approach to the Rhonda Lovell, RN BNSc Public Health Nurse opioid - - PowerPoint PPT Presentation

Healthy People, Healthy Places

A population approach to the

• pioid crisis in

KFL&A

Rhonda Lovell, RN BNSc

Public Health Nurse Substance Use, Mental Health & Injury Prevention Team

June 11, 2018

ONTARIO’S RESPONSE

$222+ million over the next 3 years – expansion of harm reduction services, more front line staff, improving access to addictions supports Improved access to comprehensive care via Rapid Access Addiction Medicine (RAAM) clinics Overdose Prevention Sites

• Established Opioid Emergency Task Force
• $20 million annually for Ontario’s Chronic Pain Network
• Improved supports for best practice for physicians, customized prescribing data, mentoring, education

and other supports

A harm reduction approach Understanding & addressing stigma Spectrum of substance use The need for upstream approaches

The rise of the opioid crisis & the magnitude of the problem Opioids: what they are and how they work Fentanyl: what it is and why it’s dangerous Risk factors for opioid

• verdose

How to prevent an

• verdose

How to recognize an

• pioid
• verdose

Naloxone: what it is & how it works How to respond to an

• pioid
• verdose

P.R.O.M.P.T. TRAINING Preventing & Responding to Overdose: Making Progress Together

TRAINING & DISTRIBUTION FOR EMERGENCY RESPONSE ❖Fire & rescue services ❖Police services ❖St John Ambulance PUBLIC TRAINING & DISTRIBUTION ❖Main & branch offices ❖Public health programs ❖Group training events CLIENT TRAINING & DISTRIBUTION via

• ther organizations

❖Community based organizations ❖Hospitals TRAINING COMMUNITY ORGANIZATIONS ❖Ineligible to distribute or not interested at this time ❖Emergency response, info for staff /volunteers or to share with clients

TRAINING & NALOXONE DISTRIBUTION

Where can the public get naloxone? Kingston Frontenac Lennox & Addington

FREE nasal spray naloxone kits are available at KFL&A Public Health: Kingston office 221 Portsmouth Avenue Monday - Friday 9am – 12pm & 1pm – 4pm Please call ahead to get a kit from branch offices in Napanee, Sharbot Lake & Cloyne

Many pharmacies in KFL&A have FREE IM injectable AND nasal spray kits. Street Health Centre can provide FREE nasal spray kits to their clients. One Roof Kingston Youth Hub can provide FREE nasal spray kits to their clients. Stay tuned for more locations!

www.ontario.ca/naloxone

Who is eligible to receive a free take-home kit?

Members of the public who identify as:

• Someone at risk of an opioid overdose
• A friend or family member of someone at risk of an opioid
• verdose
• Another person able to help someone at risk of an opioid
• verdose

NARCAN Naloxone Kit Contents

• 2 naloxone nasal spray

applicators

• 1 pair of non-latex gloves
• COMING SOON – rescue

breathing barrier

• 1 card that identifies the

person who is trained to give the naloxone

• 5 Steps to Respond to An

Opioid Overdose information sheet (English & French)

KFL&A Community Drug Strategy Advisory Committee

• Membership:

– Health and social services – Law enforcement – Municipalities

• Convened March 2017
• Four pillar model
• Opioid action plan
• Community drug strategy

– Collective impact approach – Upstream initiatives – Engagement with the community including people with lived experience

OTHER PARTNERSHIPS

• Supporting implementation of naloxone in

secondary schools of local school boards

• City of Kingston staff training to support

implementation of naloxone in public- facing facilities

• Risk communication campaign developed

with post-secondary partners & shared across Ontario

• 2017 International Overdose Awareness

Day co-event with Street Health Centre