Healthy Streets Outreach Program a program of Northeast Behavioral Health. 280 Union Street Lynn, ma
|
|
- Brian Blake
- 5 years ago
- Views:
Transcription
1 Healthy Streets Outreach Program a program of Northeast Behavioral Health 280 Union Street Lynn, ma
2 First things first slang Jammed, jambox, jam sandwich: really high Falling out: overdosing Fell out: overdosed Dope: heroin Narcon or Narcain: Narcan pronounced incorrectly Beaned out: on a lot of benzos
3 Opioid OD Stats: Two people die from opioid overdoses every day in Massachusetts. More people are killed by opioid overdoses in Massachusetts than by car accidents. In 2007, there were over 6 times more deaths due to opioid- related overdoses than in For every death due to an opioid overdose in 2007, there were 47 people who were treated for an overdose and lived. *Sources: Opioids: Trends and Current Status in Massachusetts, Massachusetts Department of Public HealthBureau of Health Information, Statistics, Research, and Evaluation and the Bureau of Substance Abuse Services, 2009 DAWN data Massachusetts Oxycontin Commission: Final Report 2009
4 MDPH Pilot Details: Standing order authorizes Approved Opioid Overdose Trainers to possess nasal naloxone and to distribute it to Approved Opioid Overdose Responders. Trainers and Responders are authorized to administer naloxone to person experiencing a drug overdose. Approved by MDPH Drug Control Program and the Commissioner of DPH, overseen by medical director Dr. Alexander Walley. DPH General Counsel s Office determined the legality of the pilot programs. Once efficacy of the pilots has been established, Public Health Council will be asked to pass regulation to make the program permanent.
5 Expanded Access Currently providing OD prevention in additional venues: Detox Methadone clinics Suboxone programs Homeless shelters Other HIV P&E programs Parent support groups Corrections
6 Opportunity for Family IntervenCon Majority of ODs occur in the presence of others ODs can be reversed by rescue breathing and/or Narcan (Naloxone) administration Many younger drug users are still living at home or are still allowed to visit the home. Treatment options can be discussed at the hospital with family present in the case of an overdose. Realistic and useful education for families.
7 Narcan Training Components 20- minute session (or longer) Enrollment form (used for data collection, risk assessment, risk reduction) Review of overdose risks, prevention, response, calling 911, rescue breathing, refill procedure Participant repeats information back, demonstrates ability to assemble Narcan
8
9 What is an Opioid Overdose? Opioid fits exactly in receptor Opioid receptor on brain The brain has many, many receptors for opioids. Too much opioid fitting in too many receptors slow and stop the breathing.
10 Narcan reversing an OD Heroin Narcan Opioid receptor Narcan has a stronger affinity to the opioid receptors than the heroin, so it knocks the heroin off the receptors for a short time and lets the person breathe again.
11 Opioid ODs, concnued ODs are rarely instantaneous! ODs happen as a process- someone slowly stops breathing They usually happen 1-3 hours after the drug was used Someone found dead with a needle in their arm is a rare event that is sensationalized
12
13 What are the Signs/Symptoms of an OD? REALLY HIGH OVERDOSE Blue skin tinge- usually lips and fingertips show first Muscles become relaxed Deep snoring or gurgling (death rattle) Body very limp Face very pale Pulse (heartbeat) is slow, erratic, or not Speech is slowed/ slurred Sleepy looking Very infrequent or no breathing Pale, clammy skin there at all Throwing up Passing out Choking sounds or a gurgling/snoring noise Breathing is very slow, irregular, or has Nodding Will respond to stimulation like yelling, sternal rub, pinching, etc. Heavy nod, not responsive to stimulation Slow heart beat/ pulse stopped Awake, but unable to respond Slow heart beat/ pulse
14 What puts people at risk for ODs? Mixing Drugs Variation in strength and content of street drugs (purity) Tolerance changes (coming out of jail/tx) Using alone Physical Health (liver functioning, weight loss, etc.) Transient living new dealers/new product Thinking you know everything Switching from sniffing/eating to injection.
15 How can you avoid an opioid overdose? Know your tolerance Know your supply Control Your Own High Be Aware of the Risks of Mixing Drugs Try not to use alone Make a plan Talk with other users Stop Using
16 PrevenCon Messages for Families I want to remind you that (BECAUSE OF) your tolerance is very low, you are at high risk for an overdose. Do you have an overdose plan? Do you and your friends know about Narcan? I love you but not what you do and I do not want anything to happen to you. If you relapse please do not do it alone.
