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Statewide Policy to Increase Provision of Take-Home Naloxone at Emergency Department Visits for Opioid Overdose,
Jennifer Griffith1, Rachel R Yorlets1, Laura C Chambers1
1Jennifer Griffith is with Brown University, Providence, RI. Rachel R. Yorlets is with the Department of Epidemiology at the Brown University School of Public Health. Laura C. Chambers is with the Substance Use Epidemiology Program at the Rhode Island Department of Health. Corey S. Davis is with the Network for Public Health Law, Edina, MN. Anna Wentz and Francesca L. Beaudoin are with the Department of Epidemiology at the Brown University School of Public Health. Janette Baird and Elizabeth A. Samuels are with the Department of Emergency Medicine at the Warren Alpert Medical School of Brown University.
Abstract:
In 2017, Rhode Island responded to rising overdose deaths by establishing statewide emergency department (ED) treatment standards for opioid overdose and opioid use disorder. One requirement of the policy is that providers prescribe or provide take-home naloxone to anyone presenting to EDs with opioid overdose. Among adults presenting to EDs with opioid overdose from 2018 to 2019, approximately half received take-home naloxone. Receipt of naloxone was associated with administration of naloxone before ED presentation, ED policy certification level, and regional overdose frequency. (Am J Public Health. 2023;113(4):372-377. https://doi.org/10.2105/AJPH.2022.307213).
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