Harm Reduction

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Naloxone 101

Contact Information:
Laura Hollowell
Naloxone Program Manager
LHollowell@health.in.gov

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Naloxone Training Opportunities

IDOH – Provides trainings to rural first responder agencies and the general public upon request.

The Indiana Department of Health (IDOH) is pleased to offer virtual naloxone administration trainings that are free and self-paced. These courses cover topics such as Indiana overdose statistics, stigma reduction, naloxone administration, and treatment options for substance use disorder.

IDOH is offering three online courses available on the Indiana TRAIN platform:

• Naloxone Administration Training: First Responders: ID 1122357
• Naloxone Administration Training: First Responder Refresher: ID 1122441
• Naloxone Administration Training: Public: ID 1122355

For more information about accessing these training opportunities, check out our training guide.

OptIN – Provides a list of entities that are naloxone providers.

Overdose Lifeline- Conducts community-based trainings.

Bitter Pill – Naloxone training resources.

Indiana Recovery Alliance –  Distributes naloxone during daily outreach and through community trainings. The Monroe County Health Department offers naloxone through community trainings to the public as well as providing naloxone to emergency responders such as local fire departments, local police departments, community justice and local emergency departments.

IDOH has provided many local health departments in Indiana with naloxone rescue kits and training. If you would like more information regarding access to FREE training and kits in your county, contact your local health department or the Naloxone Program Manager.

Contact Information:
Laura Hollowell
Naloxone Program Manager
LHollowell@health.in.gov

Naloxone Resource Guide for Local Health Departments

This resource guide was created by the Indiana State Department of Health (IDOH) Division of Trauma and Injury Prevention as a resource for local health departments (LHDs) who have been awarded the Naloxone Rescue Kit Grant by IDOH. The guide aims to provide guidance for LHDs to successfully distribute naloxone kits to high-need individuals in their counties. A special thank you goes to staff from the Hamilton, Hendricks and Howard county health departments for helping to compile this guide.

Services co-offered with naloxone training

Local health departments are required to offer a number of resources and services when providing naloxone training to laypersons (I.C. 16-42-27). This includes education on how to administer naloxone and a list of drug addiction treatment resources, such as centers that offer medication assisted treatment and referrals to these facilities. In addition, LHDs are encouraged, though not required, to provide a variety of other resources to trainees. Some of these resources can include:

Educational resources

• Important information about naloxone that includes signs and symptoms of an opioid overdose
• Educational sheet about common opioid drugs that also describes signs and symptoms of an opioid overdose
• FAQs about syringe exchange and harm reduction programs
• Syringe service fact sheet
• Pamphlet about commonly abused drugs (great for school staff)
• Naloxone myths debunked fact sheet
• What parents need to know fact sheet
• The Harm Reduction Coalition’s overdose prevention resource page
• Check out the printable resources page for more fact sheets

Services offered

• List of treatment resources in LHD county (required)
  • The Indiana Criminal Justice Institute and the Indiana State Police have compiled a list of treatment centers
  • Substance Abuse and Mental Health Services Administration (SAMHSA) has created a search engine that allows users to type in a zip code and find nearby treatment centers
  • Family and Social Services Administration (FSSA) has compiled a list of Community Mental Health Centers in Central Indiana
  • IDOH has compiled a list Treatment Centers (residential and outpatient)
  • The Hendricks County Health Partnership and the Hendricks County Health Department have compiled the Central Indiana Substance Abuse Treatment Resource Guide
• List of other naloxone providers in the county (check optIN)
• Information about unused drug disposal in the county
• Referrals to the local Parents of Addicted Loved Ones
• Information about syringe exchange programs and safe sharps disposal in the county and surrounding counties
• Information about STD testing in the county
• Information about HIV and Hepatitis C testing in the county
• Information about the immunization clinic in the LHD (if those services are offered)
• Support for family members through education materials and referrals to local community resources
• CPR training may be offered in addition to naloxone training

Other

• Heart health and the opioid epidemic from the American Heart Association

Stakeholder partnerships

To best combat the opioid epidemic, partnerships need to be formed among a variety of stakeholders. This applies to the naloxone distribution program as well, where collaborating with different community partners can help make the distribution program a success. Below is a list of agencies that local health departments can provide with naloxone to use in case of an emergency. These agencies can also provide naloxone kits to community members and help spread the word about the program.