17 A few words about benzos: They are long acting (at least a day, usually) They impair your short- term memory. So you can actually forget how many benzos or how much heroin you have used in the last 24 hours- this could put someone in danger for an OD!! Very common and easy to find on the street Cheaper than heroin They are frequently necessary for mental health reasons- there is a high comorbidity between substance abuse disorders and mental illness like anxiety, depression, and post- traumatic stress disorder Make people who are in withdrawal feel better People use benzos to get jammed- enhances the effects of heroin (or methadone, etc) Drugs could be cut or enhanced with benzos without the user knowing
18 Responding to an Overdose Are you alright? You ok? No response try a STERNUM RUB Call Give the person AIR using rescue breathing Give 2 or 3 breaths and set- up the Narcan Spray the Narcan Continue rescue breathing Spray second dose if necessary Continue rescue breathing
19 If an OD happens Recovery Position
20 Overdose PrevenCon Using Nasal Narcan Simple device, medication and nasal spray Narcan is a pure opiate antagonist No physiological effect other than blocking opiates No adverse reactions No potential for abuse or potential for OD
21 Narcan Kit components
22 What are barriers to calling 911 from the perspeccve of a substance user? Fear of legal risk (outstanding warrants, DSS involvement, loss of public housing) Fear of judgment from family/ community Personal embarrassment/shame Other punitive measures (students loose federal financial aid) Manslaughter charges if someone dies on the scene
23 What about families? Are there fears about calling among families? How will YOU handle this discussion if it comes up without judging the person in front of you?
24
25 Street Methods now have safer alternacves Don t leave the person alone- - they could stop breathing Don t put them in a bath- - they could drown Don t induce vomiting- - they could choke Don t give them something to drink- - they could throw up Don t put ice down their pants- it ll make their pants wet! Cooling down the core body temperature of someone who is ODing is dangerous because it will slow down their body function even more than just the OD. Don t try to stimulate them in a way that could cause harm- slapping too hard, kicking in the testicles, burning the bottom of the feet, etc. can cause long- term damage Don t inject them with anything (saltwater, cocaine, milk)- - it won t work any more than physical stimulation and can waste time or make things worse depending on what you inject; a salt injection, for instance, could cause someone to go into cardiac arrest if they already have high sodium levels in their system. Also, every injection brings a risk of bacterial infection, abscesses, endocarditis, cellulitis, etc.
26 Does Speedballing balance you out? Speedballing refers to any combination of a stimulant (upper) and a depressant (downer) taken together, esp. a mixture of heroin and cocaine or heroin and methamphetamine injected into the bloodstream. No- speedballing does not cancel out OD risk The more different drugs someone s body has to process, the harder it is on their body People who speedball usually use much more frequently that people who use only heroin- this increases OD risk
27 Will using Narcan help someone give a clean urine? No Narcan knocks opiates off the opiate receptors, but the drug is still floating around in the body (AND urine!)
28 Can you use Suboxone to reverse an OD? Not a good idea, probably not enough Naloxone in a Suboxone to reverse and overdose, will not act fast enough Suboxone is a drug that contains both Buprenorphine (a partial agonist) and Naloxone (antagonists, same thing as Narcan) Suboxone is supposed to be taken sublingually, and if taken this way, the Naloxone has no effect If crushed and snorted, or injected, the Naloxone is activated and acts as an antagonist
29
30 Enrollments BLUE or BLACK Pen Non- users do not get asked any questions below the lot number. Must fill in all information If you do not have an answer use X s or a zero Use leading zeroes If someone is not sure they are enrolled please fill out another enrollment DO NOT FORGET THE BSAS CODE All codes are on the back of the enrollment
31 Refills Never give a kit without doing the refill form. Only answer all the questions if they are reporting an overdose. ALWAYS write comments, especially if it is a reversal.
