Training and Data Collection Tools for Prescription Drug Overdose Grant in New Mexico

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This information provides insights into a Prescription Drug Overdose grant program in New Mexico, focusing on training and distributing Naloxone to combat opioid overdose. The program involves a hub and spoke system, where entities like county organizations and local agencies play crucial roles in training and distributing Naloxone to combat overdose cases. Various data collection and entry tools are utilized to track training progress and guide interventions, catering to both formal and informal trainees. The ultimate goal is to equip individuals with the skills and tools to address overdose situations effectively.


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  1. P R E S C R I P T I O N D R U G O V E R D O S E ( P D O ) G R A N T D AT A C O L L E C T I O N I N N E W M E X I C O MARTHA W. WALLER AND LIZ LILLIOTT PIRE

  2. HUB AND SPOKE SYSTEM Four targeted counties in NM Three county organizations responsible for training and initial distribution of Narcan Some have PDO funded Narcan, STR funded Narcan, and Narcan funded by state general funds Individual(s) Local Agency Individual(s) Individual(s) Individual(s) via street outreach Local Agency Individual(s) Individual(s) County Hub Individual(s) Local Agency Individual(s) Local Agency Local Agency Individual(s)

  3. NMS HUB AND SPOKE MODEL Training and Distribution Agency (BCCHC, DAHHS, SFPA, SFMC,) Level 1 - Hub Training and distribution of Naloxone Local entities and individuals (fire departments, school nurses, shelter staff, family, friends, MDC & RRC, etc.) Level 2 - Spoke Training and distribution of Naloxone * There may be more levels between these two Level 3 Naloxone administered

  4. TRAINING & DATA COLLECTION FORMS

  5. TRAINING DATA COLLECTION AND DATA ENTRY TOOLS Training Data Collection Documents: Contact form Demographic form (PDF and Qualtrics) https://tinyurl.com/PDOdemos Post-test (PDF and Qualtrics) https://tinyurl.com/PDOposttest Follow-up Narcan (naloxone) Training (PDF and Qualtrics) https://tinyurl.com/Narcan-Follow-up First Distribution Form* (Excel file) Record of Narcan (naloxone) Use Form (PDF and Qualtrics) https://tinyurl.com/narcan-report Narcan Replacement Form* (Excel file)

  6. DATA EXPECTATIONS With Formal Trainees you will collect: Contact information form Demographic form Post-test Follow-up Record of Use Formal Trainees include agency staff or individuals who attend a formal training, able to read

  7. MOST IMPORTANT INFORMATION TO COLLECT With informal trainees you will collect Demographic Form Record of Use These two pieces of information are critical. Informal trainees are individuals who are trained via street outreach or are active substance users, low reading levels

  8. ADDITIONAL REQUIRED FORMS Every trainer must complete the Narcan Training and Distribution Excel forms. Informal trainings should be entered by the day they took place. If you completed 3 informal trainings on one day, you may enter all 3 trainings as one entry and do not need to enter each separately.

  9. TRAINING FORMS Contact Form Demographic Form Trainee Post-test Follow-up

  10. Before Training Post Training Contact Information Form Post-Test *Send link to form for them to complete in Qualtrics directly: https://tinyurl.com/Narcan- Follow-up Follow-up (3 months after)* Demographic Form

  11. DATA COLLECTION http://www.nm-pdo.org/

  12. TRAINEE DATA COLLECTION NOTES We collect trainee contact information so that we may follow up with trainees after 3 months to see if they still feel that the training prepared them well for administering Narcan. Contact information is deleted once the follow-up survey is completed. We ask each person to create a unique identifier (ID) that they ll use every time they (or you) enter data. It is not connected to an actual name of a person. This is used so that we can track Narcan use over time but still have people remain anonymous. Contact information and demographic information are collected at the beginning of a training. Post-test is collected at the end of a training Follow-up is collected 3 months post training (can be done electronically) Trainee data are typically collected using paper forms and entered into Qualtrics or the Excel file by a staff person

  13. NARCAN (NALOXONE) TRAINING AND FIRST DISTRIBUTION FORM This Excel form is completed by the trainer post training and summarizes the key training information Each training is one line of data if two trainings are completed in one day, two lines of information are entered- one for each training (not necessarily each person trained). This form should be completed after every training and after you enter the trainee data.

  14. INITIAL TRAINING & NARCAN DISTRIBUTION Expiration date of Narcan (1) MM/YY Distribution/ Training Agency zip code Training date (MM/DD/Y Y) Type/Name of Agency Trained (if applicable) ZipCode of Agency or Individual (if appplicable) # of Narcan boxes dispensed Expiration date of Narcan (2) MM/YY Narcan Funding Stream Type of responder trained (1) Type of responder trained (2) Type of responder trained (3) Type of responder trained (4) Type of responder trained (5) Total # of people trained Distribution/Tr aining Agency

  15. ENTERING DATA- OPTION # 1

  16. ENTERING DATA- OPTION # 2 http://www.nm-pdo.org/

  17. NARCAN (NALOXONE) ADMINISTRATION FORM (AKA: RECORD OF USE FORM) Someone uses the Narcan. Then what happens? Sticker or flyer on every box or kit of PDO funded Narcan Unique local number for each community Individuals may report on-line and/or go back to the agency or person they got the Narcan from; the agency should collect Record of Use data at that time and provide more Narcan.

  18. WHEN SOMEONE WANTS TO REPLACE THEIR NARCAN . We ask them if s/he would be willing to provide some feedback on their experience administering Narcan. If the person was trained originally, by you they should be in the system and they should expect to be asked questions about the experience because s/he will have already told them to expect it at the original training Everyone must go through a consent process before completing the Record of Use Form. The Record of Use Form can be completed on-line or on paper or verbally over the phone or in person. (You need to gauge the reading level of the respondent.)

  19. CONSENT PAGE FOR THE RECORD OF USE FORM

  20. UNIQUE ID PAGE

  21. REPLACEMENT NARCAN What What What # of Narcan kits dispensed Expiration date of Narcan (1) MM/YY Expiration date of Narcan (2) MM/YY Agency kits distributed to (if applicable) Agency/Indivi dual Zip Code Date (MM/D D/YY) happened to previous Narcan? (1) happened to previous Narcan? (2) It was administered to a person happened to previous Narcan? (3) Expired

  22. QUESTIONS? Martha W. Waller, Ph.D. Pacific Institute for Research and Evaluation mwaller@pire.org 919-265-2631 Liz Lilliott, Ph.D. Pacific Institute for Research and Evaluation lilliott@pire.org 575-313-7029

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