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Erschienen in: Journal of Urban Health 6/2011

01.12.2011

Characteristics of an Overdose Prevention, Response, and Naloxone Distribution Program in Pittsburgh and Allegheny County, Pennsylvania

verfasst von: Alex S. Bennett, Alice Bell, Laura Tomedi, Eric G. Hulsey, Alex H. Kral

Erschienen in: Journal of Urban Health | Ausgabe 6/2011

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Abstract

Prevention Point Pittsburgh (PPP) is a public health advocacy organization that operates Allegheny County’s only needle exchange program. In 2002, PPP implemented an Overdose Prevention Program (OPP) in response to an increase in heroin-related and opioid-related overdose fatalities in the region. In 2005, the OPP augmented overdose prevention and response trainings to include naloxone training and prescription. The objective of our study is to describe the experiences of 426 individuals who participated in the OPP between July 1, 2005, and December 31, 2008. Of these, 89 individuals reported administering naloxone in response to an overdose in a total of 249 separate overdose episodes. Of these 249 overdose episodes in which naloxone was administered, participants reported 96% were reversed. The data support findings from a growing body of research on similar programs in other cities. Community-based OPPs that equip drug users with skills to identify and respond to an overdose and prescribe naloxone can help users and their peers prevent and reverse potentially fatal overdoses without significant adverse consequences.
Fußnoten
1
Because the OPP operates once a week, the earliest a participant can return for a refill is 7 days.
 
