Overdose Education in Medical Settings
|
|
|
- Conrad Price
- 8 years ago
- Views:
Transcription
1 Overdose Education in Medical Settings Where is the patient at as far as overdose? Ask your patients whether they have overdosed, witnessed an overdose or received training to prevent, recognize, or respond to an overdose Overdose history: 1. Have you ever overdosed? 1. What were you taking? 2. How did you survive? 2. What strategies do you use to protect yourself from overdose? 3. How many overdoses have you witnessed? 1. Were any fatal? 2. What did you do? 4. What is your plan if you witness an overdose in the future? 1. Have you received a narcan rescue kit? 2. Do you feel comfortable using it?
2 Overdose Education and Naloxone Rescue What people need to know: 1.Prevention - the risks: Mixing substances Abstinence- low tolerance Using alone Unknown source Chronic medical disease Long acting opioids last longer 2.Recognition Unresponsive to sternal rub with slowed breathing Blue lips, pinpoint pupils 3.Response - What to do Call for help Rescue breathe Administer naloxone, continue breathing Recovery position Stay until help arrives
3 How to prescribe naloxone Three formulations 1. Injectable Dispense: 2x Naloxone 0.4mg/ml single dose vial or 1x 0.4mg/ml 10ml vial 2x IM syringe (3ml 25g 1 syringes recommended) Directions: For opioid overdose, inject 1ml IM in shoulder or thigh. Repeat after 3 minutes, if no or minimal response 2. Nasal (off-label) Dispense: 2x Naloxone 2mg/2ml prefilled luer-lock syringe 2x Mucosal Atomizer Device nasal adapter Directions: For opioid overdose, spray 1ml in each nostril. Repeat after 3 minutes, if no or minimal response 3. Ezvio Auto-injector -
4 Evzio auto-injector
5 Prescribetoprevent.org
6 Prescribetoprevent.org
7 Mucosal Atomization Device (MAD) Prefilled naloxone ampule Intranasal Administration Luer-lock syringe Pro 1 st line for some local EMS RCTs: slower onset of action but milder withdrawal Acceptable to non-users No needle stick risk No disposal concerns Con Not FDA approved No large RCT Assembly required, subject to breakage High cost: $ per kit
8 Lessons Learned Standing order facilitates expansion Nasal naloxone helps acceptability Use existing networks to reach high risk people and build out from there Both grass roots and top down leadership are crucial Prescription naloxone takes patience and perseverance Parents and public safety can be powerful advocates Overdose can bring people together on common ground
9 Bathrooms are injection facilities How to make them safer? Make your bathrooms safer - outfit bathrooms with: Secure biohazard boxes Good lighting Mirrors Doors that open out Call button Intercomm system Safer injection equipment Naloxone rescue kit
10 Thank you! Helpful websites. For prescribers and pharmacists Prescribetoprevent.org News + research on overdose prevention Overdosepreventionalliance.org International overdose prevention efforts Naloxoneinfo.org Opioid overdose prevention education Stopoverdose.org Family support Learn2cope.org Legal interventions 2013 National Drug Control Strategy ASAM 2010 Policy Statement SAMHSA toolkit store.samhsa.gov/product/opioid-overdose-prevention- Toolkit/SMA SAMHSA Letter to prescribers anyl_508.pdf Project manual harmreduction.org/wp-content/uploads/2012/11/odmanual-final-links.pdf
11 Articles in the same paper Police Report Blue Avenue resident dies of an apparent overdose A 44-year-old man is believed to have overdosed on heroin and died as a result last Thursday morning at a Green Avenue home. The man, William SmithJones, of Blue Avenue, was found by a friend in the bathroom after he went in to shower and shave around 8 a.m. After spending more time than usual in the bathroom, the friend pushed her way inside and found him on the floor, purple colored. EMTs from Cataldo Ambulance administered Narcan to SmithJones and rushed him to Whidden Hospital, where he died later. Obituary William SmithJones, 44 - Worked for Acme William SmithJones died unexpectedly at the Whidden Memorial Hospital in Everett on March 5, after being stricken at his home in Revere. He was 44 years old. Born in Lynn, he attended Revere schools and was employed by Acme Company of Revere until his untimely death. He was the father of Brendan and Krysti, both of Salem, NH; son of Cheryl of Malden and the late Harold; brother of Lori of Tewksbury, Harold of Fremont, NH, Annie of Medford and Robert of Somerville. He is also survived by the mother of his children, Heidi of Salem, NH, Mildred, his maternal grandmother, Ruth Smith of Revere; a cousin, Jonathan A. of Revere; and several nieces, nephews and other cousins. He was also the grandson of the late Robert and Oswell and Anna. Remembrances may be made to the American Heart Association, 20 Speen St., Framingham, MA
12 Jamie Byrne, 40 Cherished by family LYNN Jamie Byrne, age 40, of Lynn, died on Saturday, Jan. 25, 2014, after a long battle with the disease of addiction. Jamie was born, raised and educated in Lynn. He was a graduate of Breed Jr. High, Classical High School and Boston University. He was employed by Watertown Supply. Jamie loved music, reading and mixed martial arts. He enjoyed traveling, especially with his family. His greatest joy, however, was his family and friends. There was no one more caring, loyal or loving than Jamie. He helped so many others with their struggles, only to succumb himself. He was completely unselfish in helping anyone struggling with their recovery. He had numerous lifelong friendships, demonstrated by the outpouring of sympathy and support to his family. He was the perfect uncle, treasured by his two nieces and his nephew. He loved and received love and support from his sister and brother-in-law. He treasured the time he spent with his uncles and their wives and knew that his love was matched by theirs. He was dedicated to his grandparents, often working together with his grandfather. Jamie was a pure gift to his parents and they treasured their time with him. Lynn Item January 29, 2014
