A distributed model to expand the reach of drug checking
PurposeWhile there is increasing interest in implementing drug checking within overdose prevention, we must also consider how to scale-up these responses so that they have significant reach and impact for people navigating the unpredictable and increasingly complex drug supplies linked to overdose....
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Veröffentlicht in: | Drugs and alcohol today 2022-12, Vol.23 (3), p.220-231 |
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creator | Wallace, Bruce Gozdzialski, Lea Qbaich, Abdelhakim Shafiul, Azam Burek, Piotr Hutchison, Abby Teal, Taylor Louw, Rebecca Kielty, Collin Robinson, Derek Moa, Belaid Storey, Margaret-Anne Gill, Chris Hore, Dennis |
description | PurposeWhile there is increasing interest in implementing drug checking within overdose prevention, we must also consider how to scale-up these responses so that they have significant reach and impact for people navigating the unpredictable and increasingly complex drug supplies linked to overdose. The purpose of this paper is to present a distributed model of community drug checking that addresses multiple barriers to increasing the reach of drug checking as a response to the illicit drug overdose crisis.Design/methodology/approachA detailed description of the key components of a distributed model of community drug checking is provided. This includes an integrated software platform that links a multi-instrument, multi-site service design with online service options, a foundational database that provides storage and reporting functions and a community of practice to facilitate engagement and capacity building.FindingsThe distributed model diminishes the need for technicians at multiple sites while still providing point-of-care results with local harm reduction engagement and access to confirmatory testing online and in localized reporting. It also reduces the need for training in the technical components of drug checking (e.g. interpreting spectra) for harm reduction workers. Moreover, its real-time reporting capability keeps communities informed about the crisis. Sites are additionally supported by a community of practice.Originality/valueThis paper presents innovations in drug checking technologies and service design that attempt to overcome current financial and technical barriers towards scaling-up services to a more equitable and impactful level and effectively linking multiple urban and rural communities to report concentration levels for substances most linked to overdose. |
doi_str_mv | 10.1108/DHS-01-2022-0005 |
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The purpose of this paper is to present a distributed model of community drug checking that addresses multiple barriers to increasing the reach of drug checking as a response to the illicit drug overdose crisis.Design/methodology/approachA detailed description of the key components of a distributed model of community drug checking is provided. This includes an integrated software platform that links a multi-instrument, multi-site service design with online service options, a foundational database that provides storage and reporting functions and a community of practice to facilitate engagement and capacity building.FindingsThe distributed model diminishes the need for technicians at multiple sites while still providing point-of-care results with local harm reduction engagement and access to confirmatory testing online and in localized reporting. It also reduces the need for training in the technical components of drug checking (e.g. interpreting spectra) for harm reduction workers. Moreover, its real-time reporting capability keeps communities informed about the crisis. Sites are additionally supported by a community of practice.Originality/valueThis paper presents innovations in drug checking technologies and service design that attempt to overcome current financial and technical barriers towards scaling-up services to a more equitable and impactful level and effectively linking multiple urban and rural communities to report concentration levels for substances most linked to overdose.</description><identifier>ISSN: 2752-6739</identifier><identifier>EISSN: 2752-6747</identifier><identifier>DOI: 10.1108/DHS-01-2022-0005</identifier><language>eng</language><publisher>Bingley: Emerald Group Publishing Limited</publisher><subject>Benzodiazepines ; Capacity building approach ; Chromatography ; Communities of practice ; Drug abuse ; Drug overdose ; Drug use ; Fentanyl ; Fourier transforms ; Harm reduction ; Innovations ; Mass spectrometry ; Multiple sites ; Narcotics ; Public health ; Rural communities ; Scientific imaging ; Technicians</subject><ispartof>Drugs and alcohol today, 2022-12, Vol.23 (3), p.220-231</ispartof><rights>Bruce Wallace, Lea Gozdzialski, Abdelhakim Qbaich, Azam Shafiul, Piotr Burek, Abby Hutchison, Taylor Teal, Rebecca Louw, Collin Kielty, Derek Robinson, Belaid Moa, Margaret-Anne Storey, Chris Gill and Dennis Hore. This work is published under http://creativecommons.org/licences/by/4.0/legalcode (the “License”). 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The purpose of this paper is to present a distributed model of community drug checking that addresses multiple barriers to increasing the reach of drug checking as a response to the illicit drug overdose crisis.Design/methodology/approachA detailed description of the key components of a distributed model of community drug checking is provided. This includes an integrated software platform that links a multi-instrument, multi-site service design with online service options, a foundational database that provides storage and reporting functions and a community of practice to facilitate engagement and capacity building.FindingsThe distributed model diminishes the need for technicians at multiple sites while still providing point-of-care results with local harm reduction engagement and access to confirmatory testing online and in localized reporting. It also reduces the need for training in the technical components of drug checking (e.g. interpreting spectra) for harm reduction workers. 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The purpose of this paper is to present a distributed model of community drug checking that addresses multiple barriers to increasing the reach of drug checking as a response to the illicit drug overdose crisis.Design/methodology/approachA detailed description of the key components of a distributed model of community drug checking is provided. This includes an integrated software platform that links a multi-instrument, multi-site service design with online service options, a foundational database that provides storage and reporting functions and a community of practice to facilitate engagement and capacity building.FindingsThe distributed model diminishes the need for technicians at multiple sites while still providing point-of-care results with local harm reduction engagement and access to confirmatory testing online and in localized reporting. It also reduces the need for training in the technical components of drug checking (e.g. interpreting spectra) for harm reduction workers. 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source | Applied Social Sciences Index & Abstracts (ASSIA); Standard: Emerald eJournal Premier Collection |
subjects | Benzodiazepines Capacity building approach Chromatography Communities of practice Drug abuse Drug overdose Drug use Fentanyl Fourier transforms Harm reduction Innovations Mass spectrometry Multiple sites Narcotics Public health Rural communities Scientific imaging Technicians |
title | A distributed model to expand the reach of drug checking |
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