AI Article Synopsis
- In 2020, Michigan launched its Naloxone Leave-Behind Program, allowing EMS field providers to leave naloxone kits with individuals over 15 who have overdosed or show signs of opioid use.
- A survey revealed that most EMS providers and administrators support the program, but some worry it might lead to increased drug use or reduced treatment seeking behavior among recipients.
- To boost program participation, more training and engagement addressing these concerns are needed, along with better access to naloxone supplies and information about its availability.
Article Abstract
Introduction: In 2020, Michigan implemented its first Naloxone Leave-Behind Program for Emergency Medical Service (EMS) field providers. Under the program, EMS field providers leave naloxone kits to individuals aged 15 or older they encounter in the field who have overdosed, who indicate they have a substance use disorder, or exhibit signs of opioid use and/or to bystanders, friends, or family that are present at the encounter.
Methods: Survey of EMS field providers and administrators to assess perspectives on the Michigan NLB program. Comparisons of perspectives between field providers and administrators working in EMS agencies operating in medical control authorities (MCAs) participating in the NLB program (i.e., participating agencies) with field providers and administrators working for EMS agencies serving non-participating MCAs.
Results: Most EMS field providers and administrators supported the Michigan NLB program. However, some were concerned about the unintended consequences of leaving behind naloxone, including the potential for recipients to use more drugs or be less likely to seek treatment. Perspectives of NLB program effectiveness were similar between EMS administrators and field providers. Participating administrators' top-cited barrier to implementation was convincing field providers to leave behind naloxone, while non-participating administrators were concerned with stocking naloxone kits.
Conclusions: Additional engagement and training to address concerns by EMS field providers and administrators about the benefits of the NLB program are needed to expand program participation intensity. Streamlining naloxone procurement and increasing messaging about free access to naloxone for participating in the program may help increase adoption.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11387810 | PMC |
| http://dx.doi.org/10.1016/j.dadr.2024.100273 | DOI Listing |
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