Primary Care - A key route for distribution of naloxone in the community

Klimas, Jan; Tobin, Helen; Egan, Mairead; Barry, Tomás; Bury, Gerard

doi:10.1016/j.drugpo.2016.09.008

Cited by 6 publications

(5 citation statements)

References 9 publications

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“…21 The results of this study are compared with selected results from an earlier study involving general practice trainees that is reported elsewhere. 19 The UCD Human Research Ethics Committee granted exemption from full ethical review before commencing data collection. The study instrument was informed by previous studies concerning the epidemiology of opiate overdose and a pilot evaluation of an educational session to support overdose prevention and naloxone distribution by GP trainees.…”

Section: Methodsmentioning

confidence: 99%

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Opiate addiction and overdose: experiences, attitudes, and appetite for community naloxone provision

et al. 2017

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BackgroundMore than 200 opiate overdose deaths occur annually in Ireland. Overdose prevention and management, including naloxone prescription, should be a priority for healthcare services. Naloxone is an effective overdose treatment and is now being considered for wider lay use.Aim To establish GPs’ views and experiences of opiate addiction, overdose care, and naloxone provision.Design and setting An anonymous postal survey to GPs affiliated with the Department of Academic General Practice, University College Dublin, Ireland.MethodA total of 714 GPs were invited to complete an anonymous postal survey. Results were compared with a parallel GP trainee survey.ResultsA total of 448/714 (62.7%) GPs responded. Approximately one-third of GPs were based in urban, rural, and mixed areas. Over 75% of GPs who responded had patients who used illicit opiates, and 25% prescribed methadone. Two-thirds of GPs were in favour of increased naloxone availability in the community; almost one-third would take part in such a scheme. A higher proportion of GP trainees had used naloxone to treat opiate overdose than qualified GPs. In addition, a higher proportion of GP trainees were willing to be involved in naloxone distribution than qualified GPs. Intranasal naloxone was much preferred to single (P<0.001) or multiple dose (P<0.001) intramuscular naloxone. Few GPs objected to wider naloxone availability, with 66.1% (n = 292) being in favour.ConclusionGPs report extensive contact with people who have opiate use disorders but provide limited opiate agonist treatment. They support wider availability of naloxone and would participate in its expansion. Development and evaluation of an implementation strategy to support GP-based distribution is urgently needed.

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Section: Methodsmentioning

confidence: 99%

“…18 Previous work by the authors has explored the experience and views of trainee GPs in relation to opiate addiction and naloxone use. 19 The perspective of established Irish GPs is also highly relevant, but has not previously been documented. Ultimately, this group of GPs will determine the policies and procedures…”

Section: Introductionmentioning

confidence: 99%

Opiate addiction and overdose: experiences, attitudes, and appetite for community naloxone provision

et al. 2017

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“…The evidence overwhelmingly demonstrates that the presence of a supportive learning environment and clear guidance facilitate professional training ( Klimas et al., 2017b ). These data concord that even junior students are interested in learning about this population in primary care and want to learn more ( Klimas et al., 2016 ); however, they lack opportunities due to limited or delayed access to the population. As shown in two recent studies, even brief SUD training experience can have lasting, positive impact on medical students ( Gorfinkel et al., 2019 ; Klimas et al., 2017a ).…”

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confidence: 76%

Towards a framework for implementing physician education in substance use disorders

Klimas

McCracken

Robertson

et al. 2021

Drug and Alcohol Dependence Reports

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“…However, GPs do not generally consider themselves as first responders in overdose cases and were not included in a recent demonstration project of expanding use of naloxone for overdose beyond use by paramedics. The study found that one third of GPs practicing in Ireland and two thirds of GP trainees would be willing to take part in a program of distribution [16,17]. …”

Section: Opioid Antagonist Therapy For Opioid Use Disorders and Overdosementioning

confidence: 99%

National Institute on Drug Abuse International Program

Gust

McCormally

2018

Current Opinion in Psychiatry

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Purpose of review For more than 25 years, the National Institute on Drug Abuse (NIDA) has supported research-training programs, establishing a global research network and expanding the knowledge base on substance use disorders. International research to inform approaches to opioid addiction is particularly important and relevant to the United States, where opioid misuse, addiction, and overdose constitute an emerging public health crisis. This article summarizes the NIDA International Program and illustrates its impact by reviewing recent articles about treatment approaches for opioid use disorders (OUD). Recent findings Studies in several countries have demonstrated the effectiveness of physician office-based opioid substitution therapies. Other research has demonstrated the effectiveness of different formulations and doses of the opioid antagonist naltrexone, as well as different approaches to providing naloxone to treat opioid overdose. Continuing research into implementation of evidence-based treatment in international settings with limited resources is applicable to US regions that face similar structural, legal, and fiscal constraints. Summary The current review describes international research on OUD treatment and opioid overdose, most coauthored by former NIDA fellows. The findings from outside the United States have important implications for best practices domestically and in other countries that are experiencing increases in OUD prevalence and related overdose deaths.

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Primary Care - A key route for distribution of naloxone in the community

Cited by 6 publications

References 9 publications

Opiate addiction and overdose: experiences, attitudes, and appetite for community naloxone provision

Opiate addiction and overdose: experiences, attitudes, and appetite for community naloxone provision

Towards a framework for implementing physician education in substance use disorders

National Institute on Drug Abuse International Program

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