The Take Home Naloxone Program in British Columbia, Canada

Report
The Take Home Naloxone Program in
British Columbia, Canada
Erin Gibson, Despina Tzemis, Jane Buxton
BC Centre for Disease Control
Harm Reduction Program
[email protected]
Webpage: towardtheheart.com
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Outline
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Background
The BC Harm Reduction Program
BC Take Home Naloxone (THN) Program
Questions
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Who we are
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BC Harm Reduction Program
• BC CDC coordinates:
▫ Harm Reduction Strategies and Services Committee
▫ Drug Overdose and Alert Partnership Committee
• Committees: ministry of health , health authorities, first nations
input, & people who use drugs, among other stakeholders.
• What we do:
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Develop evidence-based policies
training resources
proper messaging & distribute safer drug use supplies
develop programs to address needs in the community
www.towardtheheart.com
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Needles/Syringes
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www.towardtheheart.com/naloxone
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Background: Overdose (OD) in BC
• Opioid OD is a public health concern in BC
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BC Coroner’s Service reported 275 deaths were attributed to drug overdose (2011)
A cluster of drug overdose deaths were associated with high purity heroin (2011)
70 deaths were attributed to prescription opioid medication (2009)
• Opioid OD death can be prevented by using naloxone (also known as Narcan®).
• Naloxone is an opioid antagonist that works to reverse the effects of an opioid OD
• Take Home Naloxone (THN) Programs worldwide: US, Canada, UK, Estonia, Russia,
Afghanistan, Cambodia, Australia and Africa
• Four programs in Canada: Edmonton (2005), Toronto (2011), Ontario (2012), and
BC (2012)
• BC is unique because naloxone is a prescription only medication (POM). Naloxone is
not available on PharmaCare.
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The BC THN program
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The BC THN program webpage is a one-stop-shop.
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Information includes:
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FAQs
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Program Implementation guidelines
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Training resources (including videos)
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Program evaluation materials
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And much more! Visit: www.towardtheheart.com
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Sites in taking part in the BC THN program need to identify: an educator, prescriber, and a
dispenser.
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The BCCDC provides the naloxone kits to THN sites.
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Copies of the: training attendance sheet; naloxone prescriptions; dispensing forms, and client
administration form are faxed back to the BCCDC.
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All kits dispensed have a tracking number: important for program evaluation.
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The BC THN program
•
The BC THN program webpage is a one-stop-shop.
•
Information includes:
•
FAQs
•
Program Implementation guidelines
•
Training resources (including videos)
•
Program evaluation materials
•
And much more! Visit: www.towardtheheart.com
•
Sites in taking part in the BC THN program need to identify: an educator, prescriber, and a
dispenser.
•
The BCCDC provides the naloxone kits to THN sites.
•
Copies of the: training attendance sheet; naloxone prescriptions; dispensing forms, and client
administration form are faxed back to the BCCDC.
•
All kits dispensed have a tracking number: important for program evaluation.
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Each Kit Contains:
Recovery Position
• 2 glass amps of 0.4mg/ml naloxone
• wrapped in gauze inside a pill bottle
• Label includes prescription info
• 2 retractable VanishPoint® safety
syringes
• 3cc – 25g x 1”
• 2 alcohol swabs
• 2 latex gloves
• One-way rescue breathing barrier mask
• THN Administration Information Form
• Steps to respond to opioid overdose
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Sites taking part
Vancouver City
-Insite
-SALOME
-VANDU
-Vancouver Detox (soon)
Interior BC
-Vernon
-Nelson
-Kamloops
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Legal Opinion
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Health Canada
Ministry of Health
PIVOT legal
Ethicists
▫ Canadian Medical Protection Association
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Program to date…
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300 kits sent to sites
~80 prescriptions returned
~6 OD reversals to date
Focus groups/interview with stakeholders
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Discussion
• We want to learn from your experiences
• Contact: [email protected]
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Thank you!
• Acknowledgements
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All the sites taking part in the BC THN program
Our community board and those who helped/consulted with us
Folk at the BC CDC who support this program
Questions?
• Contact information: [email protected]

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