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

Dennis P. Watson, Bradley Ray, Lisa Robison, Philip Huynh, Emily Sightes, La Shea Walker, Krista Brucker, Joan Duwve

Research output: Contribution to journalArticle

2 Citations (Scopus)

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.

Original languageEnglish (US)
Article number18
JournalHarm Reduction Journal
Volume15
Issue number1
DOIs
StatePublished - Apr 6 2018

Fingerprint

Naloxone
Compliance
Police
Opioid Analgesics
Drug Overdose
Surveys and Questionnaires
Postcards
Fear
Demography
Health
Research

Keywords

  • Good Samaritan
  • Lay responder
  • Naloxone
  • Narcan
  • Opioid
  • Overdose prevention

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

Lay responder naloxone access and Good Samaritan law compliance : Postcard survey results from 20 Indiana counties. / Watson, Dennis P.; Ray, Bradley; Robison, Lisa; Huynh, Philip; Sightes, Emily; Walker, La Shea; Brucker, Krista; Duwve, Joan.

In: Harm Reduction Journal, Vol. 15, No. 1, 18, 06.04.2018.

Research output: Contribution to journalArticle

Watson, DP, Ray, B, Robison, L, Huynh, P, Sightes, E, Walker, LS, Brucker, K & Duwve, J 2018, 'Lay responder naloxone access and Good Samaritan law compliance: Postcard survey results from 20 Indiana counties', Harm Reduction Journal, vol. 15, no. 1, 18. https://doi.org/10.1186/s12954-018-0226-x
Watson, Dennis P. ; Ray, Bradley ; Robison, Lisa ; Huynh, Philip ; Sightes, Emily ; Walker, La Shea ; Brucker, Krista ; Duwve, Joan. / Lay responder naloxone access and Good Samaritan law compliance : Postcard survey results from 20 Indiana counties. In: Harm Reduction Journal. 2018 ; Vol. 15, No. 1.
@article{50e8440fb8b744cfa2bcb233ef13d221,
title = "Lay responder naloxone access and Good Samaritan law compliance: Postcard survey results from 20 Indiana counties",
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.",
keywords = "Good Samaritan, Lay responder, Naloxone, Narcan, Opioid, Overdose prevention",
author = "Watson, {Dennis P.} and Bradley Ray and Lisa Robison and Philip Huynh and Emily Sightes and Walker, {La Shea} and Krista Brucker and Joan Duwve",
year = "2018",
month = "4",
day = "6",
doi = "10.1186/s12954-018-0226-x",
language = "English (US)",
volume = "15",
journal = "Harm Reduction Journal",
issn = "1477-7517",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Lay responder naloxone access and Good Samaritan law compliance

T2 - Postcard survey results from 20 Indiana counties

AU - Watson, Dennis P.

AU - Ray, Bradley

AU - Robison, Lisa

AU - Huynh, Philip

AU - Sightes, Emily

AU - Walker, La Shea

AU - Brucker, Krista

AU - Duwve, Joan

PY - 2018/4/6

Y1 - 2018/4/6

N2 - 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.

AB - 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.

KW - Good Samaritan

KW - Lay responder

KW - Naloxone

KW - Narcan

KW - Opioid

KW - Overdose prevention

UR - http://www.scopus.com/inward/record.url?scp=85045021071&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85045021071&partnerID=8YFLogxK

U2 - 10.1186/s12954-018-0226-x

DO - 10.1186/s12954-018-0226-x

M3 - Article

C2 - 29625609

AN - SCOPUS:85045021071

VL - 15

JO - Harm Reduction Journal

JF - Harm Reduction Journal

SN - 1477-7517

IS - 1

M1 - 18

ER -