13 Case: 29 yo woman presents to clinic for buprenorphine treatment Age 18, an accomplished athlete with collegiate prospects When she tore her ACL she was prescribed opioids after surgery Developed opioid addiction by 6 months Age 20, injection heroin daily, out of college Ages 20-26, multiple detox and residential programs Not able to sustain >3 months without relapse Age 26, pregnant at her last detox and transferred to methadone Able to stop using heroin, engage in 12-step Delivered a healthy baby, breastfed, retained custody Age 28, she tapered off of methadone clinic Wanted more time with the baby and to try to work BF incarcerated for selling drugs Relapsed, lost custody, now seeking treatment with buprenorphine
14 Case: 29 yo woman on buprenorphine treatment Age 29-30: Buprenorphine treatment is started and the patient responds well Regular clinic visits with urine tox only positive for buprenorphine Re-engages in 12-step program and her family Works with child protection to regain custody Age 30: Hospitalized for overdose and admitted to intensive care Her boyfriend had been released from jail and returned to stay with her He relapsed and overdose on heroin on the 3 rd night, Packed his underwear with ice, tried to rescue breathe but did not respond, so she called 911 and they were unable to save him Child protection was notified about the incident and they removed her son from the home She stopped buprenorphine, relapsed to heroin, alcohol, and street benzodiazepines
15 Case: 29 yo woman on buprenorphine treatment Age 29-30: Buprenorphine treatment is started and the patient responds well Regular clinic visits with urine tox only positive for buprenorphine Re-engages in 12-step program and her family Works with child protection to regain custody Age 30: Hospitalized for overdose and admitted to intensive care Her boyfriend had been released from jail and returned to stay with her How could overdose prevention improve this case? He relapsed and overdose on heroin on the 3 rd night, Packed his underwear with ice, tried to rescue breathe but did not respond, so she called 911 and they were unable to save him Child protection was notified about the incident and they removed her son from the home She stopped buprenorphine, relapsed to heroin, alcohol, and street benzodiazepines
16 Case: 29 yo woman presents to clinic for buprenorphine treatment Age 18, an accomplished athlete with collegiate prospects When she tore her ACL she was prescribed opioids after surgery Developed opioid addiction by 6 months Age 20, injection heroin daily, out of college Ages 20-26, multiple detox and residential programs Not able to sustain >3 months without relapse Age 26, pregnant at her last detox and transferred to methadone Able to stop using heroin, engage in 12-step Delivered a healthy baby, breastfed, retained custody Age 28, she tapered off of methadone clinic Wanted more time with the baby and to try to work BF incarcerated for selling drugs Relapsed, lost custody, now seeking treatment with buprenorphine
17 Case: 29 yo woman presents to clinic for buprenorphine treatment Age 18, an accomplished athlete with collegiate prospects When she tore her ACL she was prescribed opioids after surgery Counseled about the risks of overdose, addiction, and safe storage Prescribed naloxone rescue kit when daily morphine equivalent > 50 Developed opioid addiction by 6 months Age 20, injection heroin daily, out of college Ages 20-26, multiple detox and residential programs Not able to sustain >3 months without relapse Age 26, pregnant at her last detox and transferred to methadone Able to stop using heroin, engage in 12-step Delivered a healthy baby, breastfed, retained custody Age 28, she tapered off of methadone clinic Wanted more time with the baby and to try to work BF incarcerated for selling drugs Relapsed, lost custody, now seeking treatment with buprenorphine
18 Case: 29 yo woman presents to clinic for buprenorphine treatment Age 18, an accomplished athlete with collegiate prospects When she tore her ACL she was prescribed opioids after surgery Counseled about the risks of overdose, addiction, and safe storage Prescribed naloxone rescue kit when daily morphine equivalent > 50 Developed opioid addiction by 6 months Age 20, injection heroin daily, out of college Received a new naloxone kit from needle exchange, after witnessed an OD Ages 20-26, multiple detox and residential programs Not able to sustain >3 months without relapse Age 26, pregnant at her last detox and transferred to methadone Able to stop using heroin, engage in 12-step Delivered a healthy baby, breastfed, retained custody Age 28, she tapered off of methadone clinic Wanted more time with the baby and to try to work BF incarcerated for selling drugs Relapsed, lost custody, now seeking treatment with buprenorphine
19 Case: 29 yo woman presents to clinic for buprenorphine treatment Age 18, an accomplished athlete with collegiate prospects When she tore her ACL she was prescribed opioids after surgery Counseled about the risks of overdose, addiction, and safe storage Prescribed naloxone rescue kit when daily morphine equivalent > 50 Developed opioid addiction by 6 months Age 20, injection heroin daily, out of college Received a new naloxone kit from needle exchange, after witnessed an OD Ages 20-26, multiple detox and residential programs Not able to sustain >3 months without relapse Started tester shots; respecting her tolerance at each relapse - Rescued BF x2 Age 26, pregnant at her last detox and transferred to methadone Able to stop using heroin, engage in 12-step Delivered a healthy baby, breastfed, retained custody Age 28, she tapered off of methadone clinic Wanted more time with the baby and to try to work BF incarcerated for selling drugs Relapsed, lost custody, now seeking treatment with buprenorphine
