
Results
Interviews
revealed
access
barriers
intervention
opportunities.
Racism
was
present
both.
Mental
stigma,
fear,
mistrust
contributed
practical
knowledge
how
administer
naloxone.
exacerbated
mental
adding
the
risk
race-based
mistreatment
consequences
related
association
substance
use.
Participants
discussed
double
stigma
use
being
Black,
fear
searched
enforcement
encounters
what
would
happen
if
found
naloxone
on
them,
institutions
that
provide
medical
intervention.
had
favorable
views
interventions
incorporated
mutual
aid
ideas
for
future
included
this
framework.
Conclusions
exacerbates
Blacks'
(i.e.,
help-seeking
barriers),
which,
turn,
contribute
barriers,
administering
Information
resources
coming
from
people
within
marginalized
tend
be
trusted.
Leveraging
inter-community
relationships
may
increase
engagement
prevention.
Interventions
directed
toward
addressing
should
frameworks
utilization
they
provide.
Prehospital Emergency Care,
Год журнала:
2025,
Номер
unknown, С. 1 - 9
Опубликована: Фев. 7, 2025
Personal
attitudes
amongst
emergency
medical
services
(EMS)
clinicians
could
influence
successful
implementation
of
prehospital
buprenorphine
administration
programs
(PBAPs),
yet
few
studies
have
investigated
EMS
clinician
perceptions
concerning
these
innovative
programs.
This
mixed-methods
study
assessed
and
concerns
about
PBAPs.
Emergency
Medical
Technicians
(EMTs),
advanced
EMTs
paramedics
were
recruited
for
focus
groups
from
Upstate
South
Carolina.
Researchers
moderated
12
or
fewer
field
personnel
interviewed
separately
training
officers
leadership.
Participants
took
a
survey
assessing
demographic,
employment,
contextual
information
on
EMS-led
interventions
addressing
the
opioid
epidemic.
Moderators
asked
participants
to
provide
confidential
responses
four
open-ended
questions.
Thematic
analysis
was
applied
all
using
framework
method.
A
codebook
modeled
deductive
themes
previous
literature,
while
inductive
subthemes
added
through
researcher
consensus.
Final
coding
constructed
independently
by
two
researchers
with
disagreements
resolved
third.
Descriptive
statistics
summarized
collected
survey.
The
107
predominantly
male
(69.2%)
White
(96.3%)
an
average
age
38.4
years
(SD
=
11.4).
Half
35.5%
experience
ranging
3
months
39
years,
median
10
years.
Most
(70.2%)
heard
28.9%
received
education
medication
use
disorder
(MOUD).
Describing
initial
reactions
overdose,
included
overdoses
as
routine
part
naloxone
distribution
changing
overdose
dynamics.
Themes
withdrawal
is
not
emergency,
negatively
affecting
operations,
PBAPs
requiring
culture
shift.
surrounding
individuals
(OUD),
increasing
substance
misuse,
liability.
At
end
session
45.8%
stated
they
would
want
their
agency
participate
in
PBAP,
44.9%
participate,
8
(7.5%)
did
answer.
clinicians'
toward
adoption
PBAP
protocols.
Findings
may
inform
educational
initiatives
which
mitigate
knowledge
gaps.
