ArticleBMJ open2019
Lessons learned from ramping up a Canadian Take Home Naloxone programme during a public health emergency: a mixed-methods study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Priority setting for Canadian Take-Home Naloxone best practice guideline development: an adapted online Delphi method.Harm reduction journal · 2022Guideline
- Implementing community drug checking in smaller urban communities: a qualitative study exploring contextual factors to consider.Harm reduction journal · 2025Article
- Scaling up! Staff e-learning for a national take-home naloxone program.Frontiers in digital health · 2024Article
- Sweden's first Take-Home Naloxone program: participant characteristics, dose endpoints and predictors for overdose reversals.Substance abuse treatment, prevention, and policy · 2023Article
- The effectiveness of a noninterruptive alert to increase prescription of take-home naloxone in emergency departments.Journal of the American Medical Informatics Association : JAMIA · 2023Observational
- (Re)situating expertise in community-based overdose response: Insights from an ethnographic study of overdose prevention sites (OPS) in Vancouver, Canada.The International journal on drug policy · 2023Article
- Intention to seek emergency medical services during community overdose events in British Columbia, Canada: a cross-sectional survey.Substance abuse treatment, prevention, and policy · 2022Article
- Factors associated with 60-day adherence to "safer supply" opioids prescribed under British Columbia's interim clinical guidance for health care providers to support people who use drugs during COVID-19 and the ongoing overdose emergency.The International journal on drug policy · 2022Article
- Awareness and knowledge of the Good Samaritan Drug Overdose Act among people at risk of witnessing an overdose in British Columbia, Canada: a multi-methods cross sectional study.Substance abuse treatment, prevention, and policy · 2022Article
- Factors associated with take-home naloxone kit usage in British Columbia: an analysis of administrative data.Substance abuse treatment, prevention, and policy · 2022Article
- Using linked data to identify pathways of reporting overdose events in British Columbia, 2015-2017.International journal of population data science · 2022Article
- Perspectives of Stakeholders of Equitable Access to Community Naloxone Programs: A Literature Review.Cureus · 2022Review
- Observational
- The implementation and role of a staff naloxone program for non-profit community-based sites in British Columbia: A descriptive study.PloS one · 2021Article
- Intervention in an opioid overdose event increases interest in treatment among individuals with opioid use disorder.Substance abuse · 2021Article
- Convenience and comfort: reasons reported for using drugs alone among clients of harm reduction sites in British Columbia, Canada.Harm reduction journal · 2020Article
- Article
- Canadian national consensus guidelines for naloxone prescribing by pharmacists.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPCArticle
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study describes the 2016 expansion of the British Columbia Take Home Naloxone (BCTHN) programme quantitatively and explores the challenges, facilitators and successes during the ramp up from the perspectives of programme stakeholders.
designMixed-methods study.
settingThe BCTHN programme was implemented in 2012 to reduce opioid overdose deaths by providing naloxone kits and overdose recognition and response training in BC, Canada. An increase in the number of overdose deaths in 2016 in BC led to the declaration of a public health emergency and a rapid ramp up of naloxone kit production and distribution. BCTHN distributes naloxone to the five regional health authorities of BC.
participantsFocus groups and key informant interviews were conducted with 18 stakeholders, including BC Centre for Disease Control staff, urban and rural site coordinators, and harm reduction coordinators from the five regional health authorities across BC. PRIMARY AND SECONDARY OUTCOME MEASURES: Take Home Naloxone (THN) programme activity, qualitative themes and lessons learnt were identified.
resultsIn 2016, BCTHN responded to a 20-fold increase in demand of naloxone kits and added over 300 distribution sites. Weekly numbers of overdose events and overdose deaths were correlated with increases in THN kits ordered the following week, during 2013-2017. Challenges elicited include forecasting demand, operational logistics, financial, manpower and policy constraints. Facilitators included outsourcing kit production, implementing standing orders and policy changes in naloxone scheduling, which allowed for easier hiring of staff, reduced paperwork and expanded client access.
conclusionFor THN programmes preparing for potential increases in naloxone demand, we recommend creating an online database, implementing standing orders and developing online training resources for standardised knowledge translation to site staff and clients.
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