20 Case: 29 yo woman presents to clinic for buprenorphine treatment Age 18, an accomplished athlete with collegiate prospects When she tore her ACL she was prescribed opioids after surgery Counseled about the risks of overdose, addiction, and safe storage Prescribed naloxone rescue kit when daily morphine equivalent > 50 Developed opioid addiction by 6 months Age 20, injection heroin daily, out of college Received a new naloxone kit from needle exchange, after witnessed an OD Ages 20-26, multiple detox and residential programs Not able to sustain >3 months without relapse Started tester shots; respecting her tolerance at each relapse - Rescued BF x2 Age 26, pregnant at her last detox and transferred to methadone Able to stop using heroin, engage in 12-step OD prevention education is an orientation session Delivered a healthy baby, breastfed, retained custody Age 28, she tapered off of methadone clinic Wanted more time with the baby and to try to work BF incarcerated for selling drugs Relapsed, lost custody, now seeking treatment with buprenorphine
21 Case: 29 yo woman presents to clinic for buprenorphine treatment Age 18, an accomplished athlete with collegiate prospects When she tore her ACL she was prescribed opioids after surgery Developed opioid addiction by 6 months Age 20, injection heroin daily, out of college Ages 20-26, multiple detox and residential programs Not able to sustain >3 months without relapse Age 26, pregnant at her last detox and transferred to methadone Able to stop using heroin, engage in 12-step Delivered a healthy baby, breastfed, retained custody Age 28, she tapered off of methadone clinic Wanted more time with the baby and to try to work BF incarcerated for selling drugs Counseled about the risks of overdose, addiction, and safe storage Prescribed naloxone rescue kit when daily morphine equivalent > 50 Received a new naloxone kit from needle exchange, after witnessed an OD Started tester shots; respecting her tolerance at each relapse - Rescued BF x2 OD prevention education is an orientation session OD prevention education and rescue kit part of her taper and discharge plan Relapsed, lost custody, now seeking treatment with buprenorphine
22 Case: 29 yo woman on buprenorphine treatment Age 29-30: Buprenorphine treatment is started and the patient responds well Regular clinic visits with urine tox only positive for buprenorphine Re-engages in 12-step program and her family Works with child protection to regain custody
23 Case: 29 yo woman on buprenorphine treatment Age 29-30: Buprenorphine treatment is started and the patient responds well Regular clinic visits with urine tox only positive for buprenorphine OD prevention education and naloxone kit part of her orientation Re-engages in 12-step program and her family Works with child protection to regain custody
24 Case: 29 yo woman on buprenorphine treatment Age 29-30: Buprenorphine treatment is started and the patient responds well Regular clinic visits with urine tox only positive for buprenorphine OD prevention education and naloxone kit part of her orientation Re-engages in 12-step program and her family Works with child protection to regain custody Age 30: Continues in her recovery despite BF s relapse and overdose Her boyfriend had been released from jail and returned to stay with her He relapsed and overdose on heroin on the 3 rd night, She called 911, started rescue breathing, and administered one dose of nasal naloxone. He was transported, observed and transferred to a residential program for formerly incarcerated with drug problems Police and EMS praised her for her response: It saved his life She called her buprenorphine program counselor and her went to group that week and received support
25 Case: 29 yo woman on buprenorphine treatment Age 29-30: Buprenorphine treatment is started and the patient responds well Regular clinic visits with urine tox only positive for buprenorphine OD prevention education and naloxone kit part of her orientation Re-engages in 12-step program and her family Works with child protection to regain custody Age 30: Continues in her recovery despite BF s relapse and overdose Her boyfriend had been released from jail and returned to stay with her He relapsed and overdose on heroin on the 3 rd night, She called 911, started rescue breathing, and administered one dose of nasal naloxone. He was transported, observed and transferred to a residential program for formerly incarcerated with drug problems Police and EMS praised her for her response: It saved his life She called her buprenorphine program counselor and her went to group that week and received support And the lived happily ever after!!!
26 Do trained rescuers perform differently than untrained rescuers? Rescues after training (N=508) Rescues before training (N=91) Friend of OD victim 67% (341/508) 69% (63/91) OD setting: Public 20% (100/498) 29% (26/89) > 1 naloxone dose used 48% (23/468) 39% (33/85) 911 called or EMS present 23% (119/508) 27% (25/91) Rescue breathing 47% (166/350) 52% (34/66) Stayed with victim 89% (445/498) 89% (78/88) Sternal rub 63% (222/350) 62% (41/66) Doe-Simkins et al. Under review
27 How does drug use change after OEND? N=325 Increased Decreased No change Heroin 115 (35%) 122 (38%) 88 (27%) Methadone 84 (26%) 70 (22%) 171 (52%) Buprenorphine 73 (22%) 66 (20%) 186 (58%) Other Opioids 59 (18%) 62 (19%) 205 (63%) Cocaine 83 (26%) 96 (30%) 146 (44%) Alcohol 69 (21%) 70 (22%) 186 (57%) Benzo/Barbiturate 99 (30%) 74 (23%) 152 (47%)* Number of substances** used 131 (40%) 125 (38%) 69 (21%) *p < Wilcoxon signed rank test which compares the median difference between two repeated measures among the repeat enrollers **Participants were asked about use of heroin, methadone, buprenorphine, other opioids, cocaine, alcohol, benzodiazepine/barbiturate, methamphetamine, clonidine, and other substances Doe-Simkins et al. Under review
