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Take-home naloxone in prisons

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Research consultant, Arun Sondhi, from the Centre for Public Innovation (CPI), talks to DDN about the findings of his latest research into take-home naloxone in prisons. ‘Through-the-Gate’forms a key part of the government’s Transforming Rehabilitation strategy aimed at supporting a prisoner’s recovery from drugs and/or alcohol once released back in the community. The provision […]

Turning Point Leicestershire’s initiative shortlisted for national award

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[…] Substance Use service have been shortlisted for a national award, after introducing a lifesaving initiative that allows for front-line police officers in Leicestershire to carry and administer naloxone, an antidote that reverses the effects of an opioid overdose. The city council’s public health team worked in partnership with the police and local drug and […]

A flying start

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[…] large number of overdoses and suspected overdoses’, he says. This is what gave him the idea for NaloFly, a new app designed to enable peer-to-peer delivery of naloxone when needed.  The app enables people to get hold of naloxone by alerting a registered responder – someone nearby who’s carrying it. ‘I talk to people […]

DDNmarch10

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[…] place to swap ideas. DDN talked to some of the participants. 12 AWARENESS, ADVOCACY, ACTION! Dr Chris Ford and Danny Morris urged delegates to get involved in naloxone training, while Daren Garratt and Ursula Brown gave a guide to advocacy services. 14 THE PERSONAL TOUCH The Alliance opened discussion of the government’s proposed personalisation […]

Local authorities failing to provide sufficient naloxone

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The amounts of naloxone being provided by local councils and prisons are ‘extremely limited’, warns a new report from Release. While all but three of the 152 local authorities who responded to Freedom of Information requests now supply the overdose-reversing medication – up from 90 per cent a year ago (DDN, February 2018, page […]

DDN0103

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[…] place to swap ideas. DDN talked to some of the participants. 12 AWARENESS, ADVOCACY, ACTION! Dr Chris Ford and Danny Morris urged delegates to get involved in naloxone training, while Daren Garratt and Ursula Brown gave a guide to advocacy services. 14 THE PERSONAL TOUCH The Alliance opened discussion of the government’s proposed personalisation […]

Be prepared! Train with naloxone

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Train your staff to empower service users with life-saving naloxone, says David Swain In the 1838 report to the House of Commons on causes of death, the coroners in England and Wales for the preceding year recorded that a third of all deaths were shown to be attributable to laudanum and other opium preparations. […]

Through the gate

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Sue Reynolds, the clinical lead of sub­stance misuse at HMP Littlehey, tells DDN about joining the growing number of prisons to introduce a life-saving take-home naloxone pro­gramme for prisoners upon release HMP/Young Offender Institute (YOI) Littlehey is a purpose-built category C prison which holds convicted and sentenced adults and young adults. The average number […]

Matter of life and death

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Why in the name of public health is naloxone distribution still a postcode lottery, asks Neil Hunt. I live in Kent, one of 16 sites from the 2010 NTA naloxone pilots for families and carers of heroin/opioid users. Locally, ‘Take Home Naloxone’ (THN) for service users, their families or carers has since become integral […]

Government consults on widening access to naloxone

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The Department of Health and Social Care has launched a consultation on proposals to make naloxone ‘more widely available in the community’. Poster from the national naloxone and overdose awareness campaign The eight-week consultation is in response to the ever-increasing rate of drug-related deaths and the second part of Dame Carol Black’s Independent review […]

Harm reduction at the NNEF meeting

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[…] users, with a number of exhibitors including Frontier and Exchange Supplies displaying the latest products for needle exchange programmes. There were presentations on the latest developments on naloxone and updates from Public Health England (PHE), as well as updates on the work of the NNEF over the past year. Alongside some of the presentations […]

Comment from the substance misuse sector

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[…] email the editor, claire@cjwellings.com, or post them to DDN, CJ Wellings Ltd, 57 High Street, Ashford, Kent TN24 8SG. Letters may be edited for space or clarity. Naloxone no-brainer I’ve just been reading the article talking with Philippe Bonnet about naloxone (DDN, June, page 6) and agree with what he says. Naloxone is relatively […]

