Innovative training of service workers in New York City supports effective response to suspected overdoses in public restrooms
Harm Reduction for Business Bathrooms is an innovative strategy developed and evaluated by the Center for Drug Use and HIV Research at New York University to address the increasing prevalence of overdoses in public bathrooms in New York City.
In fact, a study surveying managers of business in New York City found that 58% encountered drug use in their business bathrooms, 34% found syringes, nearly 10% found someone unresponsive, and more than 90% had been trained in overdose reversal. The overdose response and naloxone administration (ORNA) module aimed to address this gap.
The ORNA behavioral intervention trained 18 service industry employees (SIEs) in New York City to respond to suspected opioid overdoses in public restrooms of business establishments. Based on the Information-Motivation-Behavioral skills model, the intervention communicated information on opioids, recognizing opioid overdose, New York’s naloxone regulations and Good Samaritan laws, administration of naloxone, communication with emergency services, and the possible presence of fentanyl. The intervention lasted 1.5 hours and was preceded by a knowledge pre-test, then followed by a post-test and a focus group to get participants feedback on the acceptability of ORNA.
Service industry employees showed increased knowledge and more positive attitudes towards opioid-related overdose.