28 Project Assert patients Overdose education knowledge, opioid use, overdose outcomes Retention of knowledge OEN (n=37) OE Only (n=14) Mixing substances 69% (24) 93% (13) Periods of abstinence 41% (15) 7% (1) Using alone 24% (9) 14% (2) Chronic medical conditions 3% (1) 7% (1) Any illicit opioid use, 30 days 1 35% (13) 36% (5) Non-fatal overdose 19% (7) 29% (4) Witnessed an overdose 51% (19) 57% (8) Dwyer et al. Under Review
29 Project Assert patients Overdose responses among those participants who witnessed an overdose Witnessed OD (n=27) OEN (n=19) OE Only (n=8) Called % (17) 74% (14) 38% (3) Rescue breathing 26% (7) 26% (5) 25% (2) Administered nasal naloxone 22% (6) 32% (6) 0 Stayed with the victim 93% (25) 95% (18) 88% (7) Dwyer et al. Under Review
Medications to address the opioid crisis - methadone, buprenorphine, naltrexone, and naloxone
Medications to address the opioid crisis - methadone, buprenorphine, naltrexone, and naloxone Alexander Y. Walley, MD, MSc Director, Addiction Medicine Fellowship and Addiction Medicine Consult Service
Opioid Overdose Prevention Guidelines for Training Responders
Opioid Overdose Prevention Guidelines for Training Responders Oct 31, 2006 OD Oct 31, 2006 Opioid Overdose Prevention Guidelines for Training Responders BACKGROUND Introduction Opioid overdose is a serious
OPIOID OVERDOSE PREVENTION ORIENTATION WHAT ARE OPIOIDS AND HOW LONG DO THEY WORK? Duration of Action of Opioids
OPIOID OVERDOSE PREVENTION ORIENTATION There has been an alarming increase in the incidence of deaths caused by opioid overdose (prescription and non- prescription) in the United States. Enhanced educational
Bystander Overdose Education and Naloxone Distribution in Massachusetts
Bystander Overdose Education and Naloxone Distribution in Massachusetts Alexander Y. Walley, MD, MSc Assistant Professor of Medicine Boston University School of Medicine Medical Director, Opioid Overdose
A COLLABORATIVE PRACTICE AGREEMENT FOR OPIOID OVERDOSE PREVENTION AND RESPONSE NALOXONE OVERDOSE KIT DISTRIBUTION PROTOCOL
A COLLABORATIVE PRACTICE AGREEMENT FOR OPIOID OVERDOSE PREVENTION AND RESPONSE NALOXONE OVERDOSE KIT DISTRIBUTION PROTOCOL Purpose: To reduce morbidity and mortality from opioid overdose. Policy: Under
OVERDOSE EDUCATION & NALOXONE DISTRIBUTION (OEND) IN MICHIGAN P A M E L A L Y N C H, L L M S W, C A A D C W H O S O E V E R C O L L A B O R A T I V E
OVERDOSE EDUCATION & NALOXONE DISTRIBUTION (OEND) IN MICHIGAN P A M E L A L Y N C H, L L M S W, C A A D C W H O S O E V E R C O L L A B O R A T I V E Sales of opioids: Michigan is above the median in
OPIOID OVERDOSE RESPONSE AND NALOXONE ADMINISTRATION
1.0 Purpose OPIOID OVERDOSE RESPONSE AND NALOXONE ADMINISTRATION This is a DESC internal operational policy and procedure document [effective date: 06/26/2015] Greg Jensen, Director of Administrative Services
P U B L I C H E A L T H A D V I S O R Y
The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health 250 Washington Street, Boston, MA 02108-4619Tel: 617-624-6000 Fax: 617-624-5206 www.mass.gov/dph
Allyse Adams PC, LICDC Oriana House, Inc.
Allyse Adams PC, LICDC Oriana House, Inc. 98 Heroin Overdose Deaths from 1/1/2015-7/26/2015 Last year enough narcotic pain medicines were prescribed to supply 67 pills to every man, woman and child In
Opioid overdose can occur when a patient misunderstands the directions
Facts About Opioid Overdose How Does an Overdose Occur? Opioid overdose can occur when a patient misunderstands the directions for use, accidentally takes an extra dose, or deliberately misuses a prescription
Overdose Response Training
Overdose Response Training In collaboration with the Massachusetts Department of Public Health, Bureau of Substance Abuse Services and Office of HIV/AIDS The Overdose Problem National & regional drug threat
Opioid Overdose Prevention for Law Enforcement and First Responders. Sponsored by the NC Office of EMS
Opioid Overdose Prevention for Law Enforcement and First Responders Sponsored by the NC Office of EMS Overview The goal of this presentation is to help inform the public safety community of North Carolina
Naloxone Distribution for Opioid Overdose Prevention
Naloxone Distribution for Opioid Overdose Prevention Caleb Banta-Green PhD, MPH, MSW Alcohol and Drug Abuse Institute, University of Washington Alan Melnick, MD, MPH Clark County Public Health Chris Humberson,
Objectives. Background
Development and Implementation of a Pharmacist-Managed Intranasal Naloxone Distribution Program in a Veterans Affairs Healthcare Facility and Associated Community Clinics Innovative Practices Award Finalist
Discontinuation: Involuntary Discharge
Discontinuation: Involuntary Discharge TYPICALLY A PROCESS NOT AN EVENT Objectives 2 Review indications for discharge. Develop a therapeutic approach, in the context of the nature of Substance Use Disorders.
DRAFT OVERDOSE ASSESSMENT, RESPONSE AND TREATMENT POLICY FOR SELECTED ADULT FACILITES
1 DRAFT OVERDOSE ASSESSMENT, RESPONSE AND TREATMENT POLICY FOR SELECTED ADULT FACILITES PURPOSE To provide guidelines for staff response when a client is found unconscious or not breathing. APPLICABILITY
The ABCs of Medication Assisted Treatment
The ABCs of Medication Assisted Treatment J E F F R E Y Q U A M M E, E X E C U T I V E D I R E C T O R C O N N E C T I C U T C E R T I F I C A T I O N B O A R D The ABCs of Medication Assisted Treatment
Ever wish you could... Quit using heroin? Protect yourself from HIV infection? Get healthier?
