Harm Reduction Journal,
Год журнала:
2024,
Номер
21(1)
Опубликована: Фев. 5, 2024
Abstract
Background
In
response
to
the
exacerbated
rates
of
morbidity
and
mortality
associated
with
overlapping
overdose
COVID-19
epidemics,
novel
strategies
have
been
developed,
implemented,
operationalized
scaled
reduce
harms
resulting
from
this
crisis.
Since
emergence
mobile
services
(MORS),
two
aimed
help
acute
including
staffed
hotline-based
unstaffed
timer-based
services.
article,
we
aim
gather
perspectives
various
key
interest
groups
on
these
technologies
determine
which
might
best
support
service
users.
Methods
Forty-seven
participants
interested
people
who
use
substances
not
used
MORS,
healthcare
workers,
family
members,
harm
reduction
employees
MORS
operators
participated
in
semi-structured
interviews.
Transcripts
were
coded
analyzed
using
a
thematic
analysis
approach.
Results
Four
major
themes
emerged
regarding
participant
differences
between
services,
namely
connection,
perceived
safety,
privacy
accessibility,
alongside
features
that
are
recommended
for
future.
Conclusions
Overall,
noted
individuals
vary
their
desire
connection
during
substance
session
offered
by
hotline
modalities.
Participants
approaches
be
more
reliable
thus
potentially
safer
than
counterparts
but
access
technology
is
limitation
both
approaches.
Substance Use & Addiction Journal,
Год журнала:
2024,
Номер
45(3), С. 506 - 514
Опубликована: Март 25, 2024
Supervised
consumption
sites
(SCS)
are
an
evidence-based
intervention
proven
effective
for
preventing
drug
overdose
deaths.
Obstacles
to
accessing
SCS
include
stigma,
limited
hours
of
operation,
concerns
about
policing,
and
geographic
availability.
Mobile
response
services
(MORS)
novel
technologies
that
provide
virtual
supervised
help
reduce
the
risk
fatal
overdoses,
especially
those
who
use
alone.
MORS
can
take
various
forms,
such
as
phone-based
hotlines
mobile
apps.
The
aim
this
article
is
assess
perceptions
among
healthcare
harm
reduction
staff
determine
if
they
would
be
comfortable
educating
clients
these
services.
International Journal of Drug Policy,
Год журнала:
2024,
Номер
132, С. 104559 - 104559
Опубликована: Авг. 28, 2024
North
America
is
grappling
with
an
ongoing
drug
overdose
crisis.
While
harm
reduction
measures
like
take-home
naloxone
kits,
and
supervised
consumption
sites,
have
helped
reduce
mortality,
other
strategies
to
address
this
public
health
emergency
are
required.
Good
Samaritan
Laws
(GSLs)
offer
legal
protection
for
individuals
who
report
overdoses,
yet
people
use
substances
(PWUS)
may
still
hesitate
seek
help
due
concerns
about
existing
legislation.
This
scoping
review
explores
barriers
preventing
PWUS
from
calling
services
along
potential
solutions
facilitators
challenge.
Frontiers in Public Health,
Год журнала:
2023,
Номер
11
Опубликована: Окт. 19, 2023
Virtual
overdose
monitoring
services
or
Mobile
Overdose
Response
Services
(MORS)
are
novel
virtual
harm
reduction
tools
which
have
gained
popularity
as
an
adjunct
public
health
intervention
especially
for
those
who
cannot
access
resources
through
traditional
means.
At
this
time,
relatively
little
is
known
about
their
ability
to
reach
goals
of
reducing
mortality.
Our
study
aims
summarize
the
potential
effectiveness
various
MORS
collectively
avoid
mortality
from
a
drug
poisoning
event/drug
overdose.Utilizing
publicly
available
data
alongside
some
usage
provided
by
these
study,
we
model
impact
on
fatal
poisoning/overdose.
In
order
calculate
number
deaths
averted,
Monte
Carlo
simulation
was
used
point
estimates
with
95%
confidence
poisonings/drug
potentially
averted
utilization
MORS.From
earliest
mention
in
current
literature
(2019),
total
299
poisoning/overdose
events
occurred
across
services.
Noting
broad
range
statistics
literature,
technologies
prevented
between
33
243
deaths.
135
poisonings/overdose
were
overall
MORS.While
there
yet
be
robust
set
proving
services,
conservative
show
that
can
reduce
associated
substance
use
and
therefore
should
considered
viable
harm-reduction
strategy
but
more
established
such
supervised
consumption
sites
injection
facilities.
While
research
needed,
clinicians
practitioners
consider
suggestion
patients
drugs.
International Journal of Mental Health and Addiction,
Год журнала:
2024,
Номер
unknown
Опубликована: Март 25, 2024
Abstract
The
National
Overdose
Response
Service
(NORS)
is
a
Canadian
mobile
or
virtual
overdose
response
hotline
intended
to
prevent
drug
deaths
but
has
unexpectedly
received
mental
health
related
calls,
including
adverse
events.
Our
study
aimed
examine
these
occurrences
and
caller
characteristics
predictive
of
outcomes.
Using
the
NORS
call
dataset,
we
conducted
descriptive
representation
emergencies
along
with
correlative
statistics.
We
found
that
had
2518
28
(1.1%)
being
Men,
rural
callers,
polyroute
substance
consumption
history
overdosing
were
have
increased
odds
having
an
event,
while
from
Quebec,
using
non-standard
routes
line
between
50
99
times
decrease
odds.
This
supports
utility
prevention
hotlines
also
support
people
experiencing
situations
reduce
harm
for
individuals
and/or
use
disorders.
