Taking it to the Streets: Harm Reduction Saves Lives AWS
Taking it to the Streets: Harm Reduction Saves Lives Haley Coles Sonoran Prevention Works
• Mission: To end health disparities faced by those made vulnerable by drug use and other high-risk behaviors in AZ through harm reduction focused education, advocacy, and evidence-based programming. • Statewide naloxone distribution program • Street outreach • Trainings on harm reduction, hepatitis, stimulants, needle stick prevention, stigma, and more • Advocacy
What’s the problem?
Among the 19.3 million individuals aged 12 or older classified as needing substance use treatment not receiving treatment in the past year, only 4.6% reported that they perceived a need for treatment for their drug or alcohol use problem. -America’s Need For & Receipt of Substance Use Treatment in 2015, SAMHSA
Health Disparities • • • • • • •
Overdose Hepatitis C HIV Trauma Arrest Incarceration Education
CDC, 2015
How Does This Impact Communities? • • • • • •
Improperly discarded syringes First responders burdened w/ OD calls Accidental needlesticks Revolving doors: Jails & EDs Traumatized children ACES High costs
Harm Reduction
Harm Reduction • Strategies to reduce preventable consequences associated with substance use • Meeting people where they’re at to support realistic positive change • Recognizes overlapping mental illness, physical health, sociodemographics • Not one-size-fits-all • Evidence-based; effective
Prochaska & DiClemente, 1983
Current AZ Harm Reduction Programs
SPW’s Naloxone & Overdose Prevention Program • 64,834 doses naloxone distributed (3,096 to LE) • 2,862 reversals • Sep 2016 – Jan 2018 • "After the training I decided to stop by her house and tell her what I had learned and give her one of the Naloxone kits I grabbed at the training. I really didn't feel like stopping but something told me I should. The very next morning she called me and told me that her son overdosed in their home and she had to use the Naloxone I gave her. It saved her son's life. If I wouldn't have gone to that training, if I wouldn't have stopped by her house on my way home, her son wouldn't be here and he wouldn't have another chance to get help. I feel so grateful that these services are being offered in Arizona.” -Joan C., Casa Grande
2017 SPW Naloxone Data Provision effectiveness by receiver Other community members
Law enforcement
Medical personnel
Community agency staff/volunteers
Family/friends
Drug users 0.00%
5.00%
10.00%
15.00%
Provision effectiveness by receiver
20.00%
25.00%
30.00%
35.00%
Phoenix Syringe Access Program • 51,096 individual contacts • 29,388 naloxone doses • 2,808 referrals
Future of Harm Reduction in AZ • • • • • • •
Kingman Syringe Access Program Fentanyl testing strips Stimulant safety education Drug user advisory board Post-release intensive case management Pre-arrest diversion Harm reduction case management & therapy
Haley Coles [email protected]
Turiya Coll Nathan Leach Stacey Cope Northern AZ Central AZ Southern AZ [email protected] [email protected] [email protected]
• Mission: To end health disparities faced by those made vulnerable by drug use and other high-risk behaviors in AZ through harm reduction focused education, advocacy, and evidence-based programming. • Statewide naloxone distribution program • Street outreach • Trainings on harm reduction, hepatitis, stimulants, needle stick prevention, stigma, and more • Advocacy
What’s the problem?
Among the 19.3 million individuals aged 12 or older classified as needing substance use treatment not receiving treatment in the past year, only 4.6% reported that they perceived a need for treatment for their drug or alcohol use problem. -America’s Need For & Receipt of Substance Use Treatment in 2015, SAMHSA
Health Disparities • • • • • • •
Overdose Hepatitis C HIV Trauma Arrest Incarceration Education
CDC, 2015
How Does This Impact Communities? • • • • • •
Improperly discarded syringes First responders burdened w/ OD calls Accidental needlesticks Revolving doors: Jails & EDs Traumatized children ACES High costs
Harm Reduction
Harm Reduction • Strategies to reduce preventable consequences associated with substance use • Meeting people where they’re at to support realistic positive change • Recognizes overlapping mental illness, physical health, sociodemographics • Not one-size-fits-all • Evidence-based; effective
Prochaska & DiClemente, 1983
Current AZ Harm Reduction Programs
SPW’s Naloxone & Overdose Prevention Program • 64,834 doses naloxone distributed (3,096 to LE) • 2,862 reversals • Sep 2016 – Jan 2018 • "After the training I decided to stop by her house and tell her what I had learned and give her one of the Naloxone kits I grabbed at the training. I really didn't feel like stopping but something told me I should. The very next morning she called me and told me that her son overdosed in their home and she had to use the Naloxone I gave her. It saved her son's life. If I wouldn't have gone to that training, if I wouldn't have stopped by her house on my way home, her son wouldn't be here and he wouldn't have another chance to get help. I feel so grateful that these services are being offered in Arizona.” -Joan C., Casa Grande
2017 SPW Naloxone Data Provision effectiveness by receiver Other community members
Law enforcement
Medical personnel
Community agency staff/volunteers
Family/friends
Drug users 0.00%
5.00%
10.00%
15.00%
Provision effectiveness by receiver
20.00%
25.00%
30.00%
35.00%
Phoenix Syringe Access Program • 51,096 individual contacts • 29,388 naloxone doses • 2,808 referrals
Future of Harm Reduction in AZ • • • • • • •
Kingman Syringe Access Program Fentanyl testing strips Stimulant safety education Drug user advisory board Post-release intensive case management Pre-arrest diversion Harm reduction case management & therapy
Haley Coles [email protected]
Turiya Coll Nathan Leach Stacey Cope Northern AZ Central AZ Southern AZ [email protected] [email protected] [email protected]