Ever wish you could... Quit using heroin? Protect yourself from HIV infection? Get healthier? Good News: Medical treatments called opioid (oh-pee-oyd) maintenance can help you! Injecting heroin puts you
Overdose Prevention and Management in Opioid Treatment Programs
Overdose Prevention and Management in Opioid Treatment Programs AATOD 2010 1:30pm Tuesday, October 26, 2010 Moderator: Amina Chaudhry Faculty: Melinda Campopiano Maya Doe-Simkins Alexander Y. Walley Disclosures
Naloxone Rescue for Opioid Reversal
Naloxone Rescue for Opioid Reversal Shannon Panther, PharmD, BCACP Washington State University October 8, 2015 Disclosures No relationships to disclose Intranasal use of naloxone is off label Objectives
BUPRENORPHINE. the facts about. for Treatment of Opioid Addiction
the facts about BUPRENORPHINE for Treatment of Opioid Addiction U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment
OPIOID OVERDOSE AVERTED: NALOXONE-FRIENDLY ZONES SAVE LIVES. Carl Scroggins, CADC, QHEIC, EMT
OPIOID OVERDOSE AVERTED: NALOXONE-FRIENDLY ZONES SAVE LIVES Carl Scroggins, CADC, QHEIC, EMT For the audio portion of this webinar, you have two options. 1. Listen through your computer speakers. Just
Naloxone Distribution from the ED for patients at-risk for Opioid Overdose
Naloxone Distribution from the ED for patients at-risk for Opioid Overdose Sponsored by ACEP Trauma & Injury Prevention Section April 25, 2014 ACEP Trauma & Injury Prevention Section Our mission: To advance
Irish Poet, Rev John Donne
No man is an island entire of itself; any man's death diminishes me, because I am involved in mankind therefore never send to know for whom the bell tolls; it tolls for thee. Irish Poet, Rev John Donne
Opioid/Opiate Dependent Pregnant Women
Opioid/Opiate Dependent Pregnant Women The epidemic, safety, stigma, and how to help. Presented by Lisa Ramirez MA,LCDC & Kerby Stewart MD The prescription painkiller epidemic is killing more women than
Naloxone treatment of opioid overdose
Naloxone treatment of opioid overdose Opioids Chemicals that act in the brain to relieve pain, often use to suppress cough, treat addiction, and provide comfort After prolonged use of opioids, increasing
Like cocaine, heroin is a drug that is illegal in some areas of the world. Heroin is highly addictive.
Heroin Introduction Heroin is a powerful drug that affects the brain. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she wants to.
Orange County Heroin Task Force Recommendations
Orange County Heroin Task Force Recommendations Law Enforcement Subcommittee 1) Continue Joint Enforcement Details with the Orange County Sheriff s Office, the Orlando Police Department and state and federal
the facts about NALTREXONE
the facts about NALTREXONE for Treatment of Opioid Addiction It s not like I woke up one day when I was young and told myself, I wanna be a drug addict. I wanna ruin my life and ruin the lives of those
John R. Kasich, Governor Orman Hall, Director
John R. Kasich, Governor Orman Hall, Director 2 3 Epidemics of unintentional drug overdoses in Ohio, 1979-2011 1,2,3 1800 1600 1400 1200 1000 800 Prescription drugs are causing a larger overdose epidemic
Community based opioid overdose prevention: the role of naloxone. William Matthews, Physician Assistant Harm Reduction Coalition New York, NY
Community based opioid overdose prevention: the role of naloxone William Matthews, Physician Assistant Harm Reduction Coalition New York, NY Drug poisoning death rates by manner of death, US, 1979 2002
- NALOXONE/NARCAN. This training is designed to teach you about one action you can take in case of an overdose of opiates.
OVERDOSE MANAGEMENT PROTOCOL - NALOXONE/NARCAN TRAINING This training is designed to teach you about one action you can take in case of an overdose of opiates. This training program will not make you a
As heroin takes another life, a mother fights back
Page 1 of 7 As heroin takes another life, a mother fights back DEBEE TLUMACKI FOR THE BOSTON GLOBE Jeanne Flynn held a picture of her only child, Brian. She spoke openly about the impact of his heroin
EXPLORING NALOXONE UPTAKE AND USE PUBLIC MEETING July 01 02, 2015 Fred Wells Brason II fbrason@projectlazarus.org
EXPLORING NALOXONE UPTAKE AND USE PUBLIC MEETING July 01 02, 2015 Fred Wells Brason II fbrason@projectlazarus.org Disclosures Project Lazarus Zogenix Charitable Contribution 2015 Kaléo Charitable Contribution
Preventing Fatal Opioid Overdose Among Injection Drug Users. Skye Tikkanen Connections Counseling Scott Stokes AIDS Resource Center of Wisconsin
Preventing Fatal Opioid Overdose Among Injection Drug Users Skye Tikkanen Connections Counseling Scott Stokes AIDS Resource Center of Wisconsin I have no relevant financial interests to disclose for this
The Heroin and Prescription Drug Abuse Prevention and Reduction Act Section by Section
The Heroin and Prescription Drug Abuse Prevention and Reduction Act Section by Section TITLE I: PREVENTION SUBTITLE A- PRESCRIBER EDUCATION PRACTITIONER EDUCATION This subtitle requires practitioners who
POLICY AND PROCEDURES FOR PROVIDING NARCOTIC ADDICTION TREATMENT TO PREGNANT OPIOID DEPENDENT INMATES INCARCERATED IN THE COUNTY JAIL
PURPOSE POLICY AND PROCEDURES FOR PROVIDING NARCOTIC ADDICTION TREATMENT TO PREGNANT OPIOID DEPENDENT INMATES INCARCERATED IN THE COUNTY JAIL To outline the procedures used in recognizing and providing
DANE COUNTY OPIATE OVERDOSE SURVEY (10/12 1/13) & FOCUS GROUP (1/13)
DANE COUNTY OPIATE OVERDOSE SURVEY (10/12 1/13) & FOCUS GROUP (1/13) Stop the Drug Overdose Epidemic Initiative Summit Reunion April 8, 2013 Lisa Bullard Cawthorne, MS, MPH, PHMDC Suryadewi Edi Nugraheni,
Celebrating a Year of Expanded Naloxone Access and Overdose Education within Cuyahoga County
Cuyahoga County March 2014, Issue 1 Celebrating a Year of Expanded Naloxone Access and Overdose Education within Cuyahoga County According to the Ohio Department of Health (ODH), between 1999 and 2011,
This presentation is going to discuss the BLS use of Intranasal naloxone. Naloxone is the generic name while Narcan is the trade name.
