TY - JOUR
KW - Administration, Intranasal
KW - Adult
KW - Ambulatory Care Facilities/organization & administration/standards
KW - Drug Overdose/prevention & control
KW - Drug Prescriptions
KW - Female
KW - Homeless Persons/education
KW - Humans
KW - Male
KW - Middle Aged
KW - Naloxone/administration & dosage
KW - Narcotic Antagonists/administration & dosage
KW - Opiate Alkaloids/poisoning
KW - Opioid-Related Disorders/drug therapy
KW - Patient Education as Topic
KW - Pennsylvania
KW - Program Development
KW - Program Evaluation
KW - Quality Improvement
KW - Young Adult
AU - L. M. Pietrusza
AU - K. R. Puskar
AU - D. Ren
AU - A. M. Mitchell
A1 - 
AB - Opiate overdose deaths are considered an epidemic by the Centers for Disease Control and Prevention. Homeless adults are disproportionately affected by opioid overdoses. The purpose of this project was to implement an opiate overdose training and routine naloxone prescribing program for patients at a Health Care for the Homeless clinic. Education consisted of overdose risk factors, signs of overdose, how to respond to an opiate overdose, and how to administer naloxone. Knowledge was measured with a pretest and a posttest. Intranasal naloxone was prescribed for each person who received the education, and prescription fill rates were tracked 1 week after the clinic visit. Patients had a significant increase in knowledge, and the overall naloxone fill rate was 33%. Fill rates varied by housing, insurance, and other prescription status. Opiate overdose education can effectively be delivered in a homeless medical clinic, although more research is needed regarding barriers to naloxone fill rates.
BT - Journal of addictions nursing
C5 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
CP - 3
CY - United States
DO - 10.1097/JAN.0000000000000235
IS - 3
JF - Journal of addictions nursing
N2 - Opiate overdose deaths are considered an epidemic by the Centers for Disease Control and Prevention. Homeless adults are disproportionately affected by opioid overdoses. The purpose of this project was to implement an opiate overdose training and routine naloxone prescribing program for patients at a Health Care for the Homeless clinic. Education consisted of overdose risk factors, signs of overdose, how to respond to an opiate overdose, and how to administer naloxone. Knowledge was measured with a pretest and a posttest. Intranasal naloxone was prescribed for each person who received the education, and prescription fill rates were tracked 1 week after the clinic visit. Patients had a significant increase in knowledge, and the overall naloxone fill rate was 33%. Fill rates varied by housing, insurance, and other prescription status. Opiate overdose education can effectively be delivered in a homeless medical clinic, although more research is needed regarding barriers to naloxone fill rates.
PP - United States
PY - 2018
SN - 1548-7148; 1088-4602
SP - 188
EP - 195
EP - 
T1 - Evaluation of an Opiate Overdose Educational Intervention and Naloxone Prescribing Program in Homeless Adults Who Use Opiates
T2 - Journal of addictions nursing
TI - Evaluation of an Opiate Overdose Educational Intervention and Naloxone Prescribing Program in Homeless Adults Who Use Opiates
U1 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
U2 - 30180005
U3 - 10.1097/JAN.0000000000000235
VL - 29
VO - 1548-7148; 1088-4602
Y1 - 2018
ER -