Ventura County Opioid Solutions Summit Preventing Accidental Overdose: NO O.D. Overdose Prevention Project August 29, 2017

Transcription

1 Ventura County Opioid Solutions Summit Preventing Accidental Overdose: NO O.D. Overdose Prevention Project August 29, 2017 Presented by 1

2 Rationale Address overdose deaths across County Overdose Prevention Project Goals: Educate family, friends, and loved ones about overdose prevention Reduce overdose deaths Data-driven Incorporated measurement system from the start Modeled what worked from existing overdose prevention programs Tailored specifically to meet Ventura County needs 2

3 Overview Targeted effort addressing groups at elevated risk of overdose Overdose Prevention Project Incorporates principles of risk-reduction model Education component built into program All kit recipients are trained on proper use Established in October 2014 by Ventura County s Rx & Heroin Workgroup Began as pilot program at 6 sites Has expanded to 25 sites Rx & Heroin Workgroup, in partnership with Project SAFER provide outreach, training, and rescue kits Key project components = education + collaboration 3

4 Metrics Implementation: All participating agencies/staff trained to ensure systematic data collection Forms are administered by program staff Goal is to collect data from all participants Frequent data checks and follow-up with kit distribution sites Forms Collected from Participants: Initial Form collected from all participants who receive training and a naloxone kit for first time Refill Form collected from all participants who come back for a refill kit 4

5 Overdose Prevention Project Findings: Initial Form Assessment 5

6 25 Distribution Sites Across the County Total of 970 Initial Kits Distributed Initial Form Assessment Captures: Overdose history Demographics of persons receiving kits Drug use patterns Participating Sites: county alcohol and drug programs, syringe replacement programs, and mental health providers Comfort level with administering naloxone 6

7 Experience with Overdose Witnessed Overdose (N=944) 78% have witnessed someone else overdose Average of 5 overdoses witnessed Overdosed in Lifetime (N=944) 47% have overdosed at least once Average of 3 overdoses experienced 7

8 Reason for Overdose* Mixed drugs Drugs were stronger than usual Had a lower tolerance 34% 30% 40% Took too much Intention to hurt self/suicide attempt Other 1% 7% 3% *Calculated for those who reported ever having overdosed themselves and who provided one or more reasons for having overdosed (N=440). Percentages exceed 100%, as respondents could select more than one response. 8

9 Kit Recipient Demographics (944 program participants) Gender Age % Male 55% Female 45% % 29% 43% 61+ 5% Race/Ethnicity Drug Use Status Other* 6% White/Caucasian 58% Hispanic 41% 50% active users of illegal drugs 32% in treatment 9% in recovery 10% non-users *Other Race/Ethnicity includes Asian/Pacific Islander (2%), Native American (2%), Black/African American (1%), and <1% Filipino, Persian.

10 Drug Use Patterns of Active Users (N=462) Where drugs are used: 75% of active users reported most often using drugs at home or at someone else s home 10

11 24% reported using drugs alone Drug Use Patterns of Active Users (N=462) 73% other drug users or dealers Drug use partners* of those who use with others 42% spouse or boyfriend/ girlfriend 15% non-using family or friends 11% strangers *Percentages exceed 100%, as respondents could select more than one response. 11

12 Question: How confident do you feel in your ability to use naloxone? Comfort Level with Using Naloxone Somewhat confident 10% Very confident 90% *One person reported feeling not confident 12

13 Overdose Prevention Project Findings: Refill Form Assessment 13

14 190 Refill Kits Distributed Across 17 sites Refill Form Assessment Captures: Reason for the refill Information about the overdose event (who, drugs taken, where, etc.) Outcome of naloxone use Implementation of behaviors taught during training 14

15 Reason for Refill (N=190) Kit used in an overdose event 60% Kit lost or stolen 20% Kit given away or sold 12% Kit confiscated Kit expired Other 3% 3% 2% Of the refill kits distributed 64% were a 1 st refill 15

16 Overdose Observed Witnessed Overdose (N=185) 79% witnessed at least 1 overdose since 1st receiving kit Average of 2 overdoses witnessed (range: 1-10) Naloxone Kit Use (N=145) Of those having seen at least one overdose, 59% reported using the kit once 20% reported using the kit twice 16

17 Who Was Naloxone Used On? (N=132) 5% used it on themselves When used on someone else, the person was a 67% friend 13% stranger 10% spouse or sig. other 9% family member 1% other 17

18 Characteristics of those who Overdosed (N=131) Gender Age % % Male 70% Female 30% % 45% 61+ 2% Drug(s) Taken* 98% Heroin 5% Alcohol 5% Methamphetamine 5% Other Opioid 2% Methadone 6% Other (Xanax, bath salts) *Percentages exceed 100%, as respondents could select more than one response. 18

19 Where Overdoses Occurred 58% reported that the overdose event occurred at a private residence Top 3 Zip Codes (Ventura) (Ventura) (Santa Paula) 19

20 Outcome of Using Naloxone 127 overdose reversals to date Over 120 Lives Saved! 20

21 1 Thoughtful and strategic approach to implementation 2 Strong collaborative partnerships Contributing Factors to Project Success 3 4 Commitment to excellence from all partner agencies Targeted actions with measurable outcomes 5 Data collection built in from project start 6 Frequent communication and ongoing training with distribution sites 21

22 Ongoing focus on data collection & use Looking Ahead Continued collaboration with existing partners Review & refinement of data collection activities to ensure alignment with expansion efforts & evolving needs for information 22

23 Thank You! For questions, please contact: Dr. Kristen Donovan 23