reduction & patient engagement m/media/files/msb/centers... · figure 1. 2010. 25 20 15 10 o...
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Na
loxo
ne C
ounse
ling fo
r Ha
rm
Red
uctio
n & Pa
tient Eng
ag
em
ent
Luca
s G. H
ill, Pharm
D, BC
PS
Clin
ica
l Assista
nt Pro
fesso
r U
nive
rsity of Te
xas a
t Au
stin C
olle
ge
of Ph
arm
ac
y 2016 In
no
vatio
n in
He
alth
ca
re D
elive
ry System
s Symp
osiu
m
Ap
ril 8, 2016
U.S. D
ep
artm
en
t of H
ea
lth &
Hu
ma
n Se
rvice
s. Ad
dre
ssing
Presc
riptio
n D
rug
Ab
use
in th
e U
nite
d Sta
tes. C
DC
We
bsite
.
Pau
lozzi e
t al. V
ital Sig
ns: O
verd
ose
s of Pre
scrip
tion
Op
ioid
Pain
Re
lieve
rs – Un
ited
State
s, 1999-2008. MM
WR
2011;60:1487-92.
From
1999 – 2008…
Presc
ribe
: é x4
De
ath
: é x4
Re
ha
b: é
x6
He
de
ga
ard
et a
l. Dru
g-p
oiso
nin
g d
ea
ths in
volvin
g o
pio
id a
na
lge
sics: U
nite
d Sta
tes, 1999-2011. N
CH
S Da
ta Brie
f #190.
He
de
ga
ard
et a
l. Dru
g-p
oiso
nin
g d
ea
ths in
volvin
g o
pio
id a
na
lge
sics: U
nite
d Sta
tes, 1999-2011. N
CH
S Da
ta Brie
f #190.
Ove
rdo
se D
ata
: Alle
gh
en
y Co
un
ty. Ove
rdo
se Fre
e PA
We
bsite
.
Ove
rdo
se D
ata
: Alle
gh
en
y Co
un
ty. Ove
rdo
se Fre
e PA
We
bsite
.
Ove
rdo
se D
ata
: Alle
gh
en
y Co
un
ty. Ove
rdo
se Fre
e PA
We
bsite
.
Ove
rdo
se D
ata
: Alle
gh
en
y Co
un
ty. Ove
rdo
se Fre
e PA
We
bsite
.
Hu
nt e
t al. A
Re
view
of th
e Evid
en
ce
-Base
for H
arm
Re
du
ctio
n A
pp
roa
ch
es to
Dru
g U
se. IH
RA
We
bsite
.
Five Princ
iple
s of H
arm
Red
uctio
n
Prag
ma
tism
Hu
ma
nism
Ha
rm Fo
cu
s
Co
st/Ben
efit
Prioritize
San
Fran
cisc
o D
ep
t of Pu
blic
He
alth
. Na
loxo
ne
for O
pio
id Sa
fety. C
HC
F We
bsite
.
Results
Dates
LettersKits
2/1/14 – 5/31/1571
97
60%
36%
4% In
dic
atio
n fo
r Na
loxo
ne
Illicit O
pio
id
RX
Op
ioid
Ca
reg
iver
0%
20%
40%
60%
80%
100%
Low
N
eu
tral
Hig
h
Leve
l of c
om
fort ta
lking
to PC
P a
bo
ut o
pio
id u
se (n
=16 p
atie
nts)
Results
0%
20%
40%
60%
80%
100%
Disa
gre
e
Ne
utra
l A
gre
e
Fac
e-to
-fac
e n
alo
xon
e c
ou
nse
ling
im
pro
ves m
y satisfa
ctio
n c
arin
g fo
r n
ew
pa
tien
ts see
king
refills o
f c
hro
nic
op
ioid
s (n=
22 FMR
)
5 Reve
rsals Re
po
rted
Co
nclusio
ns A
na
loxo
ne
co
un
selin
g in
terve
ntio
n im
ple
me
nte
d in
thre
e
pa
tien
t-ce
nte
red
me
dic
al h
om
es e
nh
an
ce
d p
rovid
er
satisfa
ctio
n a
nd
pre
ven
ted
ove
rdo
se d
ea
ths.
Expa
nsion
• Mu
ltice
nte
r em
erg
en
cy d
ep
artm
en
t na
loxo
ne
disp
en
sing
• In
pa
tien
t FM se
rvice
na
loxo
ne
co
un
selin
g a
nd
disp
en
sing
Texa
s SB1462 • N
alo
xon
e sta
nd
ing
ord
ers (e
.g. Ph
arm
D)
• Third
-pa
rty pre
scrib
ing
to fa
mily/c
are
give
rs • Lia
bility p
rote
ctio
n fo
r pre
scrib
ers
Intere
sted
? • Em
ail: lu
ca
s.hill@
au
stin.u
texa
s.ed
u
• Wo
rking
with
ph
arm
ac
y stud
en
t org
an
izatio
n vo
lun
tee
rs • Lo
okin
g fo
r sma
ll gra
nts to
sup
po
rt free
na
loxo
ne
kits
Na
loxo
ne C
ounse
ling fo
r Ha
rm
Red
uctio
n & Pa
tient Eng
ag
em
ent
Luca
s G. H
ill, Pharm
D, BC
PS luc
as.hill@
austin.ute
xas.e
du
Ac
kno
wle
dg
me
nts
Jon
ath
an
Ha
n, M
D; M
aria
nn
e Ko
en
ig, Ph
arm
D; A
lice
Bell, LC
SW;
UPM
C St. M
arg
are
t De
pa
rtme
nts o
f Fam
ily Me
dic
ine
& Ph
arm
ac
y