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/ Surviving Opioid Overdose with Naloxone Education and Resuscitation - The Co-design of a First Aid Toolkit for Opiate Overdose
Visit www.soonerproject.ca |
/ Collaborators: Dr. Kate Sellen, Dr. Aaron Orkin, Dr. Carol Strike, Sr. Doug Campbell, Dr. Laurie Morrison, Dr. Peter Juni, Dr. Janet Parsons
/ Sponsor(s): Canadian Institutes of Health Research, St. Michael's Hospital, Toronto Public Health, Mount Sinai Hospital |
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/ Overview
Key Words: Addiction, Mental Health, Basic Life Support, Design Thinking, Emergency Medicine, Resuscitation, Family Medicine, Harm Reduction, Overdose Prevention, Naloxone, Opioids
The SOON-ER project aims to design an evidence-based Overdose Education and Naloxone Distribution (OEND) first aid toolkit, to be offered in a range of settings, that allows for ultra-brief training of overdose first aid for potential lay responders with nasal naloxone. Background: Overdose from opioids such as oxycodone, fentanyl, and heroin are now responsible for over 100,000 deaths per year worldwide. Overdoses in Ontario result in more years of life lost than HIV, pneumonia, or influenza. Need or Problem: Expanding overdose first aid education and naloxone distribution (OEND) to a wider range of settings (such as family medicine, addiction clinics, and emergency departments) could increase the number of potential lay responders reached by OEND programs. / Process
OCAD University led the design phase of the SOON-ER project, addressing the need for an integrated design approach to expanding lay response to overdose, addressing stigma, and creating a open design that can easily be shared and replicated.
The design process included extensive community and stakeholder engagement in iterative workshops over 9 months, engaging over 100 community member and clinicians. 
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The result was the development of an ultra-brief first aid training animation and the creation of a toolkit with nasal naloxone for lay response to overdose, that can be manufactured locally. Key aspects of the design process addressed the context of overdose, stigma, and marginalization.
Currently the toolkit is being tested against existing training and access. The success of patient responses to opioid overdose situations will be evaluated and compared in simulated overdose situations. / Results
Project results from SOON-ER are already being translated to provincial and national initiatives on overdose.
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/Publications |
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(2023) Considerations for the design of overdose education and naloxone distribution interventions: results of a multi-stakeholder workshop
Authors: Kate Sellen, Benjamin Markowitz, Janet A. Parsons, Pamela Leece, Curtis Handford, Nick Goso, Shaun Hopkins, Michelle Klaiman, Rita Shahin, Geoffrey Milos, Amy Wright, Mercy Charles, Laurie Morrison, Carol Strike, Aaron Orkin & SOONER Investigators
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(2022) Design details for overdose education and take-home naloxone kits: Codesign with family medicine, emergency department, addictions medicine and community
Authors: Kate Sellen PhD, Nick Goso MA, Laura Halleran MDes, Alison Mulvale-Fletcher MDes, Felipe Sarmiento MDes, Filipe Ligabue MDes, Curtis Handford MD, Michelle Klaiman MD, Geoffrey Milos BSc, Amy Wright BSc, Mercy Charles BSc, Ruby Sniderman MPh, Richard Hunt MDes, Janet A. Parsons PhD, Pamela Leece MD, Shaun Hopkins BSW, Rita Shahin MD, Peter Jüni MD, Laurie Morrison MD, Douglas M. Campbell MD, Carol Strike PhD, Aaron Orkin MD, SOONER Investigators
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(2021) Mixed methods feasibility study for the surviving opioid overdose with naloxone education and resuscitation (SOONER) trial
Authors: Aaron M. Orkin, Mercy Charles, Kristine Norris, Rekha Thomas, Leigh Chapman, Amy Wright, Douglas M. Campbell, Curtis Handford, Michelle Klaiman, Shaun Hopkins, Rita Shahin, Kevin Thorpe, Peter Jüni, Janet Parsons, Kate Sellen, Nick Goso, Richard Hunt, Pamela Leece, Laurie J. Morrison, Vicky Stergiopoulos, Carol Strike.
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(2019) Protocol for a mixed-methods feasibility study for the surviving opioid overdose with naloxone education and resuscitation (SOONER) randomised control trial
Authors: Aaron Orkin, Douglas Campbell, Curtis Handford, Shaun Hopkins, Michelle Klaiman, Pamela Leece, Janet A Parsons, Rita Shahin, Carol Strike, Kevin Thorpe, Kate Sellen, Geoffrey Milos, Amy Wright, Mercy Charles, Ruby Sniderman, Laurie Morrison.
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