32
33 I used the Narcan. Trauma associated with witnessing an OD may not manifest immediately. Be open to hearing the details but never ask for the details. Positively reinforce all actions performed by the responder. Refill Narcan
34 Mary Wheeler Program Director Healthy Streets Outreach Program a program of Northeast Behavioral Health mwheeler@nebhealth.org
BROCKTON AREA S OPIOID OVERDOSE PREVENTION TRAINING
BROCKTON AREA S OPIOID OVERDOSE PREVENTION TRAINING Mayor Carpenter s Office In collaboration with High Point Treatment Center Supported by the Massachusetts Opioid Abuse Prevention Collaborative Grant:
More informationNaloxone Administration Training
Naloxone Administration Training Welcome! Welcome to the online training for naloxone administration The Presenter Dr. Joe Parks, Medical Director, Distinguished Professor, Missouri Institute for Mental
More informationBraintree Public Schools
Braintree Public Schools Policy and Procedures for School Nurse, Athletic Director and Athletic Trainer Management of Potential Life Threatening Opioid Overdose Program Policy In order to recognize and
More informationOpportunities for Opioid Safety and Community-Based Overdose Management
Opportunities for Opioid Safety and Community-Based Overdose Management DANTE COLLINS ERICA C. ERNST MAYA DOE-SIMKINS SEPTEMBER 13, 2013 Overview Prevalence & data Overdose prevention Making an overdose
More informationOverdose Response Training
Overdose Response Training Dave Morgan, RPh Safe Prescribing Consultant, Norfolk District Attorney s Office Daniel Muse, MD Brockton Hospital Sgt. Brian Holmes & Sgt. Donna McNamara Stoughton Police Department
More informationMassachusetts Department of Public Health Opioid Overdose Education and Naloxone Distribution. MDPH Naloxone pilot project Core Competencies
Massachusetts Department of Public Health Opioid Overdose Education and Naloxone Distribution MDPH Naloxone pilot project Core Competencies Acknowledgements: Thank you to the Boston Public Health Commission
More informationNaloxone Opioid Rescue Kits. Aaron Kochar, JD
Naloxone Opioid Rescue Kits Aaron Kochar, JD Common Opioids Codeine Lorcet Demerol Vicodin Oxycontin Hydrocodone Methadone Used as a Medication- Assisted Treatment Liquid methadone (difficult to divert/abuse)
More informationLaw Enforcement Naloxone Training Florida Department of Children and Families. Office of Substance Abuse and Mental Health
Protecting, Leading, Uniting Since 1893 Law Enforcement Naloxone Training Florida Department of Children and Families Office of Substance Abuse and Mental Health 1. Learn how to recognize and respond to
More informationCalvert County Health Department Overdose Education and Naloxone Training
Calvert County Health Department Overdose Education and Naloxone Training Maryland Overdose Response Program January 2015 Behavioral Health Administration Department of Health & Mental Hygiene dhmh.naloxone@maryland.gov
More informationHarm Reduction Coalition DOPE Project Eliza Wheeler 1440 Broadway Suite 902 Oakland, CA
Harm Reduction Coalition DOPE Project Eliza Wheeler 1440 Broadway Suite 902 Oakland, CA 94612 wheeler@harmreduction.org Drug Overdose Deaths in the US: In 2014, there were 47,055 drug overdose deaths in
More informationOverdose. Everything you need to know. Includes free DVD!
Overdose Everything you need to know Includes free DVD! Please read this booklet. We guarantee you ll learn something new. When you ve read it, you ll know about overdose myths and: what to do if you
More informationOpiate Overdose Treatment: Naloxone Training Protocol
OREGON STATE PUBLIC HEALTH DIVISION EMS & Trauma Systems Kate Brown, Governor September 22, 2016 For more information, contact David Lehrfeld, MD, Medical Director, EMS & Trauma Systems: (971) 673-0520
More informationTake Home Naloxone elearning Module Script
elearning Module Script Slide 1-3 Review the outline and the plan for the presentation. Slide 4 We do accept the cynicism of this poster. Slide 5 Read from the slide the definition of Harm Reduction Slide
More informationHow to Prevent an Opioid Overdose
How to Prevent an Opioid Overdose MEDICAL CARE PROVIDERS: Providers can help reduce the likelihood of an opioid overdose by identifying patients who are at increased risk of opioid-induced respiratory
More informationOverdose Prevention, Recognition & Response Education Train-the-Trainer
Overdose Prevention, Recognition & Response Education Train-the-Trainer Bernie Lieving, MSW Overdose Prevention Education Coordinator Santa Fe Prevention Alliance & Office of Substance Abuse Prevention
More informationOpioid Overdose Prevention for Law Enforcement and First Responders. Sponsored by the NC Office of EMS
Opioid Overdose Prevention for Law Enforcement and First Responders Sponsored by the NC Office of EMS Overview The goal of this presentation is to help inform the public safety community of North Carolina
More informationPowell Recovery Center
Powell Recovery Center Presentation for The Female Clergy Support Group of MD Powell Recovery Center, Inc. 14 South Broadway Baltimore, MD 21231 410-276-1773 Community Support is Key to the Success of
More informationFacilitator s Manual. Preventing and Responding to an Opioid Overdose THREE-SESSION TRAINING
Facilitator s Manual Preventing and Responding to an Opioid Overdose THREE-SESSION TRAINING PRAXIS IS A PROGRAM OF THE 200 Reservoir Street Needham Heights, MA 02494 Telephone: 617 467 6014 Fax: 617 467
More informationOpioids 101. Washington Prevention Summit. Alison Newman, MPH November 6, 2018
Opioids 101 Washington Prevention Summit Alison Newman, MPH November 6, 2018 Opioids Class of drugs that work on the endorphin system. What are some examples? What are some of the risks? Opioid use disorder
More informationOVERDOSE IN UTAH PREVENTION AND RESPONSE. Meghan Balough, MPH Heather Bush, B.S. Suicide Conference October 6, 2017
