Lay responder naloxone access and Good Samaritan law compliance: postcard survey results from 20 Indiana counties.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101153624 Publication Model: Electronic Cited Medium: Internet ISSN: 1477-7517 (Electronic) Linking ISSN: 14777517 NLM ISO Abbreviation: Harm Reduct J Subsets: MEDLINE
    • Publication Information:
      Original Publication: [London] : BioMed Central, c2004-
    • Subject Terms:
      Health Knowledge, Attitudes, Practice* ; Surveys and Questionnaires*; Drug Overdose/*drug therapy ; Health Services Accessibility/*legislation & jurisprudence ; Naloxone/*therapeutic use ; Narcotic Antagonists/*therapeutic use; Adolescent ; Adult ; Aged ; Emergencies ; Female ; Humans ; Indiana ; Male ; Middle Aged ; Young Adult
    • Abstract:
      Background: To reduce fatal drug overdoses, two approaches many states have followed is to pass laws expanding naloxone access and Good Samaritan protections for lay persons with high likelihood to respond to an opioid overdose. Most prior research has examined attitudes and knowledge among lay responders in large metropolitan areas who actively use illicit substances. The present study addresses current gaps in knowledge related to this issue through an analysis of data collected from a broader group of lay responders who received naloxone kits from 20 local health departments across Indiana.
      Methods: Postcard surveys were included inside naloxone kits distributed in 20 Indiana counties, for which 217 returned cards indicated the person completing it was a lay responder. The survey captured demographic information and experiences with overdose, including the use of 911 and knowledge about Good Samaritan protections.
      Results: Few respondents had administered naloxone before, but approximately one third had witnessed a prior overdose and the majority knew someone who had died from one. Those who knew someone who had overdosed were more likely to have obtained naloxone for someone other than themselves. Also, persons with knowledge of Good Samaritan protections or who had previously used naloxone were significantly more likely to have indicated calling 911 at the scene of a previously witnessed overdose. Primary reasons for not calling 911 included fear of the police and the person who overdosed waking up on their own.
      Conclusions: Knowing someone who has had a fatal or non-fatal overdose appears to be a strong motivating factor for obtaining naloxone. Clarifying and strengthening Good Samaritan protections, educating lay persons about these protections, and working to improve police interactions with the public when they are called to an overdose scene are likely to improve implementation and outcomes of naloxone distribution and opioid-related Good Samaritan laws.
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    • Grant Information:
      U17 CE002721 United States CE NCIPC CDC HHS; NU17CE002721 United States CC CDC HHS
    • Contributed Indexing:
      Keywords: Good Samaritan; Lay responder; Naloxone; Narcan; Opioid; Overdose prevention
    • Accession Number:
      0 (Narcotic Antagonists)
      36B82AMQ7N (Naloxone)
    • Publication Date:
      Date Created: 20180408 Date Completed: 20190218 Latest Revision: 20190219
    • Publication Date:
      20231215
    • Accession Number:
      PMC5889562
    • Accession Number:
      10.1186/s12954-018-0226-x
    • Accession Number:
      29625609