Knowledge of the Good Samaritan Drug Overdose Act and possession of a naloxone kit among people recently released from prison

Int J Prison Health. 2021 Aug 25. doi: 10.1108/IJPH-04-2021-0033. Online ahead of print.

Abstract

Purpose: This study aims to describe knowledge of Canada's Good Samaritan Drug Overdose Act (GSDOA) and take home naloxone (THN) training and kit possession among people being released from provincial correctional facilities in British Columbia.

Design/methodology/approach: The authors conducted surveys with clients of the Unlocking the Gates Peer Health Mentoring program on their release. The authors compared the characteristics of people who had and had not heard of the GSDOA and who were in possession of a THN kit.

Findings: In this study, 71% people had heard of the GSDOA, and 55.6% were in possession of a THN kit. This study found that 99% of people who had heard of the GSDOA indicated that they would call 911 if they saw an overdose. Among people who perceived themselves to be at risk of overdose, 28.3% did not have a THN kit. Only half (52%) of participants had a mobile phone, but 100% of those with a phone said they would call 911 if they witnessed an overdose.

Originality/value: The authors found that people with knowledge of the GSDOA were likely to report that they would call 911 for help with an overdose. Education about the GSDOA should be a standard component of naloxone training in correctional facilities. More than one in four people at risk of overdose were released without a naloxone kit, highlighting opportunities for training and distribution. Access to a cellphone is important in enabling calls to 911 and should be included in discharge planning.

Keywords: Drug overdose; Emergency treatment; Harm reduction; Law enforcement; Naloxone; Opioid-related disorders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Drug Overdose* / drug therapy
  • Humans
  • Naloxone / therapeutic use
  • Narcotic Antagonists / therapeutic use
  • Opioid-Related Disorders* / drug therapy
  • Prisons
  • Surveys and Questionnaires

Substances

  • Naloxone
  • Narcotic Antagonists