OVERDOSE IN UTAH PREVENTION AND RESPONSE Meghan Balough, MPH Heather Bush, B.S. Suicide Conference October 6, 2017 Questions How many people have known someone who has experienced an overdose? How many
More informationA Conversation on Fentanyl. School District 22 VERNON
A Conversation on Fentanyl School District 22 VERNON Why are we talking about this? In 2016 there were 922 unintentional overdose deaths in British Columbia 158 of those deaths occurred in Interior Health
More informationWelcome to the Opioid Overdose Prevention Project
Welcome to the Opioid Overdose Prevention Project Narcan Training TODAY S OBJECTIVES Define drug addiction Identify symptoms of addiction Treatment options including support for family members How to recognize
More informationCampus Narcan Project OPIOID OVERDOSE FIRST RESPONDER TRAINING
Campus Narcan Project OPIOID OVERDOSE FIRST RESPONDER TRAINING Opioid Epidemic Prescription Opiods Can be prescribed by doctors to treat moderate to severe pain, but can also have serious risks and side
More informationOpioid Overdose: Risks, Clinical Features, Treatment, and Reduction of Negative Consequences
Opioid Overdose: Risks, Clinical Features, Treatment, and Reduction of Negative Consequences Joji Suzuki, MD Assistant Professor of Psychiatry Harvard Medical School Director, Division of Addiction Psychiatry
More informationA Prescription for Education. Hillary Dubois, Director of Prevention Services Amanda Sandoval, Asst. Director of Prevention Services
A Prescription for Education Hillary Dubois, Director of Prevention Services Amanda Sandoval, Asst. Director of Prevention Services Addiction Release of abnormally large amounts of neurotransmitters, mainly
More informationThe science of the mind: investigating mental health Treating addiction
The science of the mind: investigating mental health Treating addiction : is a Consultant Addiction Psychiatrist. She works in a drug and alcohol clinic which treats clients from an area of London with
More informationCOMBATING THE OPIATE CRISIS IN OHIO THROUGH COMPREHENSIVE RESPONSE 2018 HOUSING OHIO CONFERENCE APRIL 9 TH, Objectives: Key Terms
COMBATING THE OPIATE CRISIS IN OHIO THROUGH COMPREHENSIVE RESPONSE 2018 HOUSING OHIO CONFERENCE APRIL 9 TH, 2018 2 Objectives: qreview names of different types of opioids qidentify the signs and symptoms
More information2/7/2017. Avoid compassion traps. Avoid All or Nothing Traps. Some Explanatory Models of Addiction
Avoid compassion traps Do you want me to lose my job, do you want me to be on the street? I want you to have safe and effective pain control and it is my medical opinion that your current medicine won
More informationMainstreaming naloxone rescue kits from harm reduction programs to pharmacies, police and fire responders
Mainstreaming naloxone rescue kits from harm reduction programs to pharmacies, police and fire responders Alexander Y. Walley, MD, MSc Boston University School of Medicine ThINC Bergen 2015 Conference
More informationTO YOUR PHARMACIST TOOLKIT. A Guide to Help Utah Pharmacists Talk to Customers About Prescription Opioids
TALK TO YOUR PHARMACIST TOOLKIT A Guide to Help Utah Pharmacists Talk to Customers About Prescription Opioids Acknowledgements This report was made possible by the following individuals and agencies: Stephanie
More informationThe Missouri Opioid-Heroin Overdose Prevention and Education (MO-HOPE) Project Mission: to reduce opioid overdose deaths in Missouri through expanded
The Missouri Opioid-Heroin Overdose Prevention and Education (MO-HOPE) Project Mission: to reduce opioid overdose deaths in Missouri through expanded access to naloxone, overdose education, prevention,
More informationPeople inject, sniff, snort, or smoke heroin. Some people mix heroin with crack cocaine, a practice called speedballing.
What is heroin? Heroin is an opioid drug made from morphine, a natural substance taken from the seed pod of the various opium poppy plants grown in Southeast and Southwest Asia, Mexico, and Colombia. Heroin
More informationOverdose Prevention and Management
Overdose Prevention and Management Programme Introduction to overdosing Programme Introduction to overdosing What does an overdose look like? Programme Introduction to overdosing What does an overdose
More information7/31/18. Justin McClenny, LCDC
Justin McClenny, LCDC 1 Training Goals Learn basic Harm Reduction principles, philosophy and techniques to use with their clients and to incorporate into substance use services. Gain an awareness of our
More informationNaloxone in Schools. Training for School Staff
Naloxone in Schools Training for School Staff Objectives Learn the signs and symptoms of opioid drug overdose Have the skills to administer naloxone Review the use of naloxone protocol in responding to
More informationten questions you might have about tapering (and room for your own) an informational booklet for opioid pain treatment
ten questions you might have about tapering (and room for your own) an informational booklet for opioid pain treatment This booklet was created to help you learn about tapering. You probably have lots
More informationTalking with your doctor
SUBOXONE (buprenorphine and naloxone) Sublingual Film (CIII) Talking with your doctor Opioid dependence can be treated. Talking with your healthcare team keeps them aware of your situation so they may
More informationSierra Sacramento Valley EMS Agency
Sierra Sacramento Valley EMS Agency BLS IN NALOXONE ADMINISTRATION OPTIONAL SKILL (UPDATED 06/2017) Acknowledgement: Siskiyou County SO - source of some slide content In order for PSFA, EMR or EMT personnel
More informationOpioids - Fentanyl - Naloxone. Public Health Nurse
Opioids - Fentanyl - Naloxone Public Health Nurse What are Opioids? Opioids are a family of drugs that treat pain and can cause sleepiness. Prescription (legal) Opioids fall into 3 main categories: 1.
