SLIDE 1
How expanding Community Based Naloxone dispensing can impact health services
April 23, 2019
CADTH 16-Apr-2019
April 23, 2019
- Dr. Kay Rittenbach has the following relevant
can impact health services April 23, 2019 CADTH 16-Apr-2019 - - PowerPoint PPT Presentation
can impact health services April 23, 2019 CADTH 16-Apr-2019 - - PowerPoint PPT Presentation
How expanding Community Based Naloxone dispensing can impact health services April 23, 2019 CADTH 16-Apr-2019 Disclosure Dr. Kay Rittenbach has the following relevant financial relationships to disclose: Grant/research support from: Alberta
SLIDE 2
SLIDE 3
CADTH 16-Apr-2019
April 23, 2019
- Alberta Health Services
- Addiction and Mental Health
Provincial team
- Addiction and Mental Health
Strategic Clinical Network
- PPIH
- Harm reduction program
- Alberta Health
- FNIHB
Background – Provincial Program
- Alberta Community Council on HIV
- ARCHES
- Safeworks
- Streetworks
- HIVCommunity Link
- HIV North
- Options
- Turning Point
- Community Pharmacies
SLIDE 4
CADTH 16-Apr-2019
April 23, 2019
Streetworks – 2005 ACCH – 2015 July
- Eight sites in 8 cities
- Funded and supported by Alberta Health
AHS – 2015 Dec
- Addiction and mental health services
- Emergency Departments
- Corrections
- Opioid Treatment Clinics
Community based Pharmacies – 2016 Jan
- Funded by Alberta Health
- Kits from AHS
Background
SLIDE 5
CADTH 16-Apr-2019
April 23, 2019
Kits distributed
ACCH sites begin distributing kits AHS sites and Community Pharmacies begin Schedule 1 to 2 Awareness Campaign Unscheduled
140,946 Kits distributed 1,918 providers
AHS CEO directive Harm Reduction Conference in Edmonton
SLIDE 6
CADTH 16-Apr-2019
April 23, 2019
- Reversal Reports – 8,883 reported
- Community Pharmacies
- Supervised Consumption Services
- Emergency Department
- Residential & Detox services
Methods
SLIDE 7
CADTH 16-Apr-2019
April 23, 2019
- Emergency Department Survey
- Internal report presented to multiple groups – Emergency
Department Strategic Clinical Network; Harm Reduction Steering Committee
- Matched survey results to administrative data – this helped
identify locations to focus on training for naloxone kit distribution
Results
SLIDE 8
OD visits, dispenses kits OD visits, does not dispense kits
April 23, 2019
(Jan 1, 2016 – Apr 30, 2017)
THNK availability at responding sites with visits related to
- pioid poisoning
(Feb, 2019)
SLIDE 9
CADTH 16-Apr-2019
April 23, 2019
- Residential & Detox Services
- All AHS/contracted youth and adult services
- 38 interviews (45 services)
- Just under 60% of the services directly provide kits or have an
- utside organization provide kits
- Harm Reduction team met with non-distributing sites to
provide targeted Naloxone education and support
Results
SLIDE 10
CADTH 16-Apr-2019
April 23, 2019
- Health System
- Partnerships – the trust built in this work has grown to further
work
- First Nations continue to benefit from provincial willingness to
fund and support kit access and other harm reduction activities on reserve in Alberta.
- Alberta Health Services now has a Harm Reduction program
within the Population, Public & Indigenous Health group
Results
SLIDE 11
April 23, 2019