Access and Barriers to Take-Home Naloxone Use among Emergency Department Patients with Opioid Misuse in Baltimore, Maryland, USA
Bibliographic Data
| ID | 21645409 |
|---|---|
| Authors | Brenten R Hurt (0000-0002-8599-3755, University of Maryland School of Medicine), Atizaz Hussain (University of Maryland School of Medicine), Ali Aledhaim (University of Maryland School of Medicine), Siamak Moayedi (0000-0001-8168-2776, University of Maryland School of Medicine), Stephen Schenkel (University of Maryland, Baltimore), Stephen M Schenkel (University of Maryland School of Medicine), Hong Kim (0000-0003-0199-5786, University of Maryland School of Medicine, corresponding author) |
| Year | 2020 |
| Volume | 55 |
| Issue | 13 |
| Pages | 2237-2242 |
| Publication date | 2020-03-03 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Substance Use & Misuse (JOURNAL) |
| Journal identifiers | ISSN: 1082-6084 • E-ISSN: 1532-2491 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/10826084.2020.1797811 |
| PMID | 32729772 |
| OpenAlex | W3046136320 |
| Language | EN |
| References cited | 21 |
Background The opioid epidemic has prompted the expansion of take-home naloxone (THN) distribution programs. The proportion of emergency department (ED) patients with opioid misuse who have access to a naloxone kit (NK) and barriers to using it are unclear. Objective: Characterizing the access and barrier to NK use among at-risk ED patients. Methods: We enrolled a convenience sample of ED patients with active opioid misuse from May 21–July 31, 2018. We administered a survey to collect patients’ demographic data, substance use history, and access to and use of NK. The primary outcome was NK access (prior receipt of a kit or prescription); secondary outcomes were knowledge and use of NK, and barriers to obtaining and using it. Results: Of 165 respondents, 71.5% knew of THN programs and 57.6% (n = 95) had access to THN by either having received a NK (n = 90) or a prescription (n = 5); 34 respondents received both. Among 39 (23.6%) who received a naloxone prescription, 25 (64.1%) filled it. 60.0% (n = 99) reported knowing how to administer naloxone; lack of training was the primary reason (n = 63/66, 96.9%) for their unfamiliarity. Patients who presented after an opioid overdose (25.5%; n = 42) were less likely to have knowledge of THN programs (57.1% vs. 76.4%), and to have received a NK (35.7% vs. 61.0%). Conclusion: Awareness of THN programs was high among our cohort. But approximately 60% the respondents received a NK or knew how to use it. Despite efforts to expand THN access, gaps in knowledge, access, and use exist
Cohort · Emergency department · Expanded access · Family medicine · Medical prescription · Opioid · Opioid abuse · Opioid overdose · Psychiatry · Receipt · Medicine · Nursing · Opioid Use Disorder Treatment · Prenatal Substance Exposure Effects · Substance Abuse Treatment and Outcomes · Emergency Medicine · Internal Medicine
A Systematic Review of Community Opioid Overdose Prevention and Naloxone Distribution Programs
Drug and Opioid-Involved Overdose Deaths — United States, 2013–2017
Overdose rescues by trained and untrained participants and change in opioid use among substance-using participants in overdose education and naloxone distribution programs
Identifying gaps in the implementation of naloxone programs for laypersons in the United States
| Citation velocity | historical |
|---|---|
| Highly cited | No |