TY - JOUR
AU - McDonald, Rebecca
AU - Eide, Desiree
AU - Abel-Ollo, Katri
AU - Barnsdale, Lee
AU - Carter, Ben
AU - Clausen, Thomas
AU - Day, Ed
AU - Fonseca, Francina
AU - Holmen, Elin
AU - Horsburgh, Kirsten
AU - Kelleher, Mike
AU - Kåberg, Martin
AU - Ladenhauf, Martin
AU - McAuley, Andrew
AU - Metrebian, Nicola
AU - Neale, Joanne
AU - Parkin, Stephen
AU - Ratcliffe, Kevin
AU - Rintoul, Chris
AU - Smith, Josie
AU - Stifanoviciute, Viktorija
AU - Torrens, Marta
AU - Thiessen, Henrik
AU - Strang, John
PY - 2022
DA - July
TI - A rapid assessment of take-home naloxone provision during COVID-19 in Europe
JO - International Journal of Drug Policy
VL - 107
DO - https://doi.org/10.1016/j.drugpo.2022.103787
AB - Background In March 2020, the World Health Organization declared COVID-19 a global pandemic. In the following weeks, most European countries implemented national lockdowns to mitigate viral spread. Services for people who use drugs had to quickly revise their operating procedures to rearrange service provision while adhering to lockdown requirements. Given the scarcity of literature published on overdose prevention during COVID-19 in Europe, we aimed to examine how these changes to service provision affected take-home naloxone (THN) programmes and naloxone availability across Europe. Methods Between November 2020 and January 2021, we conducted a rapid assessment with country experts from European countries that provide THN. We sent country experts a template to report monthly THN distribution data (January 1, 2019-October 31, 2020) and a structured 6-item survey for completion. Results Responses were received from 14 of the 15 European countries with THN provision of which 11 participated in the rapid assessment: Austria, Denmark, England, Estonia, Lithuania, Northern Ireland, Norway, Scotland, Spain (Catalonia only), Sweden, and Wales. All reported reduced organisational capacity during COVID-19, and some put into place a range of novel approaches to manage the restrictions on face-to-face service provision. In six countries, the introduction of programme innovation occurred alongside the publication of government guidelines recommending increased THN provision during COVID-19. Eight of the eleven participating countries managed to maintain 2019-level monthly THN distribution rates or even increase provision during the pandemic. Conclusion Through programme innovation supported by public guidelines, many European THN programmes managed to ensure stable or even increased THN provision during the pandemic, despite social distancing and stay-at-home orders affecting client mobility.
PB - Science Direct
UR - https://researchonline.gcu.ac.uk/en/publications/104191bd-f403-46e3-8888-b185a059cc89
KW - Coronavirus (COVID-19)
ER