More informationsome things you should know about opioids before starting a prescription an informational booklet for opioid pain treatment
some things you should know about opioids before starting a prescription an informational booklet for opioid pain treatment This booklet was created to help you learn about opioids. You probably have lots
More informationNALOXONE CAN BE A LIFESAVER
NALOXONE 1 CAN BE A LIFESAVER Naloxone is a drug which can temporarily reverse the effects of opioid (heroin/methadone) overdose. In an overdose state, it can be a lifesaver 2 3 what to do IF SOMEONE HAS
More informationNALOXONE CAN BE A LIFESAVER
NALOXONE 1 CAN BE A LIFESAVER Naloxone is a drug which can temporarily reverse the effects of opioid (heroin/methadone) overdose. In an overdose state, it can be a lifesaver 2 3 what to do IF SOMEONE HAS
More informationUsing your Take Home Naloxone Kit
Your kit contains naloxone, a medication that can restore breathing to someone having an overdose from opioid drugs. Inside the kit What is Naloxone? Naloxone is a medication that can reverse an overdose
More informationAnyone Can Become Addicted. Anyone.
Anyone Can Become Addicted. Anyone. PAStop.org Family Toolkit Seeking Drug Abuse Treatment: Know What to Ask Trying to identify the right treatment programs for a loved one can be a difficult process.
More informationTips For A Safer Injection
Tips For A Safer Injection What s Inside... 2 About this booklet HIV Hepatitis B & C Bacterial Infections Be Prepared: Needles Cookers Water Filters Alcohol Swabs Acidifiers Tourniquets Sharps disposal
More informationHeroin. What is heroin?
What is heroin? Heroin Heroin is an opioid drug made from morphine, a natural substance taken from the seed pod of the Asian opium poppy plant. Heroin can be a white or brown powder, or a black sticky
More informationPROJECT TEAM. Karen Tilashalski, Alison Donoho, Marianne Drainer,
PROJECT TEAM Karen Tilashalski, 618-205-8134 Alison Donoho, 618-205-8129 Marianne Drainer, 618-205-8154 SR-Narcan@Chestnut.org PURPOSE of Training Get an overview of the opioid epidemic Reduce the risk
More informationUnderstanding Medication in Addiction Treatment for Drug Court Participants
Understanding Medication in Addiction Treatment for Drug Court Participants Introduction This pocket guide is for drug court participants who may be prescribed or considering medication as a part of addiction
More informationPharmacist Directed Opioid Antagonist Dispensing
Pharmacist Directed Opioid Antagonist Dispensing MARK BOESEN, PHARM.D., J.D. CHAIRMAN AND CEO GENRX PHARMACY C0-CHAIRMAN ARIZONA PHARMACY ASSN. LEGISLATIVE COMMITTEE DECEMBER 15, 2016 Opioid Substance
More informationNALOXONE LEARNING ABOUT NALOXONE COULD SAVE A LIFE
NALOXONE LEARNING ABOUT NALOXONE COULD SAVE A LIFE WHAT IT IS WHAT IT IS NARCAN (naloxone HCl) Nasal Spray is the first and only FDA-approved nasal form of naloxone for the emergency treatment of a known
More informationthe facts about BUPRENORPHINE for Treatment of Opioid Addiction
the facts about BUPRENORPHINE for Treatment of Opioid Addiction i I d been shot on the streets, I d been in detox. It was jails, institutions. Death, I knew, was imminent for me so I started my recovery
More informationPREVENTING OPIATE OVERDOSES IN SCHOOLS. Head 2 Toe 2017 April 20, 2017 Winona Stoltzfus BSN, MD, School Health Officer and Acting RHO SE Region
PREVENTING OPIATE OVERDOSES IN SCHOOLS Head 2 Toe 2017 April 20, 2017 Winona Stoltzfus BSN, MD, School Health Officer and Acting RHO SE Region WHY IS THIS EVEN A QUESTION FOR SCHOOLS? In 2014, 467,000
More informationNaloxone HCI 4 mg/0.1. nostril. Repeat after 3 minutes if minimal or no
THE SOUTH CAROLINA BOARD OF MEDICAL EXAMINERS AND THE SOUTH CAROLINA BOARD OF PHARMACY S JOINT PROTOCOL TO INITIATE DISPENSING OF NALOXONE HCI WITHOUT A PRESCRIPTION This joint protocol authorizes any
More informationTuscarawas County Health Department. Vivitrol Treatment Consent
Tuscarawas County Health Department Vivitrol Treatment Consent I. Vivitrol Medication Guide: a. VIVITROL (viv-i-trol) (naltrexone for extended-release injectable suspension) b. Read this Medication Guide
More informationSo just what is this stuff my friends keep offering me?