Literatur
1.
Zurück zum Zitat Dasgupta N, Jonsson F, Brownstein JS. Comparing unintentional opioid poisoning mortality in metropolitan and non-metropolitan counties, United States 1999–2003. In: Thomas YE, Richardson D, Cheung I, eds. Geography and Drug Addiction. Netherlands: Springer; 2008: 175–192.CrossRef Dasgupta N, Jonsson F, Brownstein JS. Comparing unintentional opioid poisoning mortality in metropolitan and non-metropolitan counties, United States 1999–2003. In: Thomas YE, Richardson D, Cheung I, eds. Geography and Drug Addiction. Netherlands: Springer; 2008: 175–192.CrossRef
2.
Zurück zum Zitat Warner M, Chen LH, Makuc DM. Increase in fatal poisonings involving opioid analgesics in the United States, 1999–2006. Hyattsville, MD: National Center for Health Statistics Data Brief No. 22; 2009. Warner M, Chen LH, Makuc DM. Increase in fatal poisonings involving opioid analgesics in the United States, 1999–2006. Hyattsville, MD: National Center for Health Statistics Data Brief No. 22; 2009.
3.
Zurück zum Zitat Allegheny County of Pennsylvania Medical Examiner’s Office. Drug Overdose Deaths. 2000–2008. Annual Report. Allegheny County of Pennsylvania Medical Examiner’s Office. Drug Overdose Deaths. 2000–2008. Annual Report.
4.
Zurück zum Zitat Galea S, Coffin PO. Drug overdose: new insights, innovative surveillance, and promising interventions. J Urban Health. 2003; 80: 186–188.PubMedCrossRef Galea S, Coffin PO. Drug overdose: new insights, innovative surveillance, and promising interventions. J Urban Health. 2003; 80: 186–188.PubMedCrossRef
5.
Zurück zum Zitat Sporer KA, Kral AH. Prescription naloxone: a novel approach to heroin overdose prevention. Ann Emerg Med. 2007; 49(2): 172–177.PubMedCrossRef Sporer KA, Kral AH. Prescription naloxone: a novel approach to heroin overdose prevention. Ann Emerg Med. 2007; 49(2): 172–177.PubMedCrossRef
6.
Zurück zum Zitat Gaston RL, Best D, Manning V, Day E. Can we prevent drug related deaths by training opioid users to recognize and manage overdose? HRJ. 2009; 6(26): 1–8. Gaston RL, Best D, Manning V, Day E. Can we prevent drug related deaths by training opioid users to recognize and manage overdose? HRJ. 2009; 6(26): 1–8.
7.
Zurück zum Zitat Heller D, Stancliff S. Providing naloxone to substance users for secondary administration to reduce overdose mortality in New York City. Public Health Rep. 2007; 122: 393–397.PubMed Heller D, Stancliff S. Providing naloxone to substance users for secondary administration to reduce overdose mortality in New York City. Public Health Rep. 2007; 122: 393–397.PubMed
8.
Zurück zum Zitat Galea S, Worthington N, Piper TM, Nandi V, Curtis M, Rosenthal DM. Provision of naloxone to injection drug users as an overdose prevention strategy: early evidence from a pilot study in New York City. Addict Behav. 2006; 31(5): 907–912.PubMedCrossRef Galea S, Worthington N, Piper TM, Nandi V, Curtis M, Rosenthal DM. Provision of naloxone to injection drug users as an overdose prevention strategy: early evidence from a pilot study in New York City. Addict Behav. 2006; 31(5): 907–912.PubMedCrossRef
9.
Zurück zum Zitat Maxwell S, Bigg D, Stanczykiewicz K, Carlberg-Racich S. Prescribing naloxone to actively injecting heroin users: a program to reduce heroin overdose deaths. J Addict Dis. 2006; 25: 89–86.PubMedCrossRef Maxwell S, Bigg D, Stanczykiewicz K, Carlberg-Racich S. Prescribing naloxone to actively injecting heroin users: a program to reduce heroin overdose deaths. J Addict Dis. 2006; 25: 89–86.PubMedCrossRef
10.
Zurück zum Zitat Tracy M, Piper TM, Ompad D, et al. Circumstances of witnessed drug overdose in New York City: implications for intervention. Drug Alcohol Depend. 2005; 79(2): 181–190.PubMedCrossRef Tracy M, Piper TM, Ompad D, et al. Circumstances of witnessed drug overdose in New York City: implications for intervention. Drug Alcohol Depend. 2005; 79(2): 181–190.PubMedCrossRef
11.
Zurück zum Zitat Sherman S, Gann DS, Scott G, Carlberg S, Bigg D, Heimer R. A qualitative study of overdose responses among Chicago’s IDUs. HRJ. 2008; 5(2): 1–5. Sherman S, Gann DS, Scott G, Carlberg S, Bigg D, Heimer R. A qualitative study of overdose responses among Chicago’s IDUs. HRJ. 2008; 5(2): 1–5.
12.
Zurück zum Zitat Darke S, Zador D. Fatal heroin ‘overdose’: a review. Addiction. 1996; 91(12): 1765–1772.PubMedCrossRef Darke S, Zador D. Fatal heroin ‘overdose’: a review. Addiction. 1996; 91(12): 1765–1772.PubMedCrossRef
13.
Zurück zum Zitat Darke S, Hall W. Heroin overdose: research and evidence-based intervention. J Urban Health. 2003; 80(2): 189–200.PubMedCrossRef Darke S, Hall W. Heroin overdose: research and evidence-based intervention. J Urban Health. 2003; 80(2): 189–200.PubMedCrossRef
14.
