Building Capacity of Health Departments to Pass … · 1980 1982 1984 1986 1988 1990 1992 1994 1996...

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Presenters: Amy Bryson, MPH Joy Massey, MPH Additional UNC Gillings School of Public Health Capstone Team: Elizabeth Moore, Shriya Soora, Diana Zuskov Preceptors: Scott Proescholdbell, MPH Nidhi Sachdeva, MPH North Carolina Division of Public Health Injury Violence Prevention Branch Building Capacity of Health Departments to Pass Naloxone Standing Orders in NC

Transcript of Building Capacity of Health Departments to Pass … · 1980 1982 1984 1986 1988 1990 1992 1994 1996...

  • Presenters: Amy Bryson, MPH Joy Massey, MPH Additional UNC Gillings School of Public Health Capstone Team: Elizabeth Moore, Shriya Soora, Diana Zuskov Preceptors: Scott Proescholdbell, MPH Nidhi Sachdeva, MPH North Carolina Division of Public Health Injury Violence Prevention Branch

    Building Capacity of Health Departments to Pass Naloxone Standing Orders in NC

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    1980 1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010

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    Motor Vehicle Traffic Poisoning Drug Poisoning (Overdose)

    Overdose in the US: Leading cause of injury death

    Source: CDC Public Health Week, Baldwin, Emory University, April 2014

  • Source: N.C. State Center for Health Statistics, Vital Statistics-Deaths, 1999-2012 Analysis by Injury Epidemiology and Surveillance Unit

    Unintentional Poisoning Deaths by County: North Carolina residents, 1999-2001 and 2010-2012

    Overdose in NC: 333% increase in medication/drug overdose deaths since 1999

  • Good Samaritan/ Naloxone Access Law

  • 1. Encourage people to seek medical attention in overdose

    1. Increase access to naloxone to prevent or reverse overdose

    Law was passed in April 2013

    Good Samaritan/ Naloxone Access Law

  • Implementation Strategy

    Local Health Department Naloxone Standing Orders

  • Survey: Local Health Department Awareness, Readiness & Need Methods Coordinated survey with UNC Injury

    Prevention Research Center evaluation of statewide overdose prevention efforts

    Qualtrics Survey sent to 85 health directors 96.5% response rate

  • Interested and planning

    Not a priority

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    Results: Interest & Actions Taken by LHDs to Adopt Naloxone Standing Orders

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    Have or are in process20

    Interested + planning39

    Not a priority22

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  • Results: Interest & Actions Taken by LHDs to Adopt Naloxone Standing Orders

  • Comparison: Overdose Prevention Need

  • Building Capacity: Naloxone Standing Order Toolkit for LHDs

    Process Interviewed Variety of

    Stakeholders Literature Review Interviewed Health

    Directors for Case Studies

  • BACKGROUND

    IMPLEMENTATION& SUSTAINABILITY STAKEHOLDER MATERIALS PARTNER MATERIALS

    STAKEHOLDER ENGAGEMENT

  • Next Steps: LHD Dissemination

  • Next Steps: Evaluation

    How many LHDs utilized Standing Order toolkit?

    How many Naloxone Standing Orders

    were passed following toolkit dissemination?

  • Next Steps: Model for Other States

  • Questions? For more information contact: Scott Proescholdbell, MPH 919.707.5442 [email protected] Nidhi Sachdeva, MPH 919.707.5428 [email protected]

    mailto:[email protected]:[email protected]

    Slide Number 1Overdose in the US: Leading cause of injury deathUnintentional Poisoning Deaths by County: North Carolina residents, 1999-2001 and 2010-2012Slide Number 4Slide Number 5Implementation StrategySlide Number 7Slide Number 8Slide Number 9Comparison: Overdose Prevention NeedBuilding Capacity: Naloxone Standing Order Toolkit for LHDsSlide Number 12Slide Number 13Slide Number 14Slide Number 15Slide Number 16Slide Number 17Next Steps: LHD DisseminationNext Steps: EvaluationNext Steps: Model for Other StatesQuestions?