Annual Report on Naloxone Training through the Overdose Response - - PowerPoint PPT Presentation

Annual Report on Naloxone Training through the Overdose Response Program(ORP)

Intern: Yanan Dong, MHS, Johns Hopkins Bloomberg School of Public Health Preceptors: Dana Heilman, MSW, MPH, Division Chief, Policy and Program Management Erin Russell, MPH, Center Chief Center for Harm Reduction Services, Maryland Department of Health May 8, 2020

Contents

• 1. Project Introduction & Overview
• 2. Project Aims
• 3. Methods
• 4. Findings
• 5. Limitations & Challenges
• 6. Moving Forward
• 7. Acknowledgements

Project Introduction & Overview

Overdose Response Program(ORP)

• Started 2014
• Program Structure 1:

Local health departments, Community-based

• rganizations(CBOs),

Substance use disorder Treatment programs and

• ther health care providers

Private/Public Entities Center for Harm Reduction Services , MDH Maryland Poison Control Individuals Provide overdose education &naloxone training, dispensing

Report Naloxone Administration Report Naloxone Administration

• 1. Access Harm Reduction Program. https://phpa.health.maryland.gov/Pages/accessharmreduction.aspx accessed on Accessed on April 15, 2020

Project Aims

• Learn about what harm reduction strategies are currently employed by MDH to

address the opioid epidemic in Maryland. Understand the history, transition and current structure of major programs such as Overdose Response Program(ORP).

• To resolve the data discrepancy between the MDH reporting guidance and

authorized entities. Data cleaning, management and conduct descriptive analysis

• Draft the annual report for FY 2019 to present data from the ORP.
• Communicating the results of data analysis above to various audiences, including

the public, government agencies, leadership within the Department, Center team members, and authorized ORP entities.

Methods

Dataset introduction & management strategy

• Aggregated
• Training-related information (date, setting and training location by jurisdiction)
• Self-reported demographic information of individuals received training and

naloxone kits/refills

• Report-related information (date of reporting and data entry contact information)

Descriptive Analysis:

• Distribution of demographic information
• Summarize key statistics

MDH ORP entities Flagged records with reporting errors Corrected records

Findings

Figure 1A : Self-reported Age Figure 1B : Self-reported Race/ethnicity Figure 1C : Self-reported Gender Figure 1D : Self-reported Reason

Findings

Figure 2. Top5 training setting Figure 3. Proportion of High-risk Group trained by setting

Findings

Figure 4. FY2018-FY2019 Comparison per month Figure 5. 6-month Aggregated Data for comparison after the centralized purchasing model

Limitations & Challenges

• Limited Data Verification process due to the unprecedented COVID-19
• Aggregated Data, may not be sufficient to draw conclusion at the

individual-level

• Changes in the program structure may not introduce timely difference

in data available now

• Persistent under-reporting among authorized entities

Moving Forward

Combine the death statistics, naloxone administration reports, and GIS information with the training dataset In-depth Analysis Plans: to understand whether we have provided enough naloxone to the communities to achieve “saturation” and where the gaps/barriers are

Acknowledgements

Huge thanks to: My preceptor Ms. Dana Heilman and Ms. Erin Russell

• Ms. Elizabeth Murphy, Mr. Mark Lockwood, and all team members in the Center for Harm

Reduction Services. PHASE Program Team: Paulani Mui, Beth Resnick, April Tong and Eril Smith

Thank you for listening!

Contact: Yanan Dong(ydong29@jhmi.edu) Dana Heilman(dana.heilman1@maryland.gov)