DDN Conference 2023 session two: Partner power

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[…] them what to do. So how do we do that, and how do we embrace harm reduction as a whole?’ Cranstoun’s Worcestershire service had developed a peer-led naloxone team, PACKS – ‘peer-assisted community knowledge and support’, he said (DDN, April, page 16). ‘They have keys to the community that we don’t have. I can now […]

Families First 2013

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[…] job. So I say to families, please share your story. Tell as many people as possible. Commissioners have to put families first.   We should be demanding naloxone ‘We need family members out there advocating naloxone,’ said drugs trainer Nigel Brunsdon, leading a workshop about this life-saving intervention. Who better to put pressure on […]

Country-wide naloxone awareness campaign launches

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A national naloxone and overdose awareness campaign has been launched using posters of people who have been personally affected by overdose and now carry naloxone themselves. The first set of billboards will be displayed across London and Manchester, with more to follow later in the month in Birmingham, Bristol, Cardiff, Edinburgh and Glasgow. The […]

One Life Programme

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[…] support and recovery services. Come and share your thoughts and experiences, and discuss ways that local groups can use lived experience to connect with current users. http://www.re-solv.org Naloxone: Lobbying for local distribution Lee Collingham, Naloxone Action Group (NAG) Naloxone is the drug that can temporarily reverse the effect of an opioid overdose, and is […]

Better training needed for emergency call handlers around overdose, says SDF

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[…] with overdose situations, according to a new report from the Scottish Drugs Forum (SDF). Some call handlers have been giving advice that conflicts with that provided in naloxone training, says Providing emergency help to someone having an overdose: your experiences.   The document is based on the survey responses of 285 people who have […]

Scots widen availability of naloxone

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The Scottish Government has widened the availability of naloxone as part of a package of support for people affected by drug use during the COVID-19 pandemic. Other measures include £1.9m to support people on OST while in prison to switch to a prolonged release injection of buprenorphine (Buvidal), and an ‘enhanced offer of residential […]

A partnership to save lives

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[…] award on Wednesday. The judges said they were ‘wowed by a partnership solution that is both innovative and pragmatic’ The initiative sees police officers trained to use naloxone, which reverses the effects of an opiate overdose – if given quickly enough. In the first 12 months, officers administered naloxone on 14 separate occasions, in […]

Change Grow Live is working with Norfolk Police to prevent overdoses

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Change Grow Live is working in partnership with Norfolk Constabulary to prevent overdoses and save lives. Naloxone is an emergency drug that temporarily reverses the effects of opioids like heroin, methadone, opium, codeine, morphine and buprenorphine. We’ll be training 310 police officers in the Norwich and Greater Norwich area on how to use naloxone. […]

Nine out of ten councils now provide take-home naloxone

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Take-home naloxone has been made available by 90 per cent of English local authorities, according to a report from the Local Government Association (LGA). Of those, 90 per cent provide it through drug treatment services, 25 per cent via hostels and 25 per cent through outreach workers, says Naloxone survey 2017. The survey was […]

Primary position

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[…] pick my head up from the coalface and look around so I started to look at ways to reduce drug related deaths in Birmingham and work on our take-home naloxone project,’ she says. ‘I thought I’d be able to just put on a couple of training the trainer sessions and then someone else would take over and it […]

DDN Conference 2023 session three: Voices of experience 

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[…] of outreach work had disappeared with recommissioning and the later move to public health. ‘In the pandemic there was lots of great outreach work – including giving out naloxone – but it was being done by homelessness and housing charities,’ one delegate stated.  Words from the floor: ‘I’m five and a half years clean. Through Turning […]

Filling the prescription

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[…] Discovery In the mid-1960s buprenorphine was discovered. Longer acting relapse prevention methods such as antagonist depot injections were studied in the 1970s, while researchers also explored whether naloxone could be added to opioid medicines, and it was around this time that the search for a medicine with both antagonist and agonist properties began to […]

