The implementation and role of a staff naloxone program for non-profit community-based sites in British Columbia: A descriptive study.

<h4>Introduction</h4>The BC Centre for Disease Control implemented the Facility Overdose Response Box (FORB) program December 1st, 2016 to train and support non-healthcare service providers who may respond to an overdose in the workplace. The program aims to support staff at non-profit c...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Sierra Williams, Tanis King, Kristi Papamihali, Jane A Buxton
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f7f07c15704e4ea09ff845635254b235
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:f7f07c15704e4ea09ff845635254b235
record_format	dspace
spelling	oai:doaj.org-article:f7f07c15704e4ea09ff845635254b2352021-12-02T20:05:35ZThe implementation and role of a staff naloxone program for non-profit community-based sites in British Columbia: A descriptive study.1932-620310.1371/journal.pone.0251112https://doaj.org/article/f7f07c15704e4ea09ff845635254b2352021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251112https://doaj.org/toc/1932-6203<h4>Introduction</h4>The BC Centre for Disease Control implemented the Facility Overdose Response Box (FORB) program December 1st, 2016 to train and support non-healthcare service providers who may respond to an overdose in the workplace. The program aims to support staff at non-profit community-based organizations by ensuring policy development, training, practice overdose response exercises, and post-overdose debriefing opportunities are established and implemented.<h4>Materials and methods</h4>Three data sources were used in this descriptive cross-sectional study: FORB site registration data; naloxone administration forms; and a survey that was distributed to FORB sites in February 2019. FORB program site and naloxone administration data from December 1st, 2016 to December 31st, 2019 were analyzed using descriptive statistics. A Cochran-Armitage test was used to assess trends over time in naloxone administration event characteristics. Site coordinator survey results are reported to supplement findings from administrative data.<h4>Results</h4>As of December 31st, 2019, FORB was implemented at 613 sites across BC and 1,758 naloxone administration events were reported. The majority (86.3%, n = 1,517) were indicated as overdose reversals. At registration, 43.6% of sites provided housing services, 26.3% offered harm reduction supplies, and 18.6% provided Take Home Naloxone. Refusal to be transported to hospital following overdose events when emergency services were called showed an increasing trend over time. Most respondents (81.3%) reported feeling confident in their ability to respond to the overdose and 59.6% were offered staff debrief. Based on the 89 site survey responses, supports most commonly made available following an overdose were debrief with a fellow staff member (91.0%), debrief with a supervisor (89.9%), and/or counselling services (84.3%).<h4>Conclusions</h4>The uptake of the FORB program has contributed to hundreds of overdose reversals in community settings in BC. Findings suggest that the FORB program supports developing staff preparedness and confidence in overdose response in community-based settings.Sierra WilliamsTanis KingKristi PapamihaliJane A BuxtonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251112 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sierra Williams Tanis King Kristi Papamihali Jane A Buxton The implementation and role of a staff naloxone program for non-profit community-based sites in British Columbia: A descriptive study.
description	<h4>Introduction</h4>The BC Centre for Disease Control implemented the Facility Overdose Response Box (FORB) program December 1st, 2016 to train and support non-healthcare service providers who may respond to an overdose in the workplace. The program aims to support staff at non-profit community-based organizations by ensuring policy development, training, practice overdose response exercises, and post-overdose debriefing opportunities are established and implemented.<h4>Materials and methods</h4>Three data sources were used in this descriptive cross-sectional study: FORB site registration data; naloxone administration forms; and a survey that was distributed to FORB sites in February 2019. FORB program site and naloxone administration data from December 1st, 2016 to December 31st, 2019 were analyzed using descriptive statistics. A Cochran-Armitage test was used to assess trends over time in naloxone administration event characteristics. Site coordinator survey results are reported to supplement findings from administrative data.<h4>Results</h4>As of December 31st, 2019, FORB was implemented at 613 sites across BC and 1,758 naloxone administration events were reported. The majority (86.3%, n = 1,517) were indicated as overdose reversals. At registration, 43.6% of sites provided housing services, 26.3% offered harm reduction supplies, and 18.6% provided Take Home Naloxone. Refusal to be transported to hospital following overdose events when emergency services were called showed an increasing trend over time. Most respondents (81.3%) reported feeling confident in their ability to respond to the overdose and 59.6% were offered staff debrief. Based on the 89 site survey responses, supports most commonly made available following an overdose were debrief with a fellow staff member (91.0%), debrief with a supervisor (89.9%), and/or counselling services (84.3%).<h4>Conclusions</h4>The uptake of the FORB program has contributed to hundreds of overdose reversals in community settings in BC. Findings suggest that the FORB program supports developing staff preparedness and confidence in overdose response in community-based settings.
format	article
author	Sierra Williams Tanis King Kristi Papamihali Jane A Buxton
author_facet	Sierra Williams Tanis King Kristi Papamihali Jane A Buxton
author_sort	Sierra Williams
title	The implementation and role of a staff naloxone program for non-profit community-based sites in British Columbia: A descriptive study.
title_short	The implementation and role of a staff naloxone program for non-profit community-based sites in British Columbia: A descriptive study.
title_full	The implementation and role of a staff naloxone program for non-profit community-based sites in British Columbia: A descriptive study.
title_fullStr	The implementation and role of a staff naloxone program for non-profit community-based sites in British Columbia: A descriptive study.
title_full_unstemmed	The implementation and role of a staff naloxone program for non-profit community-based sites in British Columbia: A descriptive study.
title_sort	implementation and role of a staff naloxone program for non-profit community-based sites in british columbia: a descriptive study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/f7f07c15704e4ea09ff845635254b235
work_keys_str_mv	AT sierrawilliams theimplementationandroleofastaffnaloxoneprogramfornonprofitcommunitybasedsitesinbritishcolumbiaadescriptivestudy AT tanisking theimplementationandroleofastaffnaloxoneprogramfornonprofitcommunitybasedsitesinbritishcolumbiaadescriptivestudy AT kristipapamihali theimplementationandroleofastaffnaloxoneprogramfornonprofitcommunitybasedsitesinbritishcolumbiaadescriptivestudy AT janeabuxton theimplementationandroleofastaffnaloxoneprogramfornonprofitcommunitybasedsitesinbritishcolumbiaadescriptivestudy AT sierrawilliams implementationandroleofastaffnaloxoneprogramfornonprofitcommunitybasedsitesinbritishcolumbiaadescriptivestudy AT tanisking implementationandroleofastaffnaloxoneprogramfornonprofitcommunitybasedsitesinbritishcolumbiaadescriptivestudy AT kristipapamihali implementationandroleofastaffnaloxoneprogramfornonprofitcommunitybasedsitesinbritishcolumbiaadescriptivestudy AT janeabuxton implementationandroleofastaffnaloxoneprogramfornonprofitcommunitybasedsitesinbritishcolumbiaadescriptivestudy
_version_	1718375519906430976

The implementation and role of a staff naloxone program for non-profit community-based sites in British Columbia: A descriptive study.

Ejemplares similares