HEROIN BROWN, SMACK, H, SCAG So just what is this stuff my friends keep offering me? Heroin. Chemical name, diamorphine hydrochloride. A semi-synthetic drug that is a product of the opium poppy. Common
More informationA prisoners guide to buprenorphine
A prisoners guide to buprenorphine 2 The Opium poppy In the land of far, far away the opium poppy grows. The seed pods of this poppy are scratched until they drip with a sticky resin called opium. Raw
More informationSkills and Knowledge on Overdose Prevention. Bill Matthews, RPA-C Bethany Medley, MSW Bruce Trigg, MD
Skills and Knowledge on Overdose Prevention Bill Matthews, RPA-C Bethany Medley, MSW Bruce Trigg, MD Harm Reduction Coalition POLICY & ADVOCACY TRAINING & CAPACITY BUILDING OVERDOSE PREVENTION & ADVOCACY
More informationINITIAL ASSESSMENT (TCU METHADONE OUTPATIENT FORMS)
INITIAL ASSESSMENT (TCU METHADONE OUTPATIENT FORMS) [FORM 200; CARD 01] A. SITE:... [6] B. CLIENT ID NUMBER:... [7-10] C. SOURCE OF REFERRAL:... [11] 1. None/self 5. Other drug treatment program 2. Family
More informationOpioids and Overdose 2017
Opioids and Overdose 2017 This presentation is an introduction to: 1. Opioids, overdose and naloxone 2. How you can help A partnership of: Opioids A class of drugs taken for pain relief or euphoria. Prescribed
More informationSUBOXONE (buprenorphine and naloxone) sublingual film (CIII) IMPORTANT SAFETY INFORMATION
SUBOXONE (buprenorphine and naloxone) sublingual film (CIII) IMPORTANT SAFETY INFORMATION What is the most important information I should know about SUBOXONE Film? Keep SUBOXONE Film in a secure place
More informationMedication Assisted Treatment
Meeting the Needs of Your Clients: Building Competencies in Mental Health and Addiction Services Medication Assisted Treatment November 5, 2018 In partnership with: House Keeping Because this is a webinar,
More informationPrescription Opioids
What are prescription opioids? Prescription Opioids Opioids are a class of drugs naturally found in the opium poppy plant. Some prescription opioids are made from the plant directly, and others are made
More informationCLIENT HISTORY CLIENT LEGAL NAME: CLIENT PREFERRED NAME:
CLIENT HISTORY CLIENT LEGAL NAME: DATE: CLIENT PREFERRED NAME: FAMILY & SOCIAL BACKGROUND Please list and describe your current family members (immediate, extended, adopted, etc.) and/or other members
More informationRevised 16 February, of 7
341 State Street Suite G Madison, WI 53703 ph: (608) 251 4454 f: (608) 251 3853 6333 University Avenue, Middleton WI 53562 ph: (608) 310 5389 f: (608) 285 9603 INTRANASAL OR INTRAMUSCULAR NALOXONE PROTOCOL:
More informationVivitrol Drug Court and Medication Assisted Treatment
Vivitrol Drug Court and Medication Assisted Treatment Amy Black, CNP and Judge Fred Moses Court program Self-starters Mission Statement To provide court-managed, medically assisted drug intervention treatment
More informationBuprenorphine treatment
South London and Maudsley NHS Foundation Trust Buprenorphine treatment Information for service users Page Buprenorphine treatment What is buprenorphine? Buprenorphine (trade name Subutex ) is an opioid
More informationTHE OPIATE EPIDEMIC AND LIBRARIES. Presented by Dr. Steve Albrecht, PHR, CPP, BCC, CTM
THE OPIATE EPIDEMIC AND LIBRARIES Presented by Dr. Steve Albrecht, PHR, CPP, BCC, CTM DrSteve@DrSteveAlbrecht.com 866-261-5150 @DrSteveAlbrecht REALITY IS NOT A RIVER IN EGYPT... Some Caveats... I m not
More informationReducing opioid overdose mortality: role of communityadministered
Reducing opioid overdose mortality: role of communityadministered naloxone Vennus Ballen, MD, MPH; Lara Maldjian, MPH New York City Department of Health and Mental Hygiene Clinical Director s Network (CDN)
More informationControlling Worries and Habits
THINK GOOD FEEL GOOD Controlling Worries and Habits We often have obsessional thoughts that go round and round in our heads. Sometimes these thoughts keep happening and are about worrying things like germs,
