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Service Evaluation of Scotland's Take-Home Naloxone Programme

Service Evaluation of Scotland's Take-Home Naloxone Programme

Tuesday, May 27, 2014

ISBN: 9781784124786

An independent service evaluation of the implementation of Scotland’s National ‘Take Home’ Naloxone programme which has been rolled out in Scotland since November 2010. The report presents findings on the programme's processes and structures, the effectiveness of these, an early indication of impact, lessons learned and policy implications.

Executive Summary

The aim of this service evaluation was to examine how the Take-Home Naloxone programme is being implemented across Scotland in order to ensure that it is as effective as possible in preventing fatal opiod overdoses. The research examined the programme processes and structures and the effectiveness of these, as well as qualitative findings on the impact of the programme, and policy implications.

The report concludes that that progress made to date is commendable, but recogises the need for further reach of naloxone kits to those at risk of opiod overdose. Other conclusions and policy implications include: at strategic local level it appears that having a steering group to guide the programme is helpful; greater consistency of ADP involvement across Scotland could be considered as could greater involvement of GPs in the programme. Extending the staff training programme to a greater number of practitioners who are likely to come into contact with people at risk of opioid overdose might enable them to provide naloxone training.

Other implications included: increase the 1:1 brief interventions approach to help reach more of the target group; explore further how outreach can be undertaken effectively, particularly in rural areas; explore further the issues relating to peer training raised in the research and provide guidance as to best practice; greater and more consistent involvement of community pharmacies across Scotland. Lastly the research suggested consideration is given to: naloxone training and supply in future negotiations with community pharmacies, how to increase the training and take-up of supply for those leaving prison, further exploration of the training police receive with regard to naloxone and consideration of the potential to gather systematic and widespread data about the incidence and outcomes of the use of naloxone kits.