DDN June 2020

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[…] gobng back campabgns at www. mungos.org WWW.DRINKANDDRUGSNEWS.COM NEWS ROUND-UP Don’t squander chance to end rough sleeping, urge parliamentarians COVID-19 reducing drug supplies Scottish Government widens availability of naloxone THE SCOTTISH GOVERNMENT has widened the arvailability of naloxone as part of a package of support for people affected by drug use durinrg the bOVID-19 pandemic. […]

No time to lose

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[…] housing, unemployment and adverse childhood experiences. ‘The number of lives lost is the highest on record, with the vast majority including opioids,’ said Sunny Dhadley, representing the Naloxone Action Group (NAG). Naloxone was an easy-to-use medication in reversing an overdose, yet it was ‘simply not reaching the people who need it the most’. Naloxone […]

DDNmay10

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[…] co-founder of the Recovery Academy, Professor David Best, as guest speaker alongside centre director Tim Leighton. For more information contact Patsy Ford on 01985 843783 or patsy.ford@actiononaddiction.org.uk Naloxone news A new website providing a guide to all aspects of take-home naloxone has been launched by a group of independent academics and healthcare professionals. www.take- […]

Case dismissed

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[…] in the sector, looked at what must change (DDN, July/August, page 5). Only 12 per cent of prisoners who were previously dependent on heroin left prison with naloxone in 2017-18 A look at the ‘substantial harms’ that contribute to the unacceptable death rate showed that many prisoners were still being released without the certainty […]

Market forces

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[…] be doing? Two of the clearest practical steps were to invest in high quality opioid substitution therapy (OST) at optimal dosage and opti­mal duration, and to provide naloxone to practition­ers, peers and potential bystanders – anyone who comes in contact with a person who could be at risk of overdose. ‘Naloxone should be available […]

Comment from the drug and alcohol field

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[…] where they are, not where services or workers think they should be. The second big success for me was the inspiring and collective passionate campaign to get naloxone in England. This reminded me of the old times – no egos, sharing all, everyone wanting to work together. People from all philosophies, strictly proud abstinence-based […]

Sharp rise in Scottish drug-related hospital admissions

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[…] added, stressing that the figures highlighted the need for a ‘radical’ change in approach to drug policy. Figures showing a two-thirds increase in the number of take-home naloxone kits issued were welcomed by the Scottish government, however. ‘Our world-leading programme for take-home naloxone, alongside life-saving training, sends a clear message that lives matter, and […]

Home Office issues new synthetic opioid guidance

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[…] opioids have been issued by the Home Office. The advice includes sharing data between police, coroners and health services, making sure police are trained to confidently administer naloxone, fast-tracking drug testing when suspected synthetic opioids are seized, and ensuring out-of-hours resources are available to respond to incidents around the clock. More than 20,600 police […]

NHS Scotland issues alert about ‘sudden collapse’ overdoses

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[…] We’re advising people who use drugs to be extra vigilant.’ Due to the potency of synthetic opioids like nitazenes, you may need to administer multiple doses of naloxone People should also ensure they had ready access to naloxone kits, he added. ‘And due to the potency of synthetic opioids like nitazenes, which might be […]

DDN conference 2024: session one

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[…] ‘We don’t really know the statistics of how many people have actually died, so getting those effective messages out is key.’ Turning Point had begun distributing more naloxone and warning people, she said. ‘And we kept warning them, until there were so many warnings that it just became white noise and people weren’t hearing […]

Six more synthetic opioids banned

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[…] ensure we are able to respond rapidly to any new emerging threat.’ Meanwhile, the sector has been responding to the government’s announcements of its expansion of take-home naloxone provision and the first ever national workforce plan for the drug and alcohol field. The government has announced an expansion of take-home naloxone provision While the […]

No time to lose

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[…] multi-million pound units. Harm reduction advice needed to be realistic and relatable – and include housing environments for semi-supervised use, innovative prescribing options, and increased availability of naloxone. In terms of political strategy, we had ‘to speak with a collective voice’ – experts together with people with lived experience – and avoid ‘partisan polarisaton’. […]

