TY - JOUR
KW - Adolescent
KW - Adult
KW - Analgesics, Opioid/adverse effects
KW - Drug Overdose/prevention & control
KW - Family/psychology
KW - Female
KW - Harm Reduction
KW - Health Knowledge, Attitudes, Practice
KW - Humans
KW - Male
KW - Middle Aged
KW - Naloxone/therapeutic use
KW - Patient Education as Topic/methods
KW - Program Development
KW - Residential Facilities
KW - Substance Abuse Treatment Centers
KW - Young Adult
KW - Opioids
KW - Overdose
KW - prevention
KW - Residential Treatment
AU - Patricia Pade
AU - Patrick Fehling
AU - Sophie Collins
AU - Laura Martin
A1 - 
AB - BACKGROUND: Patients with opioid use disorders are at an increased risk for overdose death if they had a previous overdose, have co-occurring medical and psychiatric comorbidity, and are high-dose opioid users transitioning to relative abstinence or abstinence, i.e., those individuals discharging from drug treatment programs. Despite the success of opioid overdose prevention programs utilizing naloxone, residential substance abuse treatment centers often emphasize abstinence-based care for those suffering from addiction and do not adopt harm reduction approaches such as naloxone education and distribution. This performance improvement project reports the implementation of an opioid overdose prevention program provided to patients and their family members in a residential treatment setting. METHODS: Opioid-dependent inpatients (N = 47) along with their family members received overdose prevention training consistent with guidelines established by the Harm Reduction Coalition. Patient family members were queried regarding their awareness of past opioid overdose by the patient. A pre- and post-training questionnaire based on a 5-point Likert scale assessing ability to recognize overdose, fear of overdose, comfort in assisting with overdose, perception of life-threatening nature of addiction, and the value of overdose management was administered. Pre and post scores for each Likert scale were analyzed using paired 2-tailed t tests. RESULTS: Thirty-two percent of patient family members were aware that the patient had a prior overdose. Statistically significant improvements in the ability of patients and families to recognize an opioid overdose as well as in their comfort to assist with an overdose were demonstrated. The pre- and post-education responses were both notably high for perceived value in learning about overdose and prevention. CONCLUSIONS: Implementation of opioid overdose prevention programs within residential treatment programs, sober living homes, and therapeutic communities would be well received and is strongly encouraged.
AD - a Department of Family Medicine , Center for Dependency, Addiction and Rehabilitation, University of Colorado School of Medicine , Aurora , Colorado , USA.; b Department of Psychiatry , Center for Dependency, Addiction and Rehabilitation, University of Colorado School of Medicine , Aurora , Colorado , USA.; c Center for Dependency , Addiction and Rehabilitation, University of Colorado School of Medicine , Aurora , Colorado , USA.; b Department of Psychiatry , Center for Dependency, Addiction and Rehabilitation, University of Colorado School of Medicine , Aurora , Colorado , USA.
BT - Substance abuse
C5 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
CP - 1
CY - United States
DO - 10.1080/08897077.2016.1176978
IS - 1
JF - Substance abuse
LA - eng
M1 - Journal Article
N2 - BACKGROUND: Patients with opioid use disorders are at an increased risk for overdose death if they had a previous overdose, have co-occurring medical and psychiatric comorbidity, and are high-dose opioid users transitioning to relative abstinence or abstinence, i.e., those individuals discharging from drug treatment programs. Despite the success of opioid overdose prevention programs utilizing naloxone, residential substance abuse treatment centers often emphasize abstinence-based care for those suffering from addiction and do not adopt harm reduction approaches such as naloxone education and distribution. This performance improvement project reports the implementation of an opioid overdose prevention program provided to patients and their family members in a residential treatment setting. METHODS: Opioid-dependent inpatients (N = 47) along with their family members received overdose prevention training consistent with guidelines established by the Harm Reduction Coalition. Patient family members were queried regarding their awareness of past opioid overdose by the patient. A pre- and post-training questionnaire based on a 5-point Likert scale assessing ability to recognize overdose, fear of overdose, comfort in assisting with overdose, perception of life-threatening nature of addiction, and the value of overdose management was administered. Pre and post scores for each Likert scale were analyzed using paired 2-tailed t tests. RESULTS: Thirty-two percent of patient family members were aware that the patient had a prior overdose. Statistically significant improvements in the ability of patients and families to recognize an opioid overdose as well as in their comfort to assist with an overdose were demonstrated. The pre- and post-education responses were both notably high for perceived value in learning about overdose and prevention. CONCLUSIONS: Implementation of opioid overdose prevention programs within residential treatment programs, sober living homes, and therapeutic communities would be well received and is strongly encouraged.
PP - United States
PY - 2017
SN - 1547-0164; 0889-7077
SP - 113
EP - 117
EP - 
T1 - Opioid overdose prevention in a residential care setting: Naloxone education and distribution
T2 - Substance abuse
TI - Opioid overdose prevention in a residential care setting: Naloxone education and distribution
U1 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
U2 - 27093647
U3 - 10.1080/08897077.2016.1176978
VL - 38
VO - 1547-0164; 0889-7077
Y1 - 2017
Y2 - Jan-Mar
ER -