A population approach to the Rhonda Lovell, RN BNSc Public Health Nurse opioid crisis in Substance Use, Mental Health & Injury Prevention Team KFL&A June 11, 2018 Healthy People, Healthy Places
ONTARIO’S RESPONSE $222+ million over the next 3 years – expansion of harm reduction services, more front line staff, improving access to addictions supports Improved access to comprehensive care via Rapid Access Addiction Medicine (RAAM) clinics Overdose Prevention Sites • Established Opioid Emergency Task Force • $20 million annually for Ontario’s Chronic Pain Network • Improved supports for best practice for physicians, customized prescribing data, mentoring, education and other supports
The rise of the opioid crisis & the magnitude of the problem How to Opioids: what P.R.O.M.P.T. respond to an they are and opioid how they overdose work TRAINING A harm reduction approach Understanding & Preventing & Fentanyl: Naloxone: addressing stigma what it is and what it is & why it’s Spectrum of substance how it works Responding to dangerous use The need for upstream Overdose: Making approaches Progress Together How to Risk factors recognize an for opioid opioid overdose overdose How to prevent an overdose
TRAINING & DISTRIBUTION FOR PUBLIC TRAINING & DISTRIBUTION EMERGENCY RESPONSE ❖ Main & branch offices ❖ Fire & rescue services ❖ Public health programs ❖ Police services ❖ Group training events ❖ St John Ambulance TRAINING & NALOXONE DISTRIBUTION CLIENT TRAINING & DISTRIBUTION via TRAINING COMMUNITY ORGANIZATIONS other organizations ❖ Ineligible to distribute or not interested ❖ Community based organizations at this time ❖ Hospitals ❖ Emergency response, info for staff /volunteers or to share with clients
Where can the public get naloxone? Kingston Frontenac Lennox & Addington FREE nasal spray naloxone kits are Many pharmacies in KFL&A have FREE IM injectable AND nasal spray kits. available at KFL&A Public Health: Kingston office Street Health Centre can provide FREE 221 Portsmouth Avenue nasal spray kits to their clients. Monday - Friday 9am – 12pm & 1pm – 4pm One Roof Kingston Youth Hub can provide FREE nasal spray kits to their clients. Please call ahead to get a kit from branch offices in Napanee, Sharbot Lake & Cloyne Stay tuned for more locations! www.ontario.ca/naloxone
Who is eligible to receive a free take-home kit? Members of the public who identify as: • Someone at risk of an opioid overdose • A friend or family member of someone at risk of an opioid overdose • Another person able to help someone at risk of an opioid overdose
NARCAN Naloxone Kit Contents • 2 naloxone nasal spray applicators • 1 pair of non-latex gloves • COMING SOON – rescue breathing barrier • 1 card that identifies the person who is trained to give the naloxone • 5 Steps to Respond to An Opioid Overdose information sheet (English & French)
KFL&A Community Drug Strategy Advisory Committee • Membership: – Health and social services – Law enforcement – Municipalities • Convened March 2017 • Four pillar model • Opioid action plan • Community drug strategy – Collective impact approach – Upstream initiatives – Engagement with the community including people with lived experience
OTHER PARTNERSHIPS • Supporting implementation of naloxone in secondary schools of local school boards • City of Kingston staff training to support implementation of naloxone in public- facing facilities • Risk communication campaign developed with post-secondary partners & shared across Ontario • 2017 International Overdose Awareness Day co-event with Street Health Centre
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