An increasing number of states are passing laws that enable third-party prescriptions for naloxone, a prescription medication that reverses opioid overdoses. As such, the Baltimore Student Harm Reduction Coalition overdose education and naloxone distribution program is a state-authorized, community-based training program that distributes naloxone to third-parties.  A recent report evaluated this training program by asking trainee participants (n=113) to complete a pre- and post-test written survey that assessed knowledge, attitudes, and self-efficacy surrounding opioid overdoses. In addition, trainee participants completed a follow-up telephone survey that assessed overdose- and naloxone-related experiences during the 8-12 months following training (n=35). Results indicated significant gains in knowledge, as well as improved attitudes and self-efficacy immediately following the training. For participants that completed the follow-up survey, most shared their knowledge of overdose prevention with others (86%) or had told others that they possessed naloxone (83%). However, many trainees stated they kept naloxone at home (67%) versus carrying it on them (22%), citing concerns of heat sensitivity during the summer. Other third-party naloxone distribution programs may consider directly addressing this concern in order to maximize probability of naloxone use. Lastly, three participants reported reversal of an opioid overdose after administering naloxone received at the training.

Take Away: This report summarizes findings of a third-party naloxone distribution program led primarily by college students. Program staff consisted of undergraduate and graduate students that provided third-party community members valuable education on substance use and overdose prevention, appropriate procedures for naloxone administration, as well as emotional support for family members and friends. As such, this program may provide a model for university campuses to engage college students in community health through a mutually beneficial manner.

Lewis, D. A., Park, J. N., Vail, L., Sine, M., Welsh, C., & Sherman, S. G. (2016). Evaluation of the overdose education and naloxone distribution program of the Baltimore Student Harm Reduction Coalition. American journal of public health106(7), 1243-1246.