Presenters: Amy Bryson, MPH Joy Massey, MPH Additional UNC Gillings School of Public Health Capstone Team: Elizabeth Moore, Shriya Soora, Diana Zuskov Preceptors: Scott Proescholdbell, MPH Nidhi Sachdeva, MPH North Carolina Division of Public Health Injury Violence Prevention Branch
Building Capacity of Health Departments to Pass Naloxone Standing Orders in NC
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10
15
20
25
1980 1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010
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Motor Vehicle Traffic Poisoning Drug Poisoning (Overdose)
Overdose in the US: Leading cause of injury death
Source: CDC Public Health Week, Baldwin, Emory University, April 2014
Source: N.C. State Center for Health Statistics, Vital Statistics-Deaths, 1999-2012 Analysis by Injury Epidemiology and Surveillance Unit
Unintentional Poisoning Deaths by County: North Carolina residents, 1999-2001 and 2010-2012
Overdose in NC: 333% increase in medication/drug overdose deaths since 1999
Good Samaritan/ Naloxone Access Law
1. Encourage people to seek medical attention in overdose
1. Increase access to naloxone to prevent or reverse overdose
Law was passed in April 2013
Good Samaritan/ Naloxone Access Law
Implementation Strategy
Local Health Department Naloxone Standing Orders
Survey: Local Health Department Awareness, Readiness & Need Methods Coordinated survey with UNC Injury
Prevention Research Center evaluation of statewide overdose prevention efforts
Qualtrics Survey sent to 85 health directors 96.5% response rate
Interested and planning
Not a priority
Have or are in process of adopting 20
39
22
Results: Interest & Actions Taken by LHDs to Adopt Naloxone Standing Orders
Chart1
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39
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Sales
Sheet1
Sales
Have or are in process20
Interested + planning39
Not a priority22
To update the chart, enter data into this table. The data is automatically saved in the chart.
Results: Interest & Actions Taken by LHDs to Adopt Naloxone Standing Orders
Comparison: Overdose Prevention Need
Building Capacity: Naloxone Standing Order Toolkit for LHDs
Process Interviewed Variety of
Stakeholders Literature Review Interviewed Health
Directors for Case Studies
BACKGROUND
IMPLEMENTATION& SUSTAINABILITY STAKEHOLDER MATERIALS PARTNER MATERIALS
STAKEHOLDER ENGAGEMENT
Next Steps: LHD Dissemination
Next Steps: Evaluation
How many LHDs utilized Standing Order toolkit?
How many Naloxone Standing Orders
were passed following toolkit dissemination?
Next Steps: Model for Other States
Questions? For more information contact: Scott Proescholdbell, MPH 919.707.5442 [email protected] Nidhi Sachdeva, MPH 919.707.5428 [email protected]
mailto:[email protected]:[email protected]
Slide Number 1Overdose in the US: Leading cause of injury deathUnintentional Poisoning Deaths by County: North Carolina residents, 1999-2001 and 2010-2012Slide Number 4Slide Number 5Implementation StrategySlide Number 7Slide Number 8Slide Number 9Comparison: Overdose Prevention NeedBuilding Capacity: Naloxone Standing Order Toolkit for LHDsSlide Number 12Slide Number 13Slide Number 14Slide Number 15Slide Number 16Slide Number 17Next Steps: LHD DisseminationNext Steps: EvaluationNext Steps: Model for Other StatesQuestions?
