Create a Safe Station at a Fire Department

A Safe Station is a fire department that is available 24 hours a day to help those who are seeking aid with substance misuse disorder and are not in need of immediate medical attention. This service aids hospitals by taking care of patients who are seeking assistance, but are not in immediate need of medical attention.
Once an individual enters the Safe Station for assistance, trained firefighters will provide a medical assessment to determine if there is anything else medically wrong with the patient that would require further medical attention. If the person is in need of medical attention, an ambulance will be provided to transport them to the nearest facility. If no concerning medical conditions are found, the patient will turn in any drug paraphernalia or needles to the fire department’s collection area. If weapons or illegal substances are involved, a police department will be notified and involved in their collection.
The patient will have the opportunity to speak with a substance misuse coach and find a treatment plan that is right for their path to recovery.
The 24-hour service allows individuals to seek help as soon as they are ready, rather than waiting until a facility opens and risking repeated substance misuse.
According to addictionpolicy.org, the Safe Stations in Manchester, New Hampshire have “developed and implemented without any new funding” and “has connected 1,326 people to treatment between May 4, 2016 and March 4, 2017.”
Currently there are no Safe Stations in the state of Tennessee, but there are several successful stations in New Hampshire.
How can I do that?1. Reach out to a fire department with a Safe Station program for advice.2. Contact your local fire department about creating a Safe Station program.

Create Drug Education Materials

Education is key in helping to prevent the misuse of opioids. Educational kits are easily distributed throughout the community by partnering up with local community businesses and organizations. Some examples of items that can be included: pamphlets, informational brochures, magnets, bracelets, toys, pens/pencils etc. These items are anything that will draw attention to the educational information being provided. Alternatively, you can partner with a local pharmacy or other wellness-related business to display the kits at the checkout counter for customers.
How do I do that?1. Gather printed materials to include in each kit.2. Purchase giveaway items with drug education message (magnets, pens, bracelets, etc.)3. Package printed materials and giveaway items in small bag or box to be easily handed out to members of the public.4. Coordinate with local businesses to hand out kits to customers as they enter and leave the store.5. Alternatively, partner with a local pharmacy or other wellness-related business to display the kits at the checkout counter for customers to take while making purchase.

Host a Training Day for First Responders and the Community

First responders are firefighters, police officers, and emergency medical technicians (EMTs). All three of these professions require continuous training throughout their career. With the use of opioids and the number of opioid overdoses, increasing, first responders need to know the most up to date information. They also need to be aware of the risks when responding to opioid-related emergency calls such as needles, the pysical environment, or even distraught family members. A training day would allow first responders to learn about the nature of opioid use and abuse and how to protect themselves, and others, from possible risk.
How do I do that?1. Determine location, date, and time of training day.2. Line up appropriate personnel to provide training (i.e., ER doctor/nurse, drug rehab counselor, etc.)3. Prepare training guides, handouts, etc.4. Create event invitations for local first responders.5. These people like to eat! Be sure to have free snacks and beverages available throughout the training day.

Supply Law Enforcement with Naloxone

Every 19 minutes someone dies of an overdose, which makes drug overdose the leading cause of injury death in the United States. Equipping law enforcement with naloxone kits and access to professional medical training for administration could mean the difference between life and death. Naloxone is an opioid antagonist, which means it removes and replaces the opioid from its receptor in the body. This reverses the effects of opioids for 30-90 minutes and allows the respiratory system to recover. It has proven effective in 86% of cases, but caution should still be exercised when administering naloxone. This means that slow release opioids could require another dose of naloxone if treatment is not reached within that 90-minute window. However; too much naloxone could put the person into immediate withdrawal, causing pain and subsequent violent behavior. This is one of the reasons that proper medical training is essential. Kits typically include instructions, gloves, and pre-filled nasal sprays or syringes.
How can I do that?1. Reach out to your local drug-free coalition, law enforcement or government officials.2. Contact your local health department to find out if they can provide law enforcement with training on the use of naloxone.

Sources: http://www.wbir.com/news/local/knoxville-law-enforcement-has-a-new-metho… https://www.goodrx.com/naloxone?hide_online_pharmacies=true&show_pet_fri… http://www.nejm.org/doi/full/10.1056/NEJMp1609578#t=article EM Basic, Your Boot Camp Guide to Emergency Medicine podcast

Request ScreenU (College) be Used on Your Campus

According to the 2015 College Prescription Drug Survey , 1 in 4 undergraduate students have misused a prescription medication at some point in their lifetime.
The Higher Education Center for Alcohol and Drug Misuse Prevention and Recovery (HECAOD) understands the need for addressing this issue and the resource constraints, in both time and money, that campuses face.
To combat this, HECAOD developed ScreenU, a web-based screening, brief intervention, and referral to treatment (SBIRT) tool to identify students at-risk of experiencing negative consequences for prescription drug misuse and connect them with resources on their campus that can support their success.
SBIRT is supported by the Substance Abuse and Mental Health Administration (SAMHA) and the World Health Organization (WHO). It was designed using evidence-based practices. Students answer questions from a screening tool that identify behaviors that would be considered substance abuse and the level of risk of dependence on the drug. ScreenU takes only 5-10 minutes to complete.

Benefits of ScreenU
ScreenU was designed with the college student in mind and provides feedback and resources that address the unique challenges that they face. It can be used in a variety of settings and contributes to a comprehensive approach to prevention. In addition, ScreenU is:
Based in research- based on the large body of research that supports SBIRT as an early intervention tool
Cost effective- widespread implementation can be done with limited resources since it does not require an appointment or face to face feedback
Personalized- with feedback specific to a person’s risk level and resources specific to the campus and surrounding community
Brief- takes less than 10 minutes, making it easy to complete in many settings
Flexible- Can be used in a variety of settings including student conduct, residence halls, student health services, or counseling centers.
Meets students where they are- Can be completed on a smart phone, tablet, or computer

How can I do that?Contact you local campus representative, student services coordinator or local anti-drug coaltion to see if they will help you put together a proposal to present to your university.