NALOXONE AND THE RECOVERY MODEL ILEC London Drug and Alcohol Conference, 2015
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Presentation delivered at DAAToday conference 2015, in London as part of the National Campaign, this section of the conference asked 'Does Naloxone fit into the Recovery Model' Taking the floor with myself was Dr Judith Yates and Dr Chris Ford with Stephen Malloy delivering training throughout the day.
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NALOXONE AND THE RECOVERY MODEL ILEC London Drug and Alcohol Conference, 2015
- 2. Contemplating treatment? Let's talk about that..... • Long term intravenous user • Street homeless, no stability • Prone to overdoses in the past • Not currently accessing treatment • Poly drug user • Just released from prison, hospital, or rehab • Physical or mental health deteriorating • Age • Prescription painkillers • Got Naloxone?
- 3. 'The therapeutic value of one addict talking to another cannot be matched' Peer to peer involvement = Empowering and Productive community involvement
- 4. Into Action....taking the steps through the treatment system. • Emotional wreckage coming through • Current dehumanising clinical environment • Realisation of what you have become, done, not done....truth.... • The cravings, that insatiable need, just one more..... • Flood of emotions overwhelming, mood swings • No sleep, muscle aches, cramps, diarrhea, stomach upset, • Grieving the lifestyle • Honesty, open mindedness and willingness • No self esteem, no confidence, • Family interaction • Drugs were never the problem....
- 5. Beyond treatment.... the bridge to normal living in the community. • No comfort zone • Nothing has changed • Safety net gone • Everyday things can seem hard • Shame, guilt, embarrassment, fear, • Struggling to cope NALOXONE:THE 'ONLY' CONSISTANT THEORY
- 8. OR HAVE I MISSED SOMETHING?
Editor's Notes
- Naloxone is by no means a miracle cure to opioid related fatalities, however, there are over 10,000 people out there who might not be here had it not been on hand when they fell. So is Naloxone empowering? I'd say so. Giving a peer the power to save a life or at the very least reduce risk of long term health implications is extremely empowering and its actually a sign that someone does actually care.
- Each question here could highlight a potential high risk. Naloxone can be a great conversation starter between peers outreaching hard to reach members of our communities, or in Needle exchanges, or for families and friends support workers, hostel staff, community action groups, etc. Discussing potential risks and dispelling myths is fine, but to end the discussion by handing over a potentially life saving kit afterwards enhances the power of the whole situation. The whole scenario can take as little as 10 minutes, training, discussion and supply. This kind of peer to peer interaction in the community is invaluable and empowering to the community on the whole.
- When looking at the previous situation in context, there was a potential risk to every question asked, altogether creating an extremely high risk individual out there with no support. Community peer to peer programs can reduce the numbers of individuals in this situation and increase penetration levels into the hidden, or lost groups in our communities.
- Overcoming all the negative fears and emotions to take that first step towards treatment can be a major barrier that again can be addressed and supported by community peer to peer interactions and support, a sort of befriender program, or 'Warrior Down' program active in every community could reduce the risks and harms and offer, much needed extra support in these early stages. Naloxone is still relevant throughout treatment phase as not everyone is going to make it, and unfortunately you can't guess which ones might not come back tomorrow....End of treatment phase and community reintegration is also high risk.
- Leaving treatment is when the real work begins, you are back in the reality in a world that hasn't changed and you are faced with all the things that made you use in the first place. A high percentage of those leaving treatment will at some point return, some unfortunately will not get that option. The harsh reality of addiction is that there will always be fatalities, we can't eradicate that factor, but we can reduce the risk of it occurring so often. Every death is preventable.
- Since empowering peer to peer community involvement, there have been over 10,000 reversals. That's 10,000 human beings, mothers, fathers, daughters, sons whose lives have been saved. And on top off that, Naloxone can also reduce risks of long term health implications, due to lack of oxygen to the brain. If it's on hand and administered as soon as the signs of overdose have been recognised, the risks are reduced greatly. When looking beyond financial cost there is also the emotional and mental savings.
- So, to summarise. Having take home Naloxone in the community in the hands of first responders is not only common sense, its a humane approach to a problem that is steadily on the rise, it enables peers to respond in an immediate situation with an immediate solution, it shows members of the using community that someone does care and also reaches into the hidden community if hard to reach users. Empowering a community to reduce the number of losses and to effectively become almost self supporting in matters of life and death. So, is that empowering? You tell me.
- It not inly fits into the recovery model, empowering whole Communities, but the fact were even having thus debate exposed the negligent practice up until now and begs the question why is it not already normalised and a part of the using community already. Now that is disempowering, disgraceful and shameful. Its time to 'Embrace, Enlist, Educate and Empower' Anyone can save a life with just a few easy steps and a kit of Naloxone, so lets take those steps with them and give them what they need to save their communities.