Naloxone Counseling for Harm Reduction & Patient Engagement - PowerPoint PPT Presentation

Naloxone Counseling for Harm Reduction & Patient Engagement Lucas G. Hill, PharmD, BCPS Clinical Assistant Professor University of Texas at Austin College of Pharmacy 2016 Innovation in Healthcare Delivery Systems Symposium April 8, 2016

U.S. Department of Health & Human Services. Addressing Prescription Drug Abuse in the United States. CDC Website.

From 1999 – 2008… Prescribe: é x4 Death: é x4 Rehab: é x6 Paulozzi et al. Vital Signs: Overdoses of Prescription Opioid Pain Relievers – United States, 1999-2008. MMWR 2011;60:1487-92.

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

Overdose Data: Allegheny County. Overdose Free PA Website.

Five Principles of Harm Reduction Pragmatism Harm Focus Prioritize Humanism Cost/Benefit Hunt et al. A Review of the Evidence-Base for Harm Reduction Approaches to Drug Use. IHRA Website.

San Francisco Dept of Public Health. Naloxone for Opioid Safety. CHCF Website.

Results Level of comfort talking to PCP Dates Letters Kits about opioid use (n=16 patients) 2/1/14 – 5/31/15 71 97 100% 80% 4% Indication for Naloxone 60% Illicit Opioid 40% 36% RX Opioid 20% 60% Caregiver 0% Low Neutral High

Results Face-to-face naloxone counseling improves my satisfaction caring for new patients seeking refills of chronic opioids (n=22 FMR) 100% 80% 60% 40% 20% 0% 5 Reversals Reported Disagree Neutral Agree

Conclusions A naloxone counseling intervention implemented in three patient-centered medical homes enhanced provider satisfaction and prevented overdose deaths. Expansion • Multicenter emergency department naloxone dispensing • Inpatient FM service naloxone counseling and dispensing

Texas SB1462 • Naloxone standing orders (e.g. PharmD) • Third-party prescribing to family/caregivers • Liability protection for prescribers Interested? • Email: lucas.hill@austin.utexas.edu • Working with pharmacy student organization volunteers • Looking for small grants to support free naloxone kits

Naloxone Counseling for Harm Reduction & Patient Engagement Lucas G. Hill, PharmD, BCPS lucas.hill@austin.utexas.edu Acknowledgments Jonathan Han, MD; Marianne Koenig, PharmD; Alice Bell, LCSW; UPMC St. Margaret Departments of Family Medicine & Pharmacy

Naloxone Counseling for Harm Reduction & Patient Engagement - PowerPoint PPT Presentation

Naloxone Counseling for Harm Reduction & Patient Engagement Lucas G. Hill, PharmD, BCPS Clinical Assistant Professor University of Texas at Austin College of Pharmacy 2016 Innovation in Healthcare Delivery Systems Symposium April 8, 2016

Introduction to Harm Reduction Definition of Harm Reduction Harm reduction refers to policies,

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Introduction to Harm Reduction Treatment for Alcohol Use Disorders in American Indian and Alaska

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Innovative Ways to Fund Harm Reduction Services New Mexico Laine M. Snow, MSW HIV Service

Patient Engagement Advisory Panel October 1, 2014 Arlington, VA Patient Engagement Advisory

approach to the Rhonda Lovell, RN BNSc Public Health Nurse opioid crisis in Substance Use,

Legislation Action: Opportunities and Challenges Jason T. McGill, JD Sr. Health Policy Advisor

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Naloxone Counseling for Harm Reduction & Patient Engagement - PowerPoint PPT Presentation

Naloxone Counseling for Harm Reduction & Patient Engagement Lucas G. Hill, PharmD, BCPS Clinical Assistant Professor University of Texas at Austin College of Pharmacy 2016 Innovation in Healthcare Delivery Systems Symposium April 8, 2016

Introduction to Harm Reduction Definition of Harm Reduction Harm reduction refers to policies,

Harm Reduction &amp; Take Home Naloxone in First Nations Communities Janine Stevenson, Cindy

What is harm reduction? The International Harm Reduction Association (IHRA) defines harm

Utilization in the United States Robert Childs, MPH Executive Director North Carolina Harm

Overdose Prevention, Recognition, and Response MISSION Centering harm reduction in Arizona

Harm Reduction is Just Good Public Health Lisa Raville EXECUTIVE DIRECTOR HARM REDUCTION ACTION

What is it: Harm reduction is a set of practical strategies and ideas aimed at reducing

Harm Reduction: Supporting Drug User Health via Syringe Access John Q. Moses Coordinator Needle

What happens after patient harm? Why one family from Kansas is fighting to stop the secrecy and

Incorporating Harm Reduction Strategies in Behavioral Health Grantmaking October 25, 2017 1:00 p.m.

Viability of Comprehensive Harm Reduction and Syringe Services Program in Cecil County

Harm Reduction Approach Lewis S. Nelson, MD Rutgers New Jersey Medical School @LNelsonMD

Introduction to Harm Reduction Treatment for Alcohol Use Disorders in American Indian and Alaska

Suicide Risk Management Self-harm Risk Management &amp; Reduction of Self-harm Gary

Innovative Ways to Fund Harm Reduction Services New Mexico Laine M. Snow, MSW HIV Service

Patient Engagement Advisory Panel October 1, 2014 Arlington, VA Patient Engagement Advisory

approach to the Rhonda Lovell, RN BNSc Public Health Nurse opioid crisis in Substance Use,

Legislation Action: Opportunities and Challenges Jason T. McGill, JD Sr. Health Policy Advisor

Vector Semantics and Embeddings CSE392 - Spring 2019 Special Topic in CS Tasks

SWEN 262 Engineering of Software Subsystems Anti-Patterns References An anti pattern is a common

Wel elcome to o the e CCIM4C Webinar S r Seri ries! Before we begin, please type in your

HealingNYC Preventing Overdoses, Saving Lives Launched March 2017 Deputy Mayor for Health and

Pharmacy Clinical Decision Support Tools for Improving Opioid Safety LTC Mark Maneval, RPh, PhD

TREATING OPIOID ADDICTION IN HOMELESS POPULATIONS Cha lle ng e s a nd Oppo rtunitie s Pro viding

Harm Reduction & Take Home Naloxone in First Nations Communities Janine Stevenson, Cindy

Suicide Risk Management Self-harm Risk Management & Reduction of Self-harm Gary