How expanding Community Based Naloxone dispensing can impact health services April 23, 2019
CADTH 16-Apr-2019 Disclosure Dr. Kay Rittenbach has the following relevant financial relationships to disclose: Grant/research support from: Alberta Innovates, Alberta Health Services & the University Hospital Foundation Both presenters are employed by: Alberta Health Services April 23, 2019
CADTH 16-Apr-2019 Background – Provincial Program • • Alberta Health Services Alberta Community Council on HIV • Addiction and Mental Health • ARCHES Provincial team • Safeworks • Addiction and Mental Health • Streetworks Strategic Clinical Network • HIVCommunity Link • PPIH • HIV North • Harm reduction program • Options • Alberta Health • Turning Point • FNIHB • Community Pharmacies April 23, 2019
CADTH 16-Apr-2019 Background Streetworks – 2005 ACCH – 2015 July • Eight sites in 8 cities • Funded and supported by Alberta Health AHS – 2015 Dec • Addiction and mental health services • Emergency Departments • Corrections • Opioid Treatment Clinics Community based Pharmacies – 2016 Jan • Funded by Alberta Health • Kits from AHS April 23, 2019
CADTH 16-Apr-2019 AHS CEO directive Harm Kits distributed Reduction Conference in ACCH sites begin Schedule 1 to 2 Unscheduled Edmonton distributing kits Awareness AHS sites and Campaign Community Pharmacies begin 140,946 Kits distributed 1,918 providers April 23, 2019
CADTH 16-Apr-2019 Methods • Reversal Reports – 8,883 reported • Community Pharmacies • Supervised Consumption Services • Emergency Department • Residential & Detox services April 23, 2019
CADTH 16-Apr-2019 Results • Emergency Department Survey • Internal report presented to multiple groups – Emergency Department Strategic Clinical Network; Harm Reduction Steering Committee • Matched survey results to administrative data – this helped identify locations to focus on training for naloxone kit distribution April 23, 2019
THNK availability at responding sites with visits related to opioid poisoning (Jan 1, 2016 – Apr 30, 2017) (Feb, 2019) OD visits, dispenses kits OD visits, does not dispense kits April 23, 2019
CADTH 16-Apr-2019 Results • Residential & Detox Services • All AHS/contracted youth and adult services • 38 interviews (45 services) • Just under 60% of the services directly provide kits or have an outside organization provide kits • Harm Reduction team met with non-distributing sites to provide targeted Naloxone education and support April 23, 2019
CADTH 16-Apr-2019 Results • Health System • Partnerships – the trust built in this work has grown to further work • First Nations continue to benefit from provincial willingness to fund and support kit access and other harm reduction activities on reserve in Alberta. • Alberta Health Services now has a Harm Reduction program within the Population, Public & Indigenous Health group April 23, 2019
Thank you Questions? Katherine.Rittenbach@ahs.ca April 23, 2019
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