More informationVermont's Opioid Crisis and Response to the Crisis
Vermont's Opioid Crisis and Response to the Crisis Richard A. Rawson, Ph.D., Research Professor UVM Center for Behavior and Health Emeritus Professor UCLA Department of Psychiatry March 2018 The opioid
More informationLatest Press Release. How much for 30 mg adderall
corp@stantec.com Latest Press Release How much for 30 mg adderall S 14-2-2008 Hi my name is Rachel i have been on suboxone for almost a year as of OCT 1st, and I have become the person I guess I am to
More informationNaloxone Standing Order for Opioid Overdose
Naloxone Standing Order for Opioid Overdose By: Christine Trusky, PharmD Candidate 2016, Wilkes University Continuing Education Activity Details: Activity Type: Knowledge-based Target Audience: Pharmacists
More informationSafe Use, Storage, and Disposal of Opioid Drugs Safe Use, Storage, and Disposal of Opioid Drugs
Return to Web version Safe Use, Storage, and Disposal of Opioid Drugs Safe Use, Storage, and Disposal of Opioid Drugs What are opioids? Opioids (say: "oh-pee-oyds") are powerful pain relievers your doctor
More informationINITIAL ASSESSMENT (TCU CORRECTIONAL RESIDENTIAL FORMS)
INITIAL ASSESSMENT (TCU CORRECTIONAL RESIDENTIAL FORMS) [FORM ---; CARD 01] A. LAST NAME, FIRST NAME, MI LAST PERMANENT ADDRESS: B. PROGRAM:... [6-8] C. UNIT/COTT:... - [9-10] D. CLIENT ID NUMBER:... [11-17]
More informationMEDICATION GUIDE SUBOXONE (Sub OX own) (buprenorphine and naloxone) Sublingual Tablets (CIII)
MEDICATION GUIDE SUBOXONE (Sub OX own) (buprenorphine and naloxone) Sublingual Tablets (CIII) IMPORTANT: Keep SUBOXONE in a secure place away from children. Accidental use by a child is a medical emergency
More informationIntroduction. Preventing overdose
Third edition 02 Preventing overdose Introduction In the future, cigarette smoking and viral infections such as hepatitis C and HIV will cause the death of large numbers of people who inject illicit drugs.
More informationGOALS AND OBJECTIVES
SUBOXONE AND VIVITROL: ARE THERE DISPARITIES SURFACING IN MEDICATION ASSISTED TREATMENTS? P R E S E N T E D B Y D R. K I AM E M AH A N I A H & D R. M Y E C H I A M I N T E R - J O R D AN GOALS AND OBJECTIVES
More informationOVERDOSE PREVENTION AND EDUCATION OVERDOSE MANAGEMENT
OVERDOSE PREVENTION AND EDUCATION OVERDOSE MANAGEMENT 1 OBJECTIVES Discuss basics of opioid overdose epidemiology and physiology To share accurate information about overdose prevention and education including
More informationAODA RECOVERY. How to support those in recovery, and those not yet ready to commit
AODA RECOVERY How to support those in recovery, and those not yet ready to commit YOUR PRESENTER TODAY Robin Lickel is a psychotherapist and addictions specialist at Journey Mental Health Center in Madison,
More informationParticipants listen to presentations on the Health of Boston
Health of Boston Meetings Each year, the Boston Public Health Commission (BPHC) holds meetings with the community to share health data from our Health of Boston report and to listen to residents concerns
More informationTranscript for Overdose Responder Training: Adapted from NJ Department of Human Services/Division of Mental Health and Addiction Services
Transcript for Overdose Responder Training: Adapted from NJ Department of Human Services/Division of Mental Health and Addiction Services #1 TITLE SLIDE #2 INTRODUCTION AND PURPOSE Welcome to Overdose
More informationTaking Opioids Responsibly for Your Safety and the Safety of Others: Patient Information Guide on Long-term Opioid Therapy for Chronic Pain
Taking Opioids Responsibly for Your Safety and the Safety of Others: Patient Information Guide on Long-term Opioid Therapy for Chronic Pain Department of Veterans Affairs (VA) and Department of Defense
More informationPharmaceutical Drugs & Real-Time Prescription Monitoring.