• Local clinics and primary care practices
• Local hospitals (especially emergency departments)
• Health department’s nursing clinic
• Syringe Services Program in the community
• Substance abuse and counseling centers
• Substance abuse work groups (if such groups exist)
• Schools (train school nurses, administrators and maintenance staff)
• Law enforcement
• Fire departments
• EMS (provide naloxone training to EMS staff and/or solicit information as to where they frequently encounter opioid overdoses so you can target those areas)
• Local libraries
• Overdose Lifeline
• Any other agency or organization that works with high-risk individuals

Ways to spread the word about the naloxone program

Below is a list of potential outreach methods local health departments can employ to spread the news about the naloxone distribution program.

• Create flyers advertising the naloxone distribution program. A sample copy of such a flyer is located here (courtesy of Howard County Health Department). Flyers can be distributed in:
  • Substance abuse treatment centers
  • Offices of mental health service providers
  • Food pantries
  • Primary care physician clinics
  • Clinics that provide free health services
  • Gas stations
  • Motels
  • Schools (the best initial point of contact will likely be a school nurse)
  • Shelters
  • Local government agencies (transportation office, social services office, etc.)
  • Any other agency or not-for-profit that works with high-risk individuals
• Develop small cards with contact information for the naloxone distribution program. The Howard County Health Department uses brightly colored cards that are the size of business cards
• Partner with the community drug task force (if one exists) or the local coordinating committee and ask them to distribute flyers and spread the word
• Set up focus groups with recently-released inmates to determine the best paths for reaching out to members of the community who are at risk or connected to someone at risk
• Post on social media, including Twitter, Facebook and Instagram
• Contact local news stations, radio stations and newspapers and ask them to do a story on the program
• Indiana 211 – ensure that your health department is listed on their website as offering free naloxone training and kits
• Update the health department’s website to include information about this program. Encourage partners in your communities to include information on their websites as well (including law enforcement agencies)
• Word of mouth – encourage community members who come in for a naloxone training to let their contacts know about the program. This can also be accomplished by speaking at community meetings/events
• Nextdoor app – a free, private social network that serves as a popular way for people to find out what is happening in their local communities
• Send e-mails to your listserv if you have one
• Ask other agencies and organizations in the county to send out e-mails to their listserv as well
• Set up a booth at community events, which could include town hall meetings, conferences, school events and others

Other useful resources for the naloxone distribution program

Consent form – Create a consent form that all laypersons can sign before receiving a naloxone training and kit. Here is a sample consent form, courtesy of the Hendricks County Health Department.

Flyers – Create flyers to advertise your naloxone distribution program. Sample copies of such flyers are located here (courtesy of Howard County Health Department) and here (courtesy of Hendricks County Health Department).

Policies and procedures – Create an internal document that outlines the policies and procedures set forth by your health department regarding the naloxone distribution program.

• Hendricks County Health Department has provided a copy of its policies and procedures. This document lays out the procedure for who is allowed to train laypersons and how they are to proceed with training (both in an individual and group setting)
• Howard County Health Department has also provided a copy of their policies and procedures, which outlines how the naloxone training should proceed

Kit stickers – When putting together naloxone kits, it is useful to have these stickers on the kit to remind laypersons that they are required to call 911 either immediately before or after administering naloxone per I.C. 16-42-27 and to remind them to fill out the pre- and post- cards.

Educational document about the program - The Hendricks County Health Department created a document explaining the naloxone distribution program, specifically written for agencies and businesses inquiring about the program. Feel free to edit and customize it as needed.

Educational document for schools - The Hendricks County Health Department created a document that explains why naloxone is important in schools. You can use this document to get the school officials in your county on board with your naloxone distribution program.