Before it’s too late

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[…] housing, emergency services. Drill in to both fatalities and near misses. Detailed granular information, the way people are using and experiencing the drugs, how people responded to naloxone, duration of effect. Encourage people to send samples for testing. 2: Testing – in lieu of having an English testing service we must continue to impose […]

DDN1806

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[…] these medications, they are indispensable for the treatment of acute pain. Thebaine, an alkaloid, is also the starting material for a number of highly effective medications like naloxone and naltrexone that are used for the treatment of addictions to opioids and alcoholism. Unlike the opioid pain medications, naloxone and naltrexone have noabuse potential and […]

DDN February 2020

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[…] distressing when we consider that in Wales, bnlike England, drbg treatment bbdgets have remained largely the same. In fact on many initiatives, sbch as the roll-obt of naloxone, Wales has led the way. Significant progress has also been made thanks to the Welsh Government’s sbpport of a collaborative and recovery-focbsed approach to hobsing and […]

Different perspectives

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[…] PCC said reducing harm was a key driver to strategy, alongside reducing crime and cost to the community. Birmingham officers were now saving lives through carrying nasal naloxone and their eight-point recommendations included heroin assisted treatment (HAT) and drug consumption rooms, alongside diverting people away from the criminal justice system. Liaising with schools and […]

A name not a number: ‘Behind every drug-related death statistic is a life that...

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[…] he staggered in, fell to the floor, stopped breathing and turned rapidly blue. My quick-witted partner ran to the emergency cupboard and dug out our newly acquired naloxone kit. Naloxone is the antidote to opiate overdose and David was breathing again, although still groggy when the ambulance arrived. When he returned to my surgery […]

Round-up of National News, October

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[…] they need,’ said minister for social services and public health, Rebecca Evans. The country has also seen a 14 per cent increase in the distribution of take-home naloxone kits, according to figures from Public Health Wales. The kits were reportedly used in more than 430 poisoning events in 2015-16. Substance misuse delivery plan 2016-2018 […]

Get the Picture

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[…] seen death rates fall in the last two years, he pointed out, while Scotland had experienced an increase and in England it varied according to region. ‘ Naloxone by itself is not going to reverse the trend.’ When people arrived at services now they were ‘shattered, tired, broken’, he said. ‘They need to be […]

News in brief

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[…] stability of Afghanistan – and the wider region – derailed by the threat of opiates,’ said UNODC chief executive Yury Fedotov. 2014 Afghanistan opium survey at www.unodc.or Naloxone alert A patient safety alert on the use of naloxone has been issued by NHS England, where the drug is used to provide pain relief following […]

Turning Point’s response to the Government’s naloxone recommendations and overdose prevention centre

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Photo by Marcin Nowak on Unsplash Clare Taylor, Chief Operating Officer at Turning Point, responds to the publication of the Government response to the ACMD’s recommendations on naloxone and the news that the UK’s first overdose prevention centre has had the green light in Glasgow. “Last year, drug related deaths reached the highest on […]

International Overdose Awareness Day 2022

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[…] Drug overdoses are one of the most tragic outcomes of drug prohibition, brought about by an adulterated drug supply, or lack of access to life-saving medicine like overdose-reversing naloxone. In the UK, drug deaths have spiralled out of control. Although media has focused particularly in Scotland, where three people suffer a drug-related death every day, the […]

Naloxone news

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[…] no change to the product’s strength or dosing schedule, and that its effectiveness and method of use also remain unaffected. Prenoxad Injection is a pre-filled syringe containing naloxone hydrochloride solution, and was the world’s first naloxone product to be licensed for use by non-healthcare professionals in a community setting. While the labelling now shows […]

My, how you’ve changed!

