Reported outcomes from a community naloxone training and distribution program

The United States opioid epidemic is an enormous public health crisis, claiming over 500,000 lives between 1999 and 2020. However, the increased availability of naloxone has saved many lives and led to the development of community-based naloxone training and distribution programs. We developed a nal...

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Main Authors: Kevin Frederiks, Maxwell Everett, Kristen Gilmore Powell, N. Andrew Peterson, Suzanne Borys, Donald K. Hallcom, Nina A. Cooperman
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Drug and Alcohol Dependence Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772724625000241
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author Kevin Frederiks
Maxwell Everett
Kristen Gilmore Powell
N. Andrew Peterson
Suzanne Borys
Donald K. Hallcom
Nina A. Cooperman
author_facet Kevin Frederiks
Maxwell Everett
Kristen Gilmore Powell
N. Andrew Peterson
Suzanne Borys
Donald K. Hallcom
Nina A. Cooperman
author_sort Kevin Frederiks
collection DOAJ
description The United States opioid epidemic is an enormous public health crisis, claiming over 500,000 lives between 1999 and 2020. However, the increased availability of naloxone has saved many lives and led to the development of community-based naloxone training and distribution programs. We developed a naloxone education and distribution program in New Jersey in 2017. This program provides a 60-minute training for community members in various settings, such as police departments, community centers, etc. Participants were instructed to call the training and distribution program if they used their naloxone kit, and the program would replace it. Callers were asked a short survey about behaviors during the naloxone administration and overdose outcome. From January 2018 through June 2022, 191 calls to report an overdose and request a new kit were received. Overall, 70 (37 %) of the reported naloxone administrations were by police, 38 (20 %) family/friends, and 50 (26 %) strangers. The most common actions taken during the overdose included: 162 (85 %) calling EMS; 161 (84 %) staying with the person who overdosed until EMS arrived; and 131 (69 %) checking the individual who overdosed for signs of breathing. Individuals who helped with an overdose were able to revive the person in 172 (90 %) of the reported overdoses. Our data suggests that participants in these programs will use naloxone for opioid overdoses whether the victim is known to the participant or a stranger. Future research should focus on understanding outcomes of and behaviors during overdose episodes that are not reported to the program.
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spelling doaj-art-ce8cbed1a25d49b395b2003eb84eb69d2025-08-20T02:32:31ZengElsevierDrug and Alcohol Dependence Reports2772-72462025-06-011510034110.1016/j.dadr.2025.100341Reported outcomes from a community naloxone training and distribution programKevin Frederiks0Maxwell Everett1Kristen Gilmore Powell2N. Andrew Peterson3Suzanne Borys4Donald K. Hallcom5Nina A. Cooperman6Rutgers Robert Wood Johnson Medical School, 125 Paterson St., New Brunswick, NJ 08901, United StatesRutgers Robert Wood Johnson Medical School, 125 Paterson St., New Brunswick, NJ 08901, United StatesRutgers University School of Social Work, 120 Albany St., New Brunswick, NJ 08901, United States; Center for Prevention Science and the Northeast and Caribbean Prevention Technology Transfer Center, School of Social Work, Rutgers University, 390 George Street, 5th Floor, New Brunswick, NJ 08901, United StatesRutgers University School of Social Work, 120 Albany St., New Brunswick, NJ 08901, United States; Center for Prevention Science and the Northeast and Caribbean Prevention Technology Transfer Center, School of Social Work, Rutgers University, 390 George Street, 5th Floor, New Brunswick, NJ 08901, United StatesNew Jersey Division of Mental Health and Addiction Services, New Jersey Department of Human Services, 5 Commerce Way, Hamilton, NJ 08691, United StatesNew Jersey Division of Mental Health and Addiction Services, New Jersey Department of Human Services, 5 Commerce Way, Hamilton, NJ 08691, United StatesRutgers Robert Wood Johnson Medical School, 125 Paterson St., New Brunswick, NJ 08901, United States; Correspondence to: Rutgers Robert Wood Johnson Medical School, Division of Addiction Psychiatry, 317 George Street, Suite 105, New Brunswick, NJ 08901, United States.The United States opioid epidemic is an enormous public health crisis, claiming over 500,000 lives between 1999 and 2020. However, the increased availability of naloxone has saved many lives and led to the development of community-based naloxone training and distribution programs. We developed a naloxone education and distribution program in New Jersey in 2017. This program provides a 60-minute training for community members in various settings, such as police departments, community centers, etc. Participants were instructed to call the training and distribution program if they used their naloxone kit, and the program would replace it. Callers were asked a short survey about behaviors during the naloxone administration and overdose outcome. From January 2018 through June 2022, 191 calls to report an overdose and request a new kit were received. Overall, 70 (37 %) of the reported naloxone administrations were by police, 38 (20 %) family/friends, and 50 (26 %) strangers. The most common actions taken during the overdose included: 162 (85 %) calling EMS; 161 (84 %) staying with the person who overdosed until EMS arrived; and 131 (69 %) checking the individual who overdosed for signs of breathing. Individuals who helped with an overdose were able to revive the person in 172 (90 %) of the reported overdoses. Our data suggests that participants in these programs will use naloxone for opioid overdoses whether the victim is known to the participant or a stranger. Future research should focus on understanding outcomes of and behaviors during overdose episodes that are not reported to the program.http://www.sciencedirect.com/science/article/pii/S2772724625000241NaloxoneTrainingOpioidOverdose
spellingShingle Kevin Frederiks
Maxwell Everett
Kristen Gilmore Powell
N. Andrew Peterson
Suzanne Borys
Donald K. Hallcom
Nina A. Cooperman
Reported outcomes from a community naloxone training and distribution program
Drug and Alcohol Dependence Reports
Naloxone
Training
Opioid
Overdose
title Reported outcomes from a community naloxone training and distribution program
title_full Reported outcomes from a community naloxone training and distribution program
title_fullStr Reported outcomes from a community naloxone training and distribution program
title_full_unstemmed Reported outcomes from a community naloxone training and distribution program
title_short Reported outcomes from a community naloxone training and distribution program
title_sort reported outcomes from a community naloxone training and distribution program
topic Naloxone
Training
Opioid
Overdose
url http://www.sciencedirect.com/science/article/pii/S2772724625000241
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