Facilitators, barriers and lessons learnt from the first state-wide naloxone distribution conducted in West Virginia

Details

• Alternative Title:
  Inj Prev
• Personal Author:
  Rudisill, Toni Marie ; Ashraf, Alexandria J ; Linn, Herbert I ; Sayres, Sheena ; Jeffries, James E ; Gurka, Kelly K
• Description:
  Background
  
  Overdose education and naloxone distribution programmes are known to reduce opioid-related deaths. A state-wide naloxone distribution effort of 8250 rescue kits was undertaken by government, community and university partners in West Virginia in 2016–2017. The purpose of this study was to discern the barriers, facilitators and lesson learnt from implementing this endeavour in a rural state with the highest opioid overdose fatality rate in the US.
  
  Methods
  
  Structured interviews (n=26) were conducted among both internal and external stakeholders. Those who participated were >18 years of age and were the lead representative from agencies that either received naloxone (ie, external stakeholders) or helped implement the distribution (ie, internal stakeholders). The interviews followed standardised scripts and lasted approximately 40 min. Sessions were audio-recorded and transcribed. Qualitative content analysis was performed by two researchers to determine themes surrounding facilitators or barriers to programme implementation.
  
  Results
  
  The primary facilitators reported by stakeholders included collaborative partnerships, ease of participating in the programme, being established in prevention efforts, demand for naloxone and the need for personal protection from overdose. The primary barriers identified by stakeholders included bureaucracy/ policy/procedures of their organisation or agency, stigma, logistical or planning issues, problems with reporting, lack of communication post distribution and sustainability. Numerous lessons were learnt.
  
  Conclusions
  
  Based on the implementation of the programme in 87 organisations, including law enforcement and fire departments, the impact of facilitators outweighed that of barriers. These findings may inform others planning to conduct a similar, large-scale project.
  
  
• Subjects:
  Analgesics, Opioid Article Drug Overdose Humans Law Enforcement Naloxone West Virginia
• Source:
  Inj Prev. 27(4):369-374
• Pubmed ID:
  32873604
• Pubmed Central ID:
  PMC7957827
• Document Type:
  Journal Article
• Funding:
  R49 CE002109/CE/NCIPC CDC HHSUnited States/ ; U54 GM104942/GM/NIGMS NIH HHSUnited States/
• Volume:
  27
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:3aac3f1fcb79f780362f6355f7ea2cde81e628edd09f1accd38bc4d9247dd1c1
• Download URL:
  https://stacks.cdc.gov/view/cdc/104175/cdc_104175_DS1.pdf
• File Type:
  [PDF - 424.15 KB ]