Emergency department naloxone distribution: a Rhode Island department of health, recovery community, and emergency department partnership to reduce opioid overdose deaths

R I Med J (2013). 2014 Oct 1;97(10):38-9.


In response to increasing rates of opioid overdose deaths in Rhode Island (RI), the RI Department of Health, RI emergency physicians, and Anchor Community Recovery Center designed an emergency department (ED) naloxone distribution and peer-recovery coach program for people at risk of opioid overdose. ED patients at risk for overdose are offered a take home naloxone kit, patient education video, and, when available, an Anchor peer recovery coach to provide recovery support and referral to treatment. In August 2014, the program launched at Kent, Miriam, and Rhode Island Hospital Emergency Departments.

Keywords: emergency medicine; naloxone; opioid overdose prevention; peer coaching.

MeSH terms

  • Analgesics, Opioid / adverse effects*
  • Community Health Services
  • Cooperative Behavior
  • Directive Counseling
  • Drug Overdose / epidemiology
  • Drug Overdose / prevention & control*
  • Emergency Medical Services / organization & administration*
  • Humans
  • Naloxone / therapeutic use*
  • Narcotic Antagonists / therapeutic use*
  • Opioid-Related Disorders / epidemiology
  • Opioid-Related Disorders / prevention & control*
  • Practice Guidelines as Topic
  • Prescription Drug Misuse / prevention & control*
  • Prescription Drug Misuse / statistics & numerical data
  • Program Development
  • Referral and Consultation
  • Rhode Island / epidemiology


  • Analgesics, Opioid
  • Narcotic Antagonists
  • Naloxone