Welcome! 1 This presentation is going to discuss the BLS use of Intranasal naloxone. Naloxone is the generic name while Narcan is the trade name. 2 Definitive treatment for an opioid or opiate overdose
Training of Addiction Treatment Providers in Massachusetts. Sarah Ruiz, MSW Bureau of Substance Abuse Services MA Department of Public Health
Training of Addiction Treatment Providers in Massachusetts Sarah Ruiz, MSW Bureau of Substance Abuse Services MA Department of Public Health July 1, 2015 Naloxone and Overdose Prevention: MA Timeline 2005:
1. According to recent US national estimates, which of the following substances is associated
1 Chapter 36. Substance-Related, Self-Assessment Questions 1. According to recent US national estimates, which of the following substances is associated with the highest incidence of new drug initiates
Treatments for drug misuse
Understanding NICE guidance Information for people who use NHS services Treatments for drug misuse NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases and
Testimony on Opioid Overdose Prevention. Daniel Raymond, Policy Director, Harm Reduction Coalition
Testimony on Opioid Overdose Prevention Daniel Raymond, Policy Director, Harm Reduction Coalition Presented on March 25, 2014 to the House Appropriations Subcommittee on Labor, Health and Human Services,
Disclosure. State of Connecticut Naloxone Training Program. Introduction. Objectives. Epidemiology. Background 3/4/2016
State of Connecticut Naloxone Training Program Developed by: Department of Consumer Protection Drug Control Division Connecticut Pharmacists Association Department of Mental Health and Addiction Services
Outline. Interventions to Reduce Opioid Overdose State of the Art 9/23/2013
Interventions to Reduce Opioid Overdose State of the Art Caleb J. Banta Green PhD MPH MSW Research Scientist Alcohol and Drug Abuse Institute Affiliate Asst. Professor School of Public Health University
Opiate Addiction in Ohio: An Update on Scope of Problem Ashland Ohio
Governor s Cabinet Opiate Action Team Promoting Wellness and Recovery John R. Kasich, Governor Tracy J. Plouck, Director Opiate Addiction in Ohio: An Update on Scope of Problem Ashland Ohio November 14,
Treatment of opioid use disorders
Treatment of opioid use disorders Gerardo Gonzalez, MD Associate Professor of Psychiatry Director, Division of Addiction Psychiatry Disclosures I have no financial conflicts to disclose I will review evidence
Treatment Resources for Substance Use Disorders
Treatment Resources for Substance Use Disorders The treatment of substance use disorders can be very complex; there are many levels of care and the treatment network can be challenging to navigate. Substance
What is opioid substitution treatment?
What is opioid substitution treatment? Information on OST for family, whanau and support people Kia ora, Talofa lava, Malo e lelei, Kia orana, Taloha ni, Fakaalofa lahi atu, Bula vinaka, Ni hao, Namaste
Heroin Overdose Trends and Treatment Options. Neil A. Capretto, D.O., F.A.S.A.M. Medical Director
Heroin Overdose Trends and Treatment Options Neil A. Capretto, D.O., F.A.S.A.M. Medical Director Type date here www.gatewayrehab.org Drug Overdose Deaths Increasing in Allegheny County Roberta Lojak holds
Naloxone for Opioid Overdose: FAQs
PL Detail-Document #310702 This PL Detail-Document gives subscribers additional insight related to the Recommendations published in PHARMACIST S LETTER / PRESCRIBER S LETTER July 2015 Naloxone for Opioid
Massachusetts Department of Public Health Opioid Overdose Education and Naloxone Distribution. MDPH Naloxone pilot project Core Competencies
Massachusetts Department of Public Health Opioid Overdose Education and Naloxone Distribution MDPH Naloxone pilot project Core Competencies Acknowledgements: Thank you to the Boston Public Health Commission
Neil A. Capretto, D.O., F.A.S.A.M. Medical Director Gateway Rehabilitation Center
PRESCRIPTION DRUG ABUSE, HEROIN ADDICTION AND OVERDOSE PREVENTION IN RURAL COMMUNITIES Neil A. Capretto, D.O., F.A.S.A.M. Medical Director Gateway Rehabilitation Center Number of Deaths from Drug Overdoses
Opioid Overdose Prevention and Response. Outline. Video 5/21/2013
Opioid Overdose Prevention and Response Caleb J. Banta Green PhD MPH MSW Alcohol and Drug Abuse Institute University of Washington Outline Basic overdose training Video Presentation Discussion/Q&A Questionnaire
BECOMING PART OF THE SOLUTION
so om t 46` SHERIFF IERIN THARP r qt. BECOMING PART OF THE SOLUTION On February 12, 2015, The Blade editorial page called on the community to supportthe D.A.R.T. program, noting that it is "changing how
A G U I D E F O R U S E R S N a l t r e x o n e U
A GUIDE FOR USERS UNaltrexone abstinence not using a particular drug; being drug-free. opioid antagonist a drug which blocks the effects of opioid drugs. dependence the drug has become central to a person
Death in the Suburbs: How Prescription Painkillers and Heroin Have Changed Treatment and Recovery
Death in the Suburbs: How Prescription Painkillers and Heroin Have Changed Treatment and Recovery Marvin D. Seppala, MD Chief Medical Officer Hazelden Betty Ford Foundation This product is supported by
Prescriber Behavior, Pain Treatment and Addiction Treatment
Prescriber Behavior, Pain Treatment and Addiction Treatment Mary Fleming, M.S. Director, Office of Policy, Planning, and Innovation Substance Abuse and Mental Health Services Administration NGA Policy
TESTIMONY. March 17, 2014. Rutland, VT
Community Solutions to Breaking the Cycle of Heroin & Opioid Addiction TESTIMONY Harry Chen, MD, Commissioner of Health March 17, 2014 Senate Committee on the Judiciary Franklin Conference Center at the
Heroin. How is Heroin Abused? What Other Adverse Effects Does Heroin Have on Health? How Does Heroin Affect the Brain?
