Harm Reduction Resources

Displaying 157 - 168 of 347

This is a free curriculum offered by the National Harm Reduction Coalition and aims to provide a structured course for providing harm reduction in communities and building community support for harm reduction interventions. The course includes information on drug-induced homicide, syringe access barriers, and the intersectionality of drug use with other environmental factors. 

 

Response Approach:
  • Outreach
  • Overdose prevention
  • Safe Injection Site
Stakeholders:
  • Advocates / Peers
  • Community Coalitions
  • Community Health Officials
  • Harm Reduction Specialists
  • Medical
  • Policymakers

This is an academic paper that uses a survey among law enforcement officers in High Intensity Drug Trafficking Areas (HIDTAs) to explore knowledge and attitudes towards responding to opioid overdoses. Though most officers have access to naloxone and been trained to respond to an opioid overdose, some (15%) report not having access to naloxone. Negative attitudes towards overdose prevention were more likely in those that responded to many overdose calls. 

Response Approach:
  • Overdose prevention
Stakeholders:
  • Community Health Officials
  • First Responders
  • Harm Reduction Specialists
  • Law Enforcement
Peer-reviewed Article

This is a toolkit from the Kraft Center for Community Health that is based on the CareZONE model and helps communities replicate mobile addiction services. Identifying ideal locations to provide services, licensures, finances, outreach and engagement, and standard operation procedures are discussed in detail. 

Response Approach:
  • Medications for Opioid Use Disorder
  • Outreach
  • Overdose prevention
  • Syringe service program / Needle exchange
Stakeholders:
  • Addiction Treatment Providers
  • Community Coalitions
  • Community Health Officials
  • Harm Reduction Specialists
  • Hospitals
  • Medical
  • Policymakers

This is a report from Priority Criminal Justice Needs Initiative that summarizes the high-priority needs for law enforcement to address the opioid crisis, identified through a workshop of stakeholders.

Response Approach:
  • Diversion
  • Medications for Opioid Use Disorder
  • Overdose prevention
Stakeholders:
  • Community Health Officials
  • Criminal Justice
  • First Responders
  • Harm Reduction Specialists
  • Law Enforcement
  • Policymakers

This is a report from the SAFE Project and the Police, Treatment, and Community Collaborative that highlights law enforcement diversion models to address the opioid crisis, such as self-referrals to treatment with police departments as entry points, active outreach, overdose education and naloxone distribution, and law enforcement-initiated treatment engagement. Several program models are discussed within this document.

Response Approach:
  • Diversion
  • Early Intervention
  • Outreach
  • Overdose prevention
  • Post-overdose response
Stakeholders:
  • Community Coalitions
  • Criminal Justice
  • First Responders
  • Law Enforcement
  • Policymakers

This is an academic paper that discusses the feasibility of using a smartphone app to increase the response to opioid overdoses. Volunteers can signal an apparent overdose to other volunteers using the app to expand access and availability to naloxone. The first naloxone dose was provided by a nearby volunteer responding to the alert in 22 of 74 cases, successful reversal was reported in 71 of 74 cases, and layperson intervention preceded EMS by 5 min or more in 60% of cases.

Response Approach:
  • Overdose prevention
Stakeholders:
  • Advocates / Peers
  • Community Coalitions
  • Community Health Officials
  • First Responders
  • Harm Reduction Specialists
  • Policymakers
Peer-reviewed Article

This is an issue brief from the Network of Public Health Law that provides an overview of naloxone access and Good Samaritan laws. There is a table that shows the legal status of these laws for each state. Laws that encourage the prescription and use of naloxone and the timely seeking of emergency medical assistance will have the intended effect of reducing opioid overdose deaths and are, thus, likely some of the lowest-hanging fruit available to policymakers today. 

Response Approach:
  • Crisis intervention
  • Overdose prevention
  • Post-overdose response
Stakeholders:
  • Community Coalitions
  • Criminal Justice
  • First Responders
  • Harm Reduction Specialists
  • Law Enforcement
  • Pharmacies
  • Policymakers

This is a website that provides summary documents on how pharmacists are responding to the opioid crisis, including preventing opioid misuse, increasing access to medications of opioid use disorder, and providing harm reduction services. These documents describe success stories as well as clinical and systemic barriers faced by pharmacists. 

Response Approach:
  • Cautious Opioid Prescribing
  • Medications for Opioid Use Disorder
  • Overdose prevention
Stakeholders:
  • Pharmacies

This report from the National Organization of State Offices of Rural Health (NOSORH)  summarizes the lessons learned from the Rural Opioid Overdose Reversal (ROOR) Program.

The program funded 18 awardees to develop community partnerships in an effort to combat the opioid crisis at the local level. The goal of the program was to reduce the incidences of morbidity and mortality related to opioid overdoses in rural communities through the purchase and placement of naloxone.

There is also a discussion on building community partnerships and there is a list of resources at the end of the document. 

Response Approach:
  • Educational
  • Overdose prevention
  • Post-overdose response
Stakeholders:
  • Advocates / Peers
  • Community Coalitions
  • Community Health Officials
  • Criminal Justice
  • Employers
  • First Responders
  • Harm Reduction Specialists
  • Hospitals
  • Law Enforcement
  • Medical
  • Policymakers

This is a report supported by the CDC which provides an overview of relevant legal, health, and equity considerations in collecting, using, and sharing overdose related data. Relevant resources are included throughout the document. 

Response Approach:
  • Educational
  • Overdose prevention
  • Post-overdose response
Stakeholders:
  • Community Health Officials
  • First Responders
  • Harm Reduction Specialists
  • Health Insurers
  • Policymakers

This report from the National Association of County and City Health Officials (NACCHO) summarizes the results of an environmental scan of 198 local health departments (LHD) regarding their local opioid overdose prevention and response activities.

This document outlines and compares statistics by the size of the population the LHD serves. In addition, the report discusses efforts and activities related to workforce, clinical and programmatic services, policy, communication, partnership, and data collection. Stories from the field are also included. 

Response Approach:
  • Overdose prevention
  • Syringe service program / Needle exchange
Stakeholders:
  • Community Coalitions
  • Community Health Officials
  • Harm Reduction Specialists
  • Hospitals
  • Medical
  • Policymakers

This is an academic paper that uses a survey of county governments to determine what opioid policy and programmatic activities local governments are implementing and which activities are more challenging to implement. Having police officers carry naloxone and establishing a task force of community leaders were easier to implement, and establishing needle exchanges and allowing arrest alternatives for opioid offenses were more challenging to implement. 

Response Approach:
  • Diversion
  • Overdose prevention
  • Syringe service program / Needle exchange
Stakeholders:
  • Community Coalitions
  • Community Health Officials
  • Policymakers
Peer-reviewed Article