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[…] in its focus. There has been a great concentration on improving the quality of service response; reducing the numbers of drug deaths, including pushing for the national naloxone programme and supporting implementation; ensuring an effective user voice; and innovating means of helping people with a history of drug or alcohol problems into employment. Recovery […]

Letters

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[…] reduction groups working in those countries. Misbehaving and fighting for their rights can easily lead to them ending up in prison. Then came the Action Summit on Naloxone – again a full room of committed people who want to unsettle the status quo of poor to no naloxone provision in England. How can PHE […]

Countries apart?

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[…] people were taking drugs and there were signs that the government’s approach was working. One of the key aspects of that approach is a national programme of naloxone provision, with nearly 4,000 kits issued in 2012/13. So how much of a role did that play? ‘Certainly we have evidence of a significant amount of […]

Drug alert: medetomidine found in heroin samples (Essex and surrounding counties)

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[…] death. Medetomidine depresses the central nervous system and slows the heart rate. When used with opioids, these effects are intensified, greatly increasing the risk of fatal overdose. Naloxone use Medetomidine is not an opioid, so naloxone will not reverse its effects. However, because it is often mixed with opioids, naloxone should still be administered […]

Drug-related harms on the increase across Scotland, warns PHS

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[…] to May this year were up by 15 per cent on the previous quarter and 7 per cent on the same period last year, the document states. Naloxone administration incidents, meanwhile, showed an increase of 45 per cent compared to the previous quarter, with emergency department attendances also up by nearly 20 per cent. […]

In the pipeline

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[…] opioids, whereas the presentation alone with stimulants made people nervous.’ There were also ‘no easy answers’, he adds – ‘no silver bullet in case of emergencies, like naloxone.’ Another disincentive to incorporating services for people who used stimulants was that it meant redefining job roles, he says. ‘We were serving people who use opioids, […]

Still kicking

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[…] now?’ Niamh Eastwood, Release ‘Working in hostels we struggle to get a roof over people’s heads. We need more opportunity for collaboration and shared delivery.’ Delegate On naloxone… ‘The message is getting skewed – we’re getting them breathing, not bringing them back to consciousness.’ Deb Hussey ‘Has there been any conversation about providing oxygen?’ […]

Getting it in perspective

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[…] work. As John Ruskin said, “when love and skill work together, expect a masterpiece”.’ The next perspective came from Nigel Brunsdon of Injecting Advice and HIT, discussing naloxone. ‘It’s an opiate antagonist – it reduces the effects of a heroin overdose and that’s all it does,’ he said. ‘It doesn’t do anything else – […]

DDN July_August2021

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[…] by alcohol; Overdose Awareness Day 18 bENTAL HEALTH The holistic model 19 I Ab A... nurse in a prison 20 BETTER TOGETHER When blenheim met Humankind Get naloxone to those who need it 12 Y blaire Brown, editor Keep in touch at www.drinkanddrugsnews.com and @DDNmagabine 6 Sector specific: the Carol Black review DDN is […]

Enough Excuses

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[…] the School of Education and Social Sciences, UWS. The 2019 report did not follow up on the recommendations in the 2009 report but chose to focus on naloxone provision, needle provision, and framing increases in DRDs as linked to an ageing cohort. The 2019 report indicates a 71 per cent increase in DRDs since […]

Another record high for England and Wales drug deaths

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[…] may be some time before we see any change in terms of improved funding.’ The sector needed to now focus on keeping harm reduction services open, getting naloxone to as many people as possible, providing a range of easily accessible online groups and being flexible in its approach to prescribed medication, she stressed.  ‘Government […]

Opening the Doors

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[…] many questions – why don’t we take notice of the evidence to stop ‘thoroughly preventable’ drug poisoning deaths with simple and cost-effective harm reduction measures such as naloxone? Why are we still discharging from hospital onto the street? Why are care pathways so fragmented? Why aren’t we creating routes out of dependent drinking? Why […]

A Sure Start

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[…] enter treatment. The artwork feature may have a therapeutic effect, enhance self-esteem or appeal to those who find it difficult to express themselves in words. Meanwhile, the naloxone feature may increase engagement with take-home naloxone and improve overdose management competency, so potentially saving lives. We encourage anyone with lived experience of addiction and an […]