An Overdose Antidote Goes Viral

The Virginia Harm Reduction Coalition (VHRC) uses harm reduction strategies to help those suffering from addiction by providing free supplies like overdose reversal spray, safe smoking kits and clean syringes, as well as connection to education and treatment options when people are ready. Those who access services through a harm reduction program are five times more likely to enter treatment programs. Last year alone, the VHRC distributed more than 20,000 doses of Narcan which they know reversed at least 2,000 overdoses.

Several states are changing their drug paraphernalia laws, making it legal to possess fentanyl test strips which allow those who use drugs to test them for fentanyl. Fentanyl test strips are a means of harm reduction that allows the person to make informed decisions about their drug use in an effort to reduce fatal drug overdoses.

Agencies like the SHARE Center are beginning to hire peer support specialists, who are individuals who have lived experience of recovery from mental health conditions and substance use disorders. Peer support specialists provide non-clinical, strengths-based support and build trusting relationships with those in need of care. Since the COVID-19 pandemic, demand for peer support specialists has grown exponentially and reports show that working with a peer support specialist can improve health outcomes and quality of life among other benefits.

The Cowichan Wellness and Recovery Centre works to combat the ongoing overdose crisis. The Centre offers services like mental health support and a community hub where people can access, test and use drugs safely, as well as connect with healthcare, detox, and treatment services. Not only have these services benefited people, and connected them with others in the community, but they’ve also led to decreased criminal activity like theft.

The Journey to Recovery Community Center in Newport provides short-term, 24-hour peer support for people in crisis from substance use who want to begin their recovery. The Center not only works with those struggling with addiction but also aims to help reduce the strain on local hospitals’ emergency departments. The Center has since expanded to another location and received grant funding to continue scaling up its operations.

A significant spike in opioid-related overdose deaths in Philadelphia has resulted in more people in the community carrying Naloxone, an opioid overdose reversal medication. Thanks to a standing order signed by the Pennsylvania physician general as well as a local health insurance company, obtaining the drug has been made much easier which in turn results in more lives potentially being saved.

For those addicted to opioids, getting treatment can take a long time because not all emergency rooms offer buprenorphine and counseling interventions. Yale-New Haven Hospital has shown that if patients receive buprenorphine at their initial emergency room evaluation, then the immediate action improves the person’s chances in receiving addiction treatment.

Chesterfield County, Virginia implemented a multi-faceted response to the opioid crisis, including a jail-based recovery program, Helping Addicts Recover Progressively (HARP), that brings people in recovery to the local jail to talk about addiction and treatment resources. Combined with other efforts, overdose deaths have dropped by half in a single year, and around 4,000 people have participated in HARP.

Six programs throughout the state, including the SUN Project and Project CARA, are working to provide support to pregnant mothers navigating a substance use disorder. With support from the North Carolina Perinatal Substance Use Disorder Network, the programs share best practices for treating perinatal substance use and expand access to treatment. Project CARA alone serves more than 200 patients each year.

Health engagement hubs like Washington state’s Buprenorphine Pathways connect people with prescriptions for methadone and buprenorphine to help treat addiction. In addition to medication and a syringe-exchange program, the hub also connects patients to social services, taking a more holistic approach to addiction treatment.