good samaritan · the us conference of mayors 2008 unanimously adopted a resolution supporting 911...

Good Samaritan Immunity Laws that provide protection from prosecution for calling 911 if seeking medical

attention for self or another experiencing an overdose

The US Conference of Mayors 2008 unanimously adopted a resolution supporting 911 Good

Samaritan policies

Pennsylvania Good Samaritan (S.B.448) (September 2011) - A new law provides immunity to

underage drinkers who call 911 because someone else needs medical attention. The law

eliminates a disincentive for underage drinkers to call for help. This law does not protect

individuals from opioid prosecution.

State with this law in place: New Mexico, Washington, New York, Connecticut, Illinois (to be

enforced June 1, 2012)

States considering the law: New Jersey, California, Hawaii, Minnesota, Massachusetts (currently a

House Bill), Rhode Island, Florida (passed legislation 2/8/12), Pennsylvania, and potentially others.

The Council of Southeast Pennsylvania, Inc.

National 2011 National Drug Control Strategy

“Epidemic: Responding to America’s Prescription Drug Abuse Crisis.”

Expansion of state-based prescription drug monitoring programs

Mandatory additional education for physicians prescribing opioid

medications

Reduction of “pill mills” and “doctor shopping” through law enforcement

efforts (www.WhiteHouseDrugPolicy.org))

In September 2011, the American Society of Addiction Medicine wrote the

Commissioner of the FDA asking the administration to add Tramadol to

Schedule III, and elevate Hydrocodone to Schedule II.


International Internationally an Overdose

Awareness Day began 10 years

ago to provide an educational

platform and of equal

importance to give individuals

an opportunity to mourn

without shame or guilt.

2009 Drug Policy Alliance

initiated a nationwide

campaign: “Purple Ribbons for

Overdose Prevention”

An effort to raise awareness

began with a “Facebook

Cause” that hosted over

17,000 international members.

Naloxone Projects

Worldwide

As of November 2010 programs

distributing Naloxone to drug

users their peers, family

members and others operated in:

The UK, US, Canada, Germany,

Russia, Spain, Norway,

Afghanistan, China, Kazakhstan,

Tajikistan, Vietnam

It has been available across the

counter in Italy since 1995.

(Eurasian Harm Reduction Network,

November 2010)

DPMP (Drug Policy Modeling Program)

March 2011: WHO “Model List of

Essential Medicines” Expert Committee

requested the review of “the

comparative effectiveness and safety”

of codeine for possible deletion at

their next meeting.


California

Drug Overdose Prevention and Education Project

(DOPE)

Overdose education in shelters, jails, treatment

programs

Collaborates with the San Francisco Department of

Health to implement a Naloxone Distribution Program.

Working toward passing a Good Samaritan Law


Connecticut 2011 Passed 911 Good Samaritan Law

“A Better Way Foundation” One of their missions is to allow

trained professionals to carry and administer Narcan.

Started in 2008 with multifold purpose including:

Policy reforms, research, and public education.

Affiliations with: Drug Policy Alliance and Connecticut Harm

Reduction Coalition


Florida

NOPE Task Force

Narcotics Overdose Prevention and Education

Middle & High School and University Presentations

Community and Parent Forums

Support Groups and Treatment

Media Campaign and Information Dissemination

911 Good Samaritan legislation passed on February 8, 2012


Illinois Chicago Recovery Alliance

Cook County Illinois operated by the Chicago Recovery

Alliance was the first Naloxone distribution program in the US. The

Chicago Recovery Alliance has been assisting opiate overdose

prevention with naloxone training and distribution since 1996

through their harm reduction outreach in Chicago. Through June of

2011 they have received 2,601 reports of peer opiate-involved

overdose reversal.

They have a 911 Good Samaritan Law to be enforced June 1, 2012.


Massachusetts Overdose Prevention Strategy

MA has three-fold strategy including: 1) Reduce the incidence of fatal and

non-fatal OD-prevent OD from occurring 2) Improve the management of OD

if it occurs and 3) Reduce the amount of misused, abused and diverted

prescription opioids.

Since 2007 Massachusetts Department of Public Health, has been sponsoring

a pilot program and has been distributing intra-nasal Naloxone (Narcan©),

along with opioid overdose prevention education, to opioid users and to

trusted people in their lives such as family, friends, and staff of human services

programs. 8 community-based settings. Training is 15 to 30 minutes and each

participant receives an overdose prevention kit.

Good Samaritan House Bill


New Mexico

In 2007 New Mexico was the first state to respond to the growing problem of fatal overdoses in the form of the 911 Good Samaritan Legislation

Naloxone distribution immunity to non-healthcare providers Drug possession immunity

New Mexico Department of Health established guidelines for overdose Prevention Training and Naloxone distribution

Educates on harm reduction Informs on overdose recognition and response Trains on administration of Naloxone


New York Department of Health in 2005 defined the use of Naloxone as “first aid”

April 2006 became authorized to approve Opioid Prevention Programs

July 2011 passed Good Samaritan Law

Skills and Knowledge on Overdose Prevention Project (SKOOP)

Well defined guidelines Expansive programs Training and required refresher course every two years Naloxone Kits - two pre-filled syringes and instructions, a face mask for mouth-to-mouth resuscitation, two alcohol swabs and a pair of surgical gloves.