A reminder about requirements

As a reminder, LHDs that have been awarded the naloxone distribution grant are required to do the following:

• Must provide adequate education when distributing naloxone kits in a manner consistent with I.C. 16-42-27 and provide documentation thereof
• Must provide treatment program contact information for the community when distributing naloxone kits
• Must register with optIN
• If the awardee’s point-of-contact changes anytime during the naloxone kit distribution or reporting period, the awardee must notify the IDOH within five business days after the change and provide the contact information for the new contact
• Must not charge the recipients of the naloxone kits and must ensure that naloxone kits are not resold after distribution
• Must submit scheduled reports. If you need help filling out the report, please contact IDOH's Naloxone Program Manager.

Contact Information:
Laura Hollowell
Naloxone Program Manager
LHollowell@health.in.gov

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Naloxone Administration Heat Map

This tool from Next Level Recovery website provides insight into the incident location where naloxone was administered and reported by EMS providers throughout the state of Indiana. Indiana EMS providers report locations of patient encounters during which naloxone was administered when an opioid overdose was suspected. The drug, also known by the brand name Narcan®, reverses the effects of an opioid overdose and is administered with the intent to save the life of the patient. The Naloxone Administration Heat Map shows naloxone administrations as reported by EMS provider agencies since January 1, 2014.

For more information or to access this interactive map, click on the photo below:

Syringe Services Schedule

Provides new/sterile syringes, sharps disposal containers, free HIV and hepatitis C testing, referrals to treatment and other social services (medical, food, housing etc.).

All days and hours of operation are subject to change based upon local decision. Verify operation times directly with them.

Allen

• 4817 New Haven Avenue, Fort Wayne, IN 46803

  -Tuesdays from 1 p.m. to 3:30 p.m. (Fixed)

Clark

• Clark County HD, 1201 Wall Street, Jeffersonville, IN 47130

  -Mondays through Fridays from 9 a.m. to 3 p.m. (Fixed)

Fayette

• Connection Café, 635 N Central Ave, Connersville, IN 47331

  -Thursdays from 9 a.m. to 7 p.m. (Fixed)

  -Fridays & Saturdays from 4 p.m. to 10 p.m. (Fixed)

Madison-Aspire

• 2009 Brown Street, Anderson, IN 46016

  -Mondays & Wednesdays from 11 a.m. to 5 p.m. (Fixed)

• 10731 SR 13, Elwood, IN  46036

  -Thursdays from 1p.m. to 4 p.m. (Mobile Unit)

Marion

• 7551 Shelby St, Indianapolis, IN 46227

  -Mondays from 12:30 p.m. to 3 p.m. (Fixed)

• Damien Center, 1416 E Washington St, Indianapolis, IN 46201

  -Wednesdays from 2 p.m. to 6 p.m. (Mobile Unit)

• 1035 N Olney St, Indianapolis, IN 46201

  -Fridays from 11 a.m. to 3 p.m. (Mobile Unit)

Monroe-IRA

• Shalom Community Center, 620 S. Walnut St, Bloomington, IN 47401

  -Mondays & Fridays from 12 p.m. to 2 p.m. (Mobile Unit)

• Office Indiana Recovery Alliance, 118 S. Rogers St, Bloomington, IN 47404

  -Tuesdays, Thursdays, Saturdays, & Sundays from 5 p.m. to 7 p.m. (Fixed)

Tippecanoe

• Lafayette Transitional Housing Center (LTHC), 815 N 12th St, Lafayette, IN 47904

  -Tuesdays from 3 p.m. to 6 p.m. (Fixed)

  -Wednesdays from 2 p.m. to 4 p.m. (Fixed)

  -Fridays from 1 p.m. to 5 p.m. (Fixed)

  -Saturdays from 10 a.m. to 1 p.m. on the 1st and 3rd Saturdays of each month. (Fixed)

Wayne

• Wayne County HD, 100 S. 5th St, Richmond, IN 47374

  -Tuesdays from 12 p.m. to 2 p.m. (Fixed)

• Restoration Outreach Centre (ROC), 310 N. 19th St, Richmond, IN 47374

  -Tuesdays from 3 p.m. to 4:30 p.m. (Fixed)

• Centerstone, 100 N. 15th St, Richmond, IN 47374

  -Thursdays from 3 p.m. to 4:30 p.m. (Fixed)