Preventing opioid overdose with peer-administered naloxone: findings from a rural state.

Abstract:

BACKGROUND:In response to the opioid epidemic, naloxone distribution programs aim to prevent overdose death by making naloxone available and training people to use it. Peers of individuals at risk of opioid overdose are well-positioned to administer naloxone and prevent overdose death. METHODS:We conducted key informant interviews with 18 individuals with past or current opioid and heroin drug use who had administered naloxone to a peer during an overdose emergency. Interviews explored individuals' experiences with administration and their recommendations for program and policy improvement. Data were systematically coded and analyzed for themes. RESULTS:Participants sought naloxone rescue kits because they perceived high risk of overdose. They described high satisfaction with training and felt prepared to administer naloxone during overdose incidents. Overwhelmingly, participants perceived naloxone to be effective and emphasized the need to make it widely available. Findings suggest that engagement in overdose prevention strategies other than naloxone differs by gender, with females more likely than males to use multiple different strategies. Participants described that overdose experiences do not have a lasting impact on drug use behaviors. CONCLUSIONS:Findings support the feasibility of naloxone distribution to peer opioid and heroin users and provide recommendations for policy improvement, including effective and well-advertised Good Samaritan laws and links to treatment for opioid use disorder.

journal_name

Harm Reduct J

journal_title

Harm reduction journal

authors

Hanson BL,Porter RR,Zöld AL,Terhorst-Miller H

doi

10.1186/s12954-019-0352-0

subject

Has Abstract

pub_date

2020-01-09 00:00:00

pages

4

issue

1

issn

1477-7517

pii

10.1186/s12954-019-0352-0

journal_volume

17

pub_type

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