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New York SKOOP

SKOOP conducts regular naloxone trainings at syringe exchanges and drop-in programs in New York. 

To find out about training near you or request a training at your agency, please contact William Matthews, PA, Project Coordinator – (212) 213-6376 ext. 38

What we teach

SKOOP Project LogoSKOOP offers basic and comprehensive training on overdose and provides prescriptions for naloxone. The training runs anywhere from 15 minutes to two hours, but can be modified to meet your needs. We teach:

  •  What causes an overdose
  •  How to recognize an overdose
  •  What to do if you see an overdose, including rescue breathing and naloxone administration
  •  What NOT to do if you see an overdose
  •  How to prevent overdose
History

The New York State Overdose Prevention Program was established by legislation in 2006 and is funded through the NY State Department of Health’s AIDS Institute, which supplies kits including 2 doses of intramuscular (IM) naloxone (0.4 mg/ mL).  In 2009 the New York City Department of Health and Mental Hygiene began funding and supplying the intranasal (IN) version of naloxone (2mg/2ml with an atomizer) making this an option for kits in New York City.

The Harm Reduction Coalition’s SKOOP (Skills and Knowledge on Overdose Prevention) project, operating since 2005, has dispensed over 5.000 kits (of both types of naloxone) and over 360 overdose reversals have been reported.  It is clear from interactions with opiate users who request another kit, or are encountered in other contexts, that many (perhaps a great many) reversals go unreported. The laws governing the dispensing of naloxone in NY State require that it come from the hands of a licensed medical practitioner, MD, PA, or NP.  This has severely limited distribution of kits since organizations that do not have a medical practitioner on staff must hire one by the hour, and can seldom afford more than a few hours a month.

What we do

To get the most out of these hours requires planning and imagination. Street corner trainings can be quite effective when the right location and the right time to be there are known. Proximity to methadone clinics can also be quite productive. At such locations trainings of 20 – 50 persons in 2 hours has been possible.  The most useful teams for such high-volume events have included 4 persons: one to recruit off the street, one to do SEP paperwork and keep order, one to actually train the clients in groups of 2 – 10, and a practitioner to dispense kits and do the associated medical histories.  In such settings, recruiting incentives of MetroCards ($2.25 or $4.50) have been quite important, though not indispensable when clients have previously encountered an overdose.

SKOOP also provides training and capacity building.  Over 63 Institutions are registered with the NY State Overdose Prevention Program; SKOOP has worked with, and in many cases continues to work with, the vast majority of these agencies to assist them in providing overdose prevention services. Most of the activity is centered in New York City and its Syringe Exchange Programs however drug treatment programs, NYC shelters, primary care clinics and HIV treatment centers are also participating. Harm Reduction Coalition has also provided consultation to programs in several other states, and internationally in Zanzibar and Vietnam.

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