North Carolina Project Lazarus

Naloxone distribution

Educational video at doctors’ offices

Project Lazarus Naloxone Rescue Kit

(2) needle free syringes of Naloxone rescue medication

Two nasal adaptors

Refrigerator magnet

DVD of the instructional video

Guides on how to talk to your family about overdose


Ohio The Ohio Department of Health’s Violence and Injury Prevention Program

launched: “Stop the Epidemic” A Comprehensive Education and Awareness

Campaign; Multi-level social marketing campaign. It began 2010 through 2011 in 5

counties and now coalitions and pro bono work allows outreach to four additional

counties through June 2012

January 31, 2012 Ohio Department of Alcohol and Drug Addiction Services

(ODADAS), announced the launch of Don’t’ Get Me Started, a statewide public

service campaign that speaks to young adults and their friends and family.

Don’t Get Me Started website includes 5 videos of Ohioans who share a unique

story; features an interactive map of local Alcohol, Drug Addiction and Mental

Health Boards; a link to treatment options; information about opiate abuse; links

to other partners in the war on drugs. www.dontgetmestartedohio.org


Rhode Island

Preventing Overdose and Naloxone Intervention

(PONI)

A pilot overdose prevention program began in 2006

Training and Education at fixed-site needle exchanges,

drug abuse treatment centers, and homeless shelters.

Interactive training that includes how to administer

intramuscular Naloxone and a quiz.


Washington State Passed the 911 Good Samaritan Law in 2010. Taking 5 years, Washington was the second state to pass this law. Keys to passage: Framing the law as a public health issue and not primarily as a legal issue. The emergence of prescription OD and deaths statistics. And keeping the scope of the immunity narrow. Naloxone distribution program provides kits to people who use as well as family and others who may be in a position to help in the case of an OD. www.StopOverdose.org This site includes news stories, sources for help and resources, Narcan facts and a Good Samaritan Law Quiz.


Naloxone - Narcan (Brand Name)

Naloxone is an opioid antagonist - it temporarily displaces opioids from

their brain receptors. It is an unscheduled drug with no abuse potential (Practical Pain Management).

Approved by the FDA and utilized by emergency medical professionals for

40 years.

Around the world and throughout the US, Naloxone distribution programs

in various ways are educating and training people on overdose and proper

response - including administering Naloxone (Drug Policy Alliance).

Ongoing research reports that over 10,000 lives have been saved by

overdose reversals utilizing Naloxone by non-medical people and the

programs do not increase drug use. The Council of Southeast Pennsylvania, Inc.

Some Areas with Naloxone Distribution Programs

Illinois • Massachusetts • Washington State • Rhode Island • California •

New York • New Mexico • Connecticut • Wisconsin

48 Naloxone Programs across the US have unique characteristics in their programs:

Variety of settings, durations and formats

Many protocols, materials, videos, most available on-line

Often pre-post evaluation

Typical components include:

Review of the causes and how to prevent overdose

Assessment of an overdose

Necessity of calling an ambulance

Airway maintenance and rescue breathing

Naloxone and its administration

Post Naloxone monitoring and support

Communication with ambulance and police services

Procedures for returns, new Naloxone and reporting

back


States with the Good Samaritan law in place

States considering the

Good Samaritan law

Interstate Opiate Task Force

States with Naloxone Programs


State References

[email protected] (New York) www.pppgh.org (Pittsburgh) www.p4pohio.org (Ohio) www.nopetaskforce.org (Florida) www.mass.gov/dph/bsas (Massachusetts) www.moar-recovery.org (Massachusetts) www.StopOverdose.org (Washington) www.projectlazarus.org (North Carolina) www.anypositivechange.org (Illinois)


References

www.ThePartnershipDrugFree.org www.practicalpainmanagement.com www.cdc.gov/

www.cdc.gov/nchs/nvss.htm

www.samhsa.gov/

ncadd.org/

www.drugpolicy.org/

harmreduction.org/

www.cdc.gov/vitalsigns/

www.samhsa.gov/data/DAWN.aspx The Council of Southeast Pennsylvania, Inc.

http://www.cdc.gov/

http://www.cdc.gov/nchs/nvss.htm

http://www.samhsa.gov/

http://ncadd.org/

http://www.drugpolicy.org/

http://harmreduction.org/

http://www.cdc.gov/vitalsigns/

http://www.samhsa.gov/data/DAWN.aspx

“It used to be, overdose, you always

talked about it in past tense: ‘I HAD

a friend who OD’d.’ Now, overdose is in the present tense: ‘I HAVE a

friend, he OD’d last week’.

Naloxone did that.” -Anonymous


Bucks County January 1, 2012 – February 27, 2012

10 Deaths With Toxicology Involved

In Some Manner

3 Directly Drug Related

2 Motor Vehicle Incidents With Drugs Involved

1 Pending Investigation


Bucks County 2011 Of all the deaths reported by the coroner’s office

that involved toxicology, 65.8% were

directly related to drugs.

37.2% of those deaths were age 30 and under

Drugs Most Often Cited:

Oxycodone, Xanax, Heroin, Codeine and Morphine


What is an Opioid Overdose?


Narcan Reversing an Overdose


good samaritan · the us conference of mayors 2008 unanimously adopted a resolution supporting 911...

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