10/15/2019 Implementation of a Collaborative Model for Opioid - - PDF document

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10/15/2019 Implementation of a Collaborative Model for Opioid - - PDF document

10/15/2019 Implementation of a Collaborative Model for Opioid Overdose Prevention on Campus Lucas G. Hill, PharmD, BCPS, BCACP Lori K. Holleran Steiker, PhD, ACSW The University of Texas at Austin Powered by: The Ohio State University Asking


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Powered by: The Ohio State University

Implementation of a Collaborative Model for Opioid Overdose Prevention on Campus

Lucas G. Hill, PharmD, BCPS, BCACP Lori K. Holleran Steiker, PhD, ACSW The University of Texas at Austin

Q&A: Your questions will be submitted to the staff and answered at the end of the

  • webinar. Any questions we do not address

during the webinar will be shared via email along with a recording of the webinar. The audio is by default through your computer’s speakers. If you would like to call in, click “view audio options” Asking Questions Membership Learn more at hecaod.osu.edu

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Lucas G. Hill, PharmD, BCPS, BCACP Clinical Assistant Professor The University of Texas at Austin Our Presenter Lori K. Holleran Steiker, PhD, ACSW Steve Hicks Professor of Addiction, Recovery and Substance Abuse Services The University of Texas at Austin

Implementation of a Collaborative Model for Opioid Overdose Prevention on Campus

Lucas G. Hill, PharmD, BCPS, BCACP Lori K. Holleran Steiker, PhD, ACSW The University of Texas at Austin HECAOD Webinar | October 10, 2019

Learning Objectives

  • Recognize the risk for overdose death among

college students

  • Discuss the role of naloxone in overdose

prevention efforts

  • Describe the proactive overdose prevention model

at UT Austin

  • Plan for implementation of a proactive overdose

prevention model

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Which drugs are opioids?

Opioids

  • Heroin
  • Morphine
  • Codeine
  • Hydrocodone
  • Oxycodone
  • Fentanyl

NOT Opioids

  • Cocaine
  • Methamphetamine
  • Cannabis
  • K2 / Spice
  • LSD / Acid
  • Ketamine

The Upshot. The New York

  • Times. April 14, 2017.

http://nyti.ms/2oMFxCj

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Hedegaard et al. Drug-poisoning deaths involving opioid analgesics: United States, 1999-2011. NCHS Data Brief #190. Hedegaard et al. Drug-poisoning deaths involving opioid analgesics: United States, 1999-2011. NCHS Data Brief #190.

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Opioid Safety: Focus on Furnishing Naloxone. San Francisco Department of Public Health. https://goo.gl/AcJvAb

What should you do if you encounter an

  • pioid overdose?
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Emergency Response for Opioid Overdose. HRC Website. https://harmreduction.org/issues/overdose-prevention/overview/overdose-basics/responding-to-opioid-

  • verdose/administer-naloxone/. Used with permission.

Emergency Response for Opioid Overdose. HRC Website. https://harmreduction.org/issues/overdose-prevention/overview/overdose-basics/responding-to-opioid-

  • verdose/administer-naloxone/. Used with permission.

San Francisco Department of Public Health. Naloxone for Opioid Safety. San Francisco Health Network Website. http://bit.ly/2t8GaKy

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Naloxone for Laypersons Naloxone Access Laws

Enacted by all 50 U.S. states + D.C. Allow laypersons to possess, distribute, and administer naloxone Provide broad liability protections

Network for Public Health Law. Legal interventions to reduce overdose mortality: naloxone access and overdose Good Samaritan laws. https://www.networkforphl.org/_asset/qz5pvn/legal-interventions-to-reduce-overdose.pdf.

Resources for academic institutions, community

  • rganizations, & healthcare providers

Continuing education regarding harm reduction for pharmacists, prescribers, & social workers

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Background & Significance

  • Between 1993-2005, the percentage of college

students using & misusing prescription drugs increased exponentially; #s continue to rise

  • Use of opioids increased 343% (Clinton Health

Matters Initiative, 2014)

  • 50% of college students are offered a

prescription drug for non-medical use by their sophomore year (Arria, 2008)

  • Problem most prevalent among highly

selective, urban colleges

  • In surveys, college students who took an opioid

for reasons other than for pain relief had a much greater risk (~5x) of experiencing three

  • r more drug-use related problems (McCabe et al,

2008)

College-Aged Risk Factors

Persons aged 18-25 are more likely than any other age group to have:

  • …misused an Rx drug in the past year
  • …used any illicit drug in the past month
  • …used heroin in the past month

Hughes A, Williams MR, Lipari RN, Bose J, Copello EAP, Kroutil LA. Prescription drug use and misuse in the United States: Results from the 2015 National Survey on Drug Use and Health. NSDUH Data Review. September 2016. Center for Behavioral Health Statistics and Quality. Key substance use and mental health indicators in the United States: Results from the 2015 National Survey on Drug Use and Health. HHS Publication No. SMA 16-4984, NSDUH Series H-51. Published September 2016. Hasin DS, O’Brien CP, Auriacombe M. DSM-5 Criteria for Substance Use Disorders. Am J Psychiatry 2013;170:834-51.

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Interdisciplinary Team

The Associate Vice President for Student Affairs created a Task Force:

 UT Wellness Network  UT Social Work  UT Pharmacy  UT Center for Students in Recovery  UT Students for Sensible Drug Policy  UT Police Department  UT Housing & Food Services  Texas Overdose Naloxone Initiative  Texas Harm Reduction Coalitions

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Accessing Naloxone

  • Donations secured from community harm

reduction organization via manufacturers

  • Free NARCAN Nasal Spray available for

U.S. colleges and universities

PharmD Service Learning

Every PharmD student since 2016 has been trained to lead educational outreach events Recently expanded to include MSW and MD students

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Key Findings @ UT Austin

  • At least 5 lives were saved in the first two years of

the student-led service learning program!!!

  • Service learning participation increased knowledge and

promoted positive attitudes regarding harm reduction

  • Naloxone doses stocked in the residence halls and

distributed to campus police have not yet been used

Hill LG, Steiker LH, Mazin L, Kinzly ML. Implementation of a collaborative model for opioid overdose prevention on campus. J Am Coll Health. Published online January 7, 2019. Hill LG, Sanchez JP, Laguado SA, Lawson KA. Operation Naloxone: Overdose prevention service learning for student pharmacists. Curr Pharm Teach Learn. 2018;10(10):1348-53.

Lori Holleran Steiker, PhD, ACSW| lorikay@mail.utexas.edu Lucas G. Hill, PharmD, BCPS, BCACP | lucas.hill@austin.utexas.edu

Open trainings with free naloxone distribution to students, faculty, and staff should be the top priority for campuses when establishing a proactive model for overdose prevention.

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Save The Date

Harm Reduction Learning Collaborative

Stay Tuned for more details regarding our Fall Harm Reduction Learning Collaborative

Learning collaboratives are a series of web-based trainings on a specific topic. Each series is available for $100 and provides institutional access to live webinars during the current session and archived recordings to all completed webinars. Gain free access to learning collaboratives by purchasing an individual or campus membership.

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