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Increasing access: Making naloxone available at highway rest areas.
Tim Ingram1,2, Sofia Rubi3, Jennifer L Brown3
1University of Cincinnati College of Medicine, Department of Psychiatry & Behavioral Neuroscience, Cincinnati, Ohio, USA.
Naloxboxes, unsecured public containers for naloxone, were successfully implemented at Ohio highway rest areas. This strategy increased public access to the opioid overdose reversal drug while maintaining user anonymity.
Area of Science:
- Public Health
- Pharmacology
- Community Health Interventions
Background:
- Naloxone is a critical medication for reversing opioid effects and preventing overdose deaths.
- Increasing public access to naloxone is a key strategy to combat the opioid crisis.
- Naloxboxes offer a discreet method for distributing naloxone in public spaces.
Purpose of the Study:
- To evaluate the effectiveness of naloxboxes in increasing public access to naloxone.
- To assess the feasibility of implementing naloxboxes at highway rest areas in Ohio.
- To explore broader community implementation strategies based on pilot findings.
Main Methods:
- Deployment of naloxone-filled boxes (naloxboxes) at Ohio highway rest areas.
- Collaboration with the Ohio Department of Transportation, emergency medical services, and public health agencies.
- Leveraging local and national funding through the HEALing Communities Study.
Main Results:
- Naloxboxes were well-received by the public and demonstrated sustainability in highway rest area settings.
- Successful implementation and maintenance required strong multisectoral collaboration.
- The initiative facilitated widespread, anonymous distribution of naloxone.
Conclusions:
- Naloxboxes are an effective and accepted method for increasing public access to naloxone.
- Multisectoral partnerships are crucial for the sustainable deployment of naloxboxes.
- This approach offers a promising model for expanding naloxone availability anonymously.
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