Naloxone Counseling for Harm Reduction & Patient Engagement - PowerPoint PPT Presentation

Mar 14, 2023 •40 likes •220 views

Naloxone Counseling for Harm Reduction & Patient Engagement Lucas G. Hill, PharmD, BCPS Clinical Assistant Professor University of Texas at Austin College of Pharmacy 2016 Innovation in Healthcare Delivery Systems Symposium April 8, 2016

Naloxone Counseling for Harm Reduction & Patient Engagement Lucas G. Hill, PharmD, BCPS Clinical Assistant Professor University of Texas at Austin College of Pharmacy 2016 Innovation in Healthcare Delivery Systems Symposium April 8, 2016
U.S. Department of Health & Human Services. Addressing Prescription Drug Abuse in the United States. CDC Website.
From 1999 – 2008… Prescribe: é x4 Death: é x4 Rehab: é x6 Paulozzi et al. Vital Signs: Overdoses of Prescription Opioid Pain Relievers – United States, 1999-2008. MMWR 2011;60:1487-92.
Hedegaard et al. Drug-poisoning deaths involving opioid analgesics: United States, 1999-2011. NCHS Data Brief #190.
Hedegaard et al. Drug-poisoning deaths involving opioid analgesics: United States, 1999-2011. NCHS Data Brief #190.
Overdose Data: Allegheny County. Overdose Free PA Website.
Overdose Data: Allegheny County. Overdose Free PA Website.
Overdose Data: Allegheny County. Overdose Free PA Website.
Overdose Data: Allegheny County. Overdose Free PA Website.
Five Principles of Harm Reduction Pragmatism Harm Focus Prioritize Humanism Cost/Benefit Hunt et al. A Review of the Evidence-Base for Harm Reduction Approaches to Drug Use. IHRA Website.
San Francisco Dept of Public Health. Naloxone for Opioid Safety. CHCF Website.
Results Level of comfort talking to PCP Dates Letters Kits about opioid use (n=16 patients) 2/1/14 – 5/31/15 71 97 100% 80% 4% Indication for Naloxone 60% Illicit Opioid 40% 36% RX Opioid 20% 60% Caregiver 0% Low Neutral High
Results Face-to-face naloxone counseling improves my satisfaction caring for new patients seeking refills of chronic opioids (n=22 FMR) 100% 80% 60% 40% 20% 0% 5 Reversals Reported Disagree Neutral Agree
Conclusions A naloxone counseling intervention implemented in three patient-centered medical homes enhanced provider satisfaction and prevented overdose deaths. Expansion • Multicenter emergency department naloxone dispensing • Inpatient FM service naloxone counseling and dispensing
Texas SB1462 • Naloxone standing orders (e.g. PharmD) • Third-party prescribing to family/caregivers • Liability protection for prescribers Interested? • Email: lucas.hill@austin.utexas.edu • Working with pharmacy student organization volunteers • Looking for small grants to support free naloxone kits
Naloxone Counseling for Harm Reduction & Patient Engagement Lucas G. Hill, PharmD, BCPS lucas.hill@austin.utexas.edu Acknowledgments Jonathan Han, MD; Marianne Koenig, PharmD; Alice Bell, LCSW; UPMC St. Margaret Departments of Family Medicine & Pharmacy

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