431 Facilitating an Emergency Department Take-Home Naloxone Program Through Involvement of Community-Based Harm Reductionists

Opioid overdose is a significant cause of morbidity and mortality in the United States. For decades, peer-led harm reduction organizations have prevented overdoses through provision of naloxone, an opioid antagonist, directly to those at highest risk of overdose after training them in overdose emergency response. More recently, some emergency departments (EDs) have started similar programs, but take-home naloxone from EDs has yet to become widespread. Common barriers to implementation include limited clinician time, lack of exposure to harm reduction, and uncertainty about liability.

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