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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Introducing Public Health Vending Machines in Rural Communities: Protocol for a Study Using a Community-Based

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This study implements public health vending machines (PHVMs) in rural North Carolina to increase access to naloxone, a medication that reverses opioid overdoses. Community engagement guides the placement and stocking of these machines to reduce overdose deaths.

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Area of Science:

  • Public Health
  • Community-Based Research
  • Harm Reduction Strategies

Background:

  • Drug overdose deaths, particularly in rural North Carolina, necessitate expanded healthcare interventions.
  • Naloxone is a critical medication for reversing opioid overdoses.
  • Public health vending machines (PHVMs) offer a novel strategy to distribute harm reduction supplies.

Purpose of the Study:

  • To develop a community-engaged protocol for implementing PHVMs in five rural North Carolina counties.
  • To enhance access to harm reduction supplies, including naloxone, in underserved areas.

Main Methods:

  • A community-based participatory approach involving partnerships with local organizations and community members.
  • Qualitative interviews with individuals with lived experience of substance use to determine optimal PHVM placement and stocking.
  • Hiring and training local community members with lived experience to conduct interviews and collect data.

Main Results:

  • Data collection is scheduled for 2024-2025.
  • Findings will guide the implementation of PHVMs to improve harm reduction access.
  • The study aims to contribute to a decrease in overdose deaths.

Conclusions:

  • The study utilizes a community-based participatory approach to improve naloxone access in rural areas.
  • Community partners will collaborate on developing sustainability plans and an implementation toolkit for wider use.