Zurück zum Zitat Darke S, Hall W. The distribution of naloxone to heroin users. Addiction. 1997; 92: 1195–1199.PubMedCrossRef Darke S, Hall W. The distribution of naloxone to heroin users. Addiction. 1997; 92: 1195–1199.PubMedCrossRef
15.
Zurück zum Zitat Piper TM, Stancliff S, Rudenstine S, et al. Evaluation of a naloxone distribution program in New York City. Subst Use Misuse. 2008; 43: 858–870.PubMedCrossRef Piper TM, Stancliff S, Rudenstine S, et al. Evaluation of a naloxone distribution program in New York City. Subst Use Misuse. 2008; 43: 858–870.PubMedCrossRef
16.
Zurück zum Zitat Green T, Heimer R, Grau LE. Distinguishing signs of opioid overdose and indication for naloxone: an evaluation of six overdose training and naloxone distribution programs in the United States. Addiction. 2008; 103(6): 979–989.PubMedCrossRef Green T, Heimer R, Grau LE. Distinguishing signs of opioid overdose and indication for naloxone: an evaluation of six overdose training and naloxone distribution programs in the United States. Addiction. 2008; 103(6): 979–989.PubMedCrossRef
17.
Zurück zum Zitat Seal KH, Downing M, Kral AH, et al. Attitudes about prescribing take-home naloxone to injection drug users for the management of heroin overdose: a survey of street-recruited injectors in the San Francisco Bay Area. J Urban Health. 2003; 80(2): 291–301.PubMedCrossRef Seal KH, Downing M, Kral AH, et al. Attitudes about prescribing take-home naloxone to injection drug users for the management of heroin overdose: a survey of street-recruited injectors in the San Francisco Bay Area. J Urban Health. 2003; 80(2): 291–301.PubMedCrossRef
18.
Zurück zum Zitat Tobin KE, Davey MA, Latkin CA. Calling emergency medical services during drug overdose: an examination of individual, social and setting correlates. Addiction. 2005; 100(3): 397–404.PubMedCrossRef Tobin KE, Davey MA, Latkin CA. Calling emergency medical services during drug overdose: an examination of individual, social and setting correlates. Addiction. 2005; 100(3): 397–404.PubMedCrossRef
19.
Zurück zum Zitat Pollini RA, McCall L, Mehta S, et al. Response to overdose among injection drug users. Am J Prev Med. 2006; 31(3): 261–264.PubMedCrossRef Pollini RA, McCall L, Mehta S, et al. Response to overdose among injection drug users. Am J Prev Med. 2006; 31(3): 261–264.PubMedCrossRef
20.
Zurück zum Zitat Enteen L, Bauer J, McLean R, et al. Overdose prevention and naloxone prescription for opioid users in San Francisco. J Urban Health. 2010; 87(6): 931–941.PubMedCrossRef Enteen L, Bauer J, McLean R, et al. Overdose prevention and naloxone prescription for opioid users in San Francisco. J Urban Health. 2010; 87(6): 931–941.PubMedCrossRef
22.
Zurück zum Zitat Giblin P. Effective utilization and evaluation of indigenous health care workers. Public Health Rep. 1989; 104(4): 361–368.PubMed Giblin P. Effective utilization and evaluation of indigenous health care workers. Public Health Rep. 1989; 104(4): 361–368.PubMed
23.
Zurück zum Zitat Snead J, Downing M, Lorvick J. Secondary syringe exchange among injection drug users. J Urban Health. 2003; 80(2): 330–348.PubMedCrossRef Snead J, Downing M, Lorvick J. Secondary syringe exchange among injection drug users. J Urban Health. 2003; 80(2): 330–348.PubMedCrossRef
24.
Zurück zum Zitat Cohen K. The Boundaries of Blackness: AIDS and the Breakdown of Black Politics. Chicago, IL: University of Chicago Press; 1999. Cohen K. The Boundaries of Blackness: AIDS and the Breakdown of Black Politics. Chicago, IL: University of Chicago Press; 1999.
25.
Zurück zum Zitat Braine N, Acker C, Goldblatt C, Yi H, Friedman S, DesJarlais DC. Neighborhood history as a factor shaping syringe distribution networks among drug users at a U.S. syringe exchange. Soc Networks. 2008; 30: 235–246.PubMedCrossRef Braine N, Acker C, Goldblatt C, Yi H, Friedman S, DesJarlais DC. Neighborhood history as a factor shaping syringe distribution networks among drug users at a U.S. syringe exchange. Soc Networks. 2008; 30: 235–246.PubMedCrossRef
26.
Zurück zum Zitat Dasgupta N, Sanford CK, Albert S, Brason FW. Opioid drug overdoses: a prescription for harm and potential for prevention. Am J Lifestyle Med. 2010; 4: 32–37.CrossRef Dasgupta N, Sanford CK, Albert S, Brason FW. Opioid drug overdoses: a prescription for harm and potential for prevention. Am J Lifestyle Med. 2010; 4: 32–37.CrossRef
Metadaten
Titel
Characteristics of an Overdose Prevention, Response, and Naloxone Distribution Program in Pittsburgh and Allegheny County, Pennsylvania
verfasst von
Alex S. Bennett
Alice Bell
Laura Tomedi
Eric G. Hulsey
Alex H. Kral
Publikationsdatum
01.12.2011
Verlag
Springer US
Erschienen in
Journal of Urban Health / Ausgabe 6/2011
Print ISSN: 1099-3460
Elektronische ISSN: 1468-2869
DOI
https://doi.org/10.1007/s11524-011-9600-7

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