Heroin Heroin is a synthetic opiate drug that is highly addictive. It is made from morphine, a naturally occurring substance extracted from the seed pod of the Asian opium poppy plant. Heroin usually appears
National Perspectives in Medication Assisted Treatment
National Perspectives in Medication Assisted Treatment Addiction Medicine Asheville March 21,2014 Melinda Campopiano, MD Medical Officer Substance Abuse & Mental Health Services Administration Guten Appetit
Naloxone: Overview, Criminal Justice and other Special Settings
Naloxone: Overview, Criminal Justice and other Special Settings Ingrid Binswanger, MD, MPH, MS Division of General Internal Medicine Affiliated Member, Division of Substance Dependence University of Colorado
OVERVIEW WHAT IS POLyDRUG USE? Different examples of polydrug use
Petrol, paint and other Polydrug inhalants use 237 11 Polydrug use Overview What is polydrug use? Reasons for polydrug use What are the harms of polydrug use? How to assess a person who uses several drugs
Transcript: DMHAS Overdose Responder Training
Transcript: DMHAS Overdose Responder Training #1 TITLE SLIDE. #2 INTRODUCTION AND PURPOSE Welcome to Overdose Responder training presented by the NJ Department of Human Services / Division of Mental Health
Naloxone for opioid safety
SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH Naloxone for opioid safety A provider s guide to prescribing naloxone to patients who use opioids 1 NALOXONE FOR OPIOID SAFETY Overdose is the leading cause of
Provider enews TREATING PRESCRIPTION DRUG ADDICTION
Provider enews TREATING PRESCRIPTION DRUG ADDICTION Treating addiction to prescription opioids July 2012 Several options are available for effectively treating prescription opioid addiction. These options
Triage, Assessment & Treatment Methadone 101/Hospitalist Workshop
Triage, Assessment & Treatment Methadone 101/Hospitalist Workshop Launette Rieb, MSc, MD, CCFP, FCFP Clinical Associate Professor, Dept. Family Practice UBC American Board of Addiction Medicine Certified
International Overdose Awareness Day August 31, 2015
International Overdose Awareness Day August 31, 2015 Statewide TASC Substance Abuse Evaluators Educational Presentation Jayne Cavanaugh, New Jersey Drug Courts Prevalence of Overdose Deaths per Centers
Saving Veterans Lives through Implementation of Opioid Overdose Education and Naloxone Distribution (OEND)
Saving Veterans Lives through Implementation of Opioid Overdose Education and Naloxone Distribution (OEND) Elizabeth M. Oliva, PhD VA National Opioid Overdose Education and Naloxone Distribution (OEND)
A Local Multifaceted, Multidisciplinary Approach to Opiate Overdose & Death
A Local Multifaceted, Multidisciplinary Approach to Opiate Overdose & Death 2013 WPHA-WALHDAB Annual Conference Wednesday, May 22: 2:00-2:35 pm Lisa Bullard-Cawthorne, MS, MPH OPIATE PREVALENCE IN DANE
Neurobiology and Treatment of Opioid Dependence. Nebraska MAT Training September 29, 2011
Neurobiology and Treatment of Opioid Dependence Nebraska MAT Training September 29, 2011 Top 5 primary illegal drugs for persons age 18 29 entering treatment, % 30 25 20 15 10 Heroin or Prescription Opioids
GD-112-PHS-EMS: Curriculum for Law Enforcement/EMT Administration of Naloxone in the Pre-Hospital Setting
STATE OF ARIZONA EMERGENCY MEDICAL SERVICES AND TRAUMA SYSTEM Curriculum for Law Enforcement/EMT Administration of Naloxone in the Course Description This course is designed to provide instruction in a
Testimony of The New York City Department of Health and Mental Hygiene. before the
Testimony of The New York City Department of Health and Mental Hygiene before the New York City State Assembly Committee on Alcoholism and Drug Abuse on Programs and Services for the Treatment of Opioid
Testimony of. Daliah Heller, PhD, MPH Assistant Commissioner Bureau of Alcohol and Drug Use Prevention, Care and Treatment
Testimony of Daliah Heller, PhD, MPH Assistant Commissioner Bureau of Alcohol and Drug Use Prevention, Care and Treatment New York City Department of Health and Mental Hygiene before the New York City
Updated on Substance Abuse Treatment Centers in New Mexico
Updated on Substance Abuse Treatment Centers in New Mexico Update on Substance Abuse Treatment Centers in New Mexico Presentation to: The Legislative Health and Human Services Committee Wayne W. Lindstrom,
Heroin. How Is Heroin Abused? How Does Heroin Affect the Brain? What Other Adverse Effects Does Heroin Have on Health?