Pharmaceutical Drugs & Real-Time Prescription Monitoring. 1 What is Real-Time Prescription Monitoring? Real-Time Prescription Monitoring enables prescribing doctors and dispensing pharmacists to access
More informationPatient Information Leaflet
Page 25 Patient Information Leaflet PATIENT INFORMATION SUBOXONE (sub-ox-own) (buprenorphine HCl/naloxone HCl dihydrate, sublingual tablet) (C*) SUBUTEX (SUB-u-tex) (buprenorphine HCl, sublingual tablet)
More informationToday the overuse of opioids is a problem. Many of
A PPENDIX B A Word About Opioid Use Today the overuse of opioids is a problem. Many of these opioids are prescribed and thus are legal. Other people steal or buy opioids on the streets. These are illegal.
More informationHeroin. Brain Research Institute, UCLA Alison Taylor
Heroin Brain Research Institute, UCLA Alison Taylor Heroin H, Smack, Dope, Junk Can be purchased as a white powder White China or a dark resin Black Tar Opiates Derived from the opium poppy Morphine:
More informationMEDICATION GUIDE ZUBSOLV (Zub-solve) (buprenorphine and naloxone) Sublingual Tablet (CIII)
MEDICATION GUIDE ZUBSOLV (Zub-solve) (buprenorphine and naloxone) Sublingual Tablet (CIII) IMPORTANT: Keep ZUBSOLV in a secure place away from children. If a child accidentally takes ZUBSOLV, this is a
More informationBuprenorphine Patient Education
Treating Chronic Pain The management of chronic pain often takes a multidisciplinary approach in order to be more effective. In other words, it takes more than one technique used in combination with others
More informationMedication-Assisted Treatment. What Is It and Why Do We Use It?
Medication-Assisted Treatment What Is It and Why Do We Use It? What is addiction, really? o The four C s of addiction: Craving. Loss of Control of amount or frequency of use. Compulsion to use. Use despite
More informationTest Anxiety: The Silent Intruder, William B. Daigle, Ph.D. Test Anxiety The Silent Intruder
Test Anxiety The Silent Intruder Resources; St. Gerard Majella Catholic School, March 6, 2010 William B. Daigle, Ph.D. 8748 Quarters Lake Road Baton Rouge, LA 70809 (225) 922-7767 225) 922-7768 fax williambdaiglephd@hotmail.com
More informationSubstance Misuse and Abuse
CHAPTER 18 Substance Misuse and Abuse Lesson Objectives 1. Explain actions that can be taken to help prevent youth from abusing drugs and other substances. 2. Describe specific steps for preventing someone
More information1/23/2015. Disclosure. Overview. A National Response to a Public Health Crisis Opioid Overdose and the Changing Spectrum of Care
A National Response to a Public Health Crisis Opioid Overdose and the Changing Spectrum of Care Michael W. Dailey, MD FACEP Chief, Division of Prehospital and Operational Medicine Associate Professor of
More informationUniversity Staff Counselling Service
University Staff Counselling Service Anxiety and Panic What is anxiety? Anxiety is a normal emotional and physiological response to feeling threatened, ranging from mild uneasiness and worry to severe
More informationHarm reduction for drug users
In Northern Ireland, 3 out of 4 drug-related deaths involve more than one drug or a combination of one or more drugs and alcohol. In many cases, prescription drugs (for example diazepam or tramadol) are
More informationSession 7: Opioids and Club Drugs 7-1
Session 7: Opioids and Club Drugs 7-1 The Importance of Total Abstinence Abstinence from all substances that affect the brain even alcohol greatly increases the chances of a successful recovery. Matrix
More informationThe Solution. A multi-faceted approach to overdose prevention is required. A comprehensive array of efforts are underway in Oklahoma, including:
Saves Lives The Solution A multi-faceted approach to overdose prevention is required. A comprehensive array of efforts are underway in Oklahoma, including: PREVENTION & EDUCATION MONITORING & DIVERSION
More informationWhat Is Heroin? Examples of Opioids. What Science Says about Opioid Use Disorder and Its Treatment 6/27/2016
What Science Says about Opioid Use Disorder and Its Treatment Perilou Goddard, Ph.D. Department of Psychological Science Northern Kentucky University Examples of Opioids Agonists (activate opioid receptors)
More informationPL CE LIVE: Overdose Prevention with Naloxone Opportunities for Pharmacists May 2015
PL CE LIVE: Overdose Prevention with Naloxone Opportunities for Pharmacists May 2015 Supplemental Information Background Most people who abuse prescription opioids get them for free from a friend or relative
More informationOpioid Harm Reduction
Opioid Harm Reduction Lucas G. Hill, PharmD Clinical Assistant Professor, The University of Texas at Austin College of Pharmacy Clinical Pharmacist, CommUnityCare FQHCs Director, Operation Naloxone Mark
More information