Take-Home Naloxone Program Implementation: Lessons Learned From Seven Chicago-Area Hospitals

Vidya Eswaran, Katherine C. Allen, Diana C. Bottari, Jennifer A. Splawski, Sukheer Bains, Steven E. Aks, Henry D. Swoboda, P. Quincy Moore, Tran H. Tran, Elizabeth Salisbury-Afshar, Patrick M. Lank, Danielle M. McCarthy, Howard S. Kim*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Despite consensus recommendations from the American College of Emergency Physicians (ACEP), the Centers for Disease Control and Prevention, and the surgeon general to dispense naloxone to discharged ED patients at risk for opioid overdose, there remain numerous logistic, financial, and administrative barriers to implementing “take-home naloxone” programs at individual hospitals. This article describes the recent collective experience of 7 Chicago-area hospitals in implementing take-home naloxone programs. We highlight key barriers, such as hesitancy from hospital administrators, lack of familiarity with relevant rules and regulations in regard to medication dispensing, and inability to secure a supply of naloxone for dispensing. We also highlight common facilitators of success, such as early identification of a “C-suite” champion and the formation of a multidisciplinary team of program leaders. Finally, we provide recommendations that will assist emergency departments planning to implement their own take-home naloxone programs and will inform policymakers of specific needs that may facilitate dissemination of naloxone to the public.

Original languageEnglish (US)
Pages (from-to)318-327
Number of pages10
JournalAnnals of Emergency Medicine
Volume76
Issue number3
DOIs
StatePublished - Sep 2020

ASJC Scopus subject areas

  • Emergency Medicine

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