Heroin Heroin is an opiate drug that is synthesized from morphine, a naturally occurring substance extracted from the seed pod of the Asian opium poppy plant. Heroin usually appears as a white or brown
Information for Pharmacists
Page 43 by 42 CFR part 2. A general authorization for the release of medical or other information is NOT sufficient for this purpose. Information for Pharmacists SUBOXONE (buprenorphine HCl/naloxone HCl
Considerations in Medication Assisted Treatment of Opiate Dependence. Stephen A. Wyatt, D.O. Dept. of Psychiatry Middlesex Hospital Middletown, CT
Considerations in Medication Assisted Treatment of Opiate Dependence Stephen A. Wyatt, D.O. Dept. of Psychiatry Middlesex Hospital Middletown, CT Disclosures Speaker Panels- None Grant recipient - SAMHSA
Medical Malpractice Treatment Alprazolam benzodiazepine - A Case Study
Improving Outcomes in Patients Who are Prescribed Alprazolam with Concurrent Use of Opioids Pik-Sai Yung, M.D. Staff Psychiatrist Center for Counseling at Walton Background and Rationale Alprazolam is
Heroin. How Is Heroin Abused? How Does Heroin Affect the Brain? What Other Adverse Effects Does Heroin Have on Health?
Heroin Heroin is an opiate drug that is synthesized from morphine, a naturally occurring substance extracted from the seed pod of the Asian opium poppy plant. Heroin usually appears as a white or brown
Opioid Addiction & Corrections
Opioid Addiction & Corrections Medication Assisted Treatment in the Connecticut Department of Correction April 30, 2015--CJPAC Kathleen F. Maurer, MD, MPH, MBA Medical Director and Director of Health and
Opioid Overdose and Intranasal Naloxone Training for Law Enforcement
Opioid Overdose and Intranasal Naloxone Training for Law Enforcement Participant Manual Prepared by NYS Division of Criminal Justice Services NYS Department of Health NYS Office of Alcoholism and Substance
Frequently asked questions
Naltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction Frequently asked questions What is Naltrexone? Naltrexone is a prescription drug that completely blocks the effects of all opioid drugs
Collaborative Drug Therapy Agreement for Naloxone Medication in Opioid Overdose Reversal
Collaborative Drug Therapy Agreement for Naloxone Medication in Opioid Overdose Reversal I,, MD, a licensed health care provider authorized to prescribe medication in the State of Washington, delegate
Treatment of Opioid Dependence: A Randomized Controlled Trial. Karen L. Sees, DO, Kevin L. Delucchi, PhD, Carmen Masson, PhD, Amy
Category: Heroin Title: Methadone Maintenance vs 180-Day psychosocially Enriched Detoxification for Treatment of Opioid Dependence: A Randomized Controlled Trial Authors: Karen L. Sees, DO, Kevin L. Delucchi,
Governor s Task Force on Mental Health and Substance Use. www.ncdhhs.gov/mhsu
Governor s Task Force on Mental Health and Substance Use www.ncdhhs.gov/mhsu Problem Statement 97 Painkiller prescriptions per 100 North Carolinians Number of deaths by drug overdose in North Carolina
Saving Veterans Lives through Implementation of Opioid Overdose Education and Naloxone Distribution (OEND)
Saving Veterans Lives through Implementation of Opioid Overdose Education and Naloxone Distribution (OEND) Elizabeth M. Oliva, PhD VA National Opioid Overdose Education and Naloxone Distribution (OEND)
Care Management Council submission date: August 2013. Contact Information
Clinical Practice Approval Form Clinical Practice Title: Acute use of Buprenorphine for the Treatment of Opioid Dependence and Detoxification Type of Review: New Clinical Practice Revisions of Existing
Southlake Psychiatry. Suboxone Contract
Suboxone Contract Thank you for considering Southlake Psychiatry for your Suboxone treatment. Opiate Addiction is a serious condition for which you may find relief with Suboxone treatment. In order to
How To Treat Anorexic Addiction With Medication Assisted Treatment
Medication Assisted Treatment for Opioid Addiction Tanya Hiser, MS, LPC Premier Care of Wisconsin, LLC October 21, 2015 How Did We Get Here? Civil War veterans and women 19th Century physicians cautious
How To Treat A Drug Addiction
1 About drugs Drugs are substances that change a person s physical or mental state. The vast majority of drugs are used to treat medical conditions, both physical and mental. Some, however, are used outside
DrugFacts: Treatment Approaches for Drug Addiction
DrugFacts: Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please
drug treatment in england: the road to recovery
The use of illegal drugs in England is declining; people who need help to overcome drug dependency are getting it quicker; and more are completing their treatment and recovering drug treatment in ENGlaND:
APPENDIX: Key summary of six US-based naloxone distribution programs
Distinguishing signs of opioid overdose and indication for naloxone: An evaluation of six naloxone training and distribution programs in the United States Traci C. Green, Robert Heimer, Lauretta E. Grau
New Jersey EMS Response to an Opiate Overdose Naloxone (Narcan ) Program **Updated March 26, 2015**
New Jersey EMS Response to an Opiate Overdose Naloxone (Narcan ) Program **Updated March 26, 2015** Disclaimer This presentation was created to assist in the education of EMTs in Naloxone administration.
Steps To Addiction Recovery Treatment
Make the S.T.A.R.T. Steps To Addiction Recovery Treatment A Guide to Start the Conversation about Substance Use Disorder, Treatment Options, & Referral to Quality Treatment Programs in Your Local Area
One example: Chapman and Huygens, 1988, British Journal of Addiction
This is a fact in the treatment of alcohol and drug abuse: Patients who do well in treatment do well in any treatment and patients who do badly in treatment do badly in any treatment. One example: Chapman
It is important that you tell your family and the people closest to you of this increased sensitivity to opioids and the risk of overdose.
MEDICATION GUIDE VIVITROL (viv-i-trol) (naltrexone for extended-release injectable suspension) Read this Medication Guide before you start receiving VIVITROL injections and each time you receive an injection.