Addiction Science & Clinical Practice,
Год журнала:
2024,
Номер
19(1)
Опубликована: Янв. 12, 2024
Abstract
Background
People
who
use
drugs
(PWUD)
face
disproportionately
high
rates
of
hospitalizations
and
patient-initiated
discharge
(leaving
against
medical
advice),
explained
by
a
combination
stigma,
withdrawal,
judgment,
blame,
improper
pain
management.
In
addition,
evidence
has
shown
that
despite
abstinence-based
policies
within
healthcare
settings,
PWUD
continue
to
their
substances
in
environments
often
hidden
away
from
hospital
staff,
resulting
fatalities.
Various
novel
overdose
detection
technologies
(ODTs)
have
been
developed
with
early
adoption
few
settings
reduce
the
morbidity
mortality
risky
substance
patterns
environments.
Our
study
aimed
gain
perspectives
workers
across
Canada
on
implementing
ODTs
these
settings.
Method
We
used
purposive
snowball
sampling
recruit
16
professionals
participate
semi-structured
interviews
completed
two
evaluators.
Interview
transcripts
were
analyzed
using
thematic
analysis
identify
key
themes
subthemes.
Results
Participants
recognized
as
potentially
feasible
solution
for
increasing
safety
results
suggest
mixed
ability
services
decrease
stigma
build
rapport
PWUD.
further
highlighted
barriers
services,
including
pre-established
policies,
legal
recourse,
coordination
emergency
responses
suspected
overdoses.
Lastly,
participants
highlight
should
only
be
one
part
multifaceted
approach
reducing
harm
could
currently
integrated
into
planning.
Conclusion
Healthcare
found
an
acceptable
intervention,
but
larger
suite
reduction
interventions
harms
associated
illicit
drug
contrast,
noted
institutional
behalf
leadership
would
present
significant
challenges
uptake
dissemination.
Journal of Addiction Medicine,
Год журнала:
2024,
Номер
18(5), С. 553 - 560
Опубликована: Май 23, 2024
In
2021,
opioid-related
deaths
have
increased
by
96%
and
continue
to
be
higher
than
prepandemic
levels.
particular,
women
gender-diverse
individuals
face
numerous
challenges
when
assessing
harm
reduction
supports,
including
physical
supervised
consumption
sites,
compared
with
male
counterparts.
Mobile
overdose
response
services
(MORSs)
hotlines
phone-based
applications
are
novel
virtual
technologies
that
may
help
mitigate
this
issue.
This
study
aims
explore
how
engage
perceive
these
services.
Harm Reduction Journal,
Год журнала:
2024,
Номер
21(1)
Опубликована: Май 28, 2024
Abstract
The
opioid
epidemic
remains
one
of
the
largest
public
health
crises
in
North
America
to
date.
While
there
have
been
many
diverse
strategies
developed
reduce
harms
associated
with
substance
use,
these
are
primarily
concentrated
within
a
few
large
urban
centers.
As
result,
increased
calls
for
equitable
access
harm
reduction
services
those
who
cannot
or
choose
not
in-person
services.
In
December
2020,
Canada’s
National
Overdose
Response
Service
(NORS)
telephone
based
overdose
response
hotline
and
virtual
supervised
consumption
service,
was
established
collaboration
various
agencies
people
lived
living
experience
use
(PWLLE)
across
Canada
expand
using
novel
Opioid
Technology.
this
manuscript
we
explore
lessons
learned
from
establishment
continued
operation
service
exploring
topics
related
initial
securing
phone
line,
routing
technology,
EMS
dispatch
solutions,
peer
volunteer
recruitment,
legal
ethical
support,
policy
procedure
development,
funding,
marketing.
Furthermore,
detail
how
has
grown
changed
needs
users.
Can J Public Health,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 18, 2025
Abstract
Objectives
The
overdose
crisis
remains
one
of
the
largest
public
health
issues
facing
North
America
to
date.
Formalized
virtual
spotting
services
have
gained
popularity
as
a
harm
reduction
intervention,
proving
early
effectiveness
in
reducing
mortality.
This
study
determined
characteristics
individuals
who
recurrently
use
such
service,
Canada’s
National
Overdose
Response
Service
(NORS).
Methods
In
this
retrospective
study,
call
logs
from
NORS
were
analyzed
service
inception.
Demographics
including
age,
gender,
province,
community
size,
substance
used,
routes
administration,
and
adverse
events
all
collected
imputed
into
marginal
means
rates
model
determine
predictors
recurrent
use.
Results
A
total
7340
unique
calls
included
within
our
analysis.
Of
those,
1167
(15.8%)
reported
their
gender
male,
3744
(51.0%)
female,
1329
(18.1%)
diverse,
1100
(14.9%)
did
not
report
gender.
terms
46
(0.6%)
under
age
18
years,
3561
(48.5%)
between
30,
557
(7.6%)
31
40,
2505
(34.1%)
41
50,
525
(7.1%)
51
or
over,
146
(2.0%)
age.
Men’s
rate
ratios
for
significantly
lower
than
women’s
(RR
=
0.08,
95%
CI
0.07‒0.09),
those
respondents
aged
31‒40
years
compared
with
18‒30
0.26,
0.15‒0.45).
Between
regions,
callers
British
Columbia
0.28,
0.17‒2.24)
Atlantic
provinces
0.09;
0.07‒0.12)
province
Ontario.
Similarly,
rural
demonstrated
0.08;
0.07‒0.11)
urban
counterparts.
Conclusion
demonstrates
higher
usage
patterns
certain
demographic
groups,
particular,
women.
results
can
therefore
be
used
target
messaging
toward
derive
most
benefit
tailor
programming
are
at
highest
risk
alone.
