TY - JOUR
KW - Adult
KW - British Columbia
KW - Cross-Sectional Studies
KW - Drug Overdose/drug therapy
KW - Female
KW - Government Programs/methods/trends
KW - Harm Reduction
KW - Humans
KW - Male
KW - Middle Aged
KW - Naloxone/administration & dosage/therapeutic use
KW - Narcotic Antagonists/administration & dosage/therapeutic use
KW - Opioid-Related Disorders/drug therapy
KW - Organizations, Nonprofit/trends
KW - Reaction Time
KW - Workplace/psychology
AU - S. Williams
AU - T. King
AU - K. Papamihali
AU - J. A. Buxton
A1 - 
AB - INTRODUCTION: The BC Centre for Disease Control implemented the Facility Overdose Response Box (FORB) program December 1st, 2016 to train and support non-healthcare service providers who may respond to an overdose in the workplace. The program aims to support staff at non-profit community-based organizations by ensuring policy development, training, practice overdose response exercises, and post-overdose debriefing opportunities are established and implemented. MATERIALS AND METHODS: Three data sources were used in this descriptive cross-sectional study: FORB site registration data; naloxone administration forms; and a survey that was distributed to FORB sites in February 2019. FORB program site and naloxone administration data from December 1st, 2016 to December 31st, 2019 were analyzed using descriptive statistics. A Cochran-Armitage test was used to assess trends over time in naloxone administration event characteristics. Site coordinator survey results are reported to supplement findings from administrative data. RESULTS: As of December 31st, 2019, FORB was implemented at 613 sites across BC and 1,758 naloxone administration events were reported. The majority (86.3%, n = 1,517) were indicated as overdose reversals. At registration, 43.6% of sites provided housing services, 26.3% offered harm reduction supplies, and 18.6% provided Take Home Naloxone. Refusal to be transported to hospital following overdose events when emergency services were called showed an increasing trend over time. Most respondents (81.3%) reported feeling confident in their ability to respond to the overdose and 59.6% were offered staff debrief. Based on the 89 site survey responses, supports most commonly made available following an overdose were debrief with a fellow staff member (91.0%), debrief with a supervisor (89.9%), and/or counselling services (84.3%). CONCLUSIONS: The uptake of the FORB program has contributed to hundreds of overdose reversals in community settings in BC. Findings suggest that the FORB program supports developing staff preparedness and confidence in overdose response in community-based settings.
AD - British Columbia Centre for Disease Control, Vancouver, BC, Canada.; University of British Columbia, Vancouver, BC, Canada.; British Columbia Centre for Disease Control, Vancouver, BC, Canada.; British Columbia Centre for Disease Control, Vancouver, BC, Canada.; University of British Columbia, Vancouver, BC, Canada.
BT - PloS one
C5 - Education & Workforce; Opioids & Substance Use
CP - 5
DO - 10.1371/journal.pone.0251112
IS - 5
JF - PloS one
LA - eng
M1 - Journal Article
N2 - INTRODUCTION: The BC Centre for Disease Control implemented the Facility Overdose Response Box (FORB) program December 1st, 2016 to train and support non-healthcare service providers who may respond to an overdose in the workplace. The program aims to support staff at non-profit community-based organizations by ensuring policy development, training, practice overdose response exercises, and post-overdose debriefing opportunities are established and implemented. MATERIALS AND METHODS: Three data sources were used in this descriptive cross-sectional study: FORB site registration data; naloxone administration forms; and a survey that was distributed to FORB sites in February 2019. FORB program site and naloxone administration data from December 1st, 2016 to December 31st, 2019 were analyzed using descriptive statistics. A Cochran-Armitage test was used to assess trends over time in naloxone administration event characteristics. Site coordinator survey results are reported to supplement findings from administrative data. RESULTS: As of December 31st, 2019, FORB was implemented at 613 sites across BC and 1,758 naloxone administration events were reported. The majority (86.3%, n = 1,517) were indicated as overdose reversals. At registration, 43.6% of sites provided housing services, 26.3% offered harm reduction supplies, and 18.6% provided Take Home Naloxone. Refusal to be transported to hospital following overdose events when emergency services were called showed an increasing trend over time. Most respondents (81.3%) reported feeling confident in their ability to respond to the overdose and 59.6% were offered staff debrief. Based on the 89 site survey responses, supports most commonly made available following an overdose were debrief with a fellow staff member (91.0%), debrief with a supervisor (89.9%), and/or counselling services (84.3%). CONCLUSIONS: The uptake of the FORB program has contributed to hundreds of overdose reversals in community settings in BC. Findings suggest that the FORB program supports developing staff preparedness and confidence in overdose response in community-based settings.
PY - 2021
SN - 1932-6203; 1932-6203
T1 - The implementation and role of a staff naloxone program for non-profit community-based sites in British Columbia: A descriptive study
T2 - PloS one
TI - The implementation and role of a staff naloxone program for non-profit community-based sites in British Columbia: A descriptive study
U1 - Education & Workforce; Opioids & Substance Use
U2 - 33983996
U3 - 10.1371/journal.pone.0251112
VL - 16
VO - 1932-6203; 1932-6203
Y1 - 2021
Y2 - May 13
ER -