Police/Fire/EMTs Get the SKOOP: Online Skills & Training On Overdose Prevention

简介(由申请人提供)：我们建议为公共安全人员-警察、消防员和急救人员开发一个创新的、全面的、容易获得的、低成本的阿片类药物过量(OD)预防课程。公共安全人员(PSP)在有效响应OD相关的911电话方面发挥着关键作用，但许多人没有配备有效响应的知识和工具。这一双轨课程[一轨为警察，第二轨为消防员和紧急医疗技术人员(EMT)]将提供有针对性的、最新的救生信息，并教授如何安全有效地应对OD紧急情况的技能。在美国，来自合法和非法药物的致命药物OD大幅增加。根据疾控中心的数据，2007年，毒品导致的死亡人数攀升至3.8万多人。这一增长主要是由合法药物的非医疗用途导致的过量死亡所推动的。与阿片类药物相关的死亡尤其悲惨，因为它们基本上是可以预防的。目前存在一种安全、廉价、易于服用的解毒剂--盐酸纳洛酮或纳尔康。纳洛酮可以恢复被过量摄入抑制的呼吸频率。它没有精神活性，也不是受管制的药物。由于其在逆转阿片类药物滥用方面的有效性，2010年国家药物管制政策办公室(ONDCP)预防计划呼吁增加有能力识别和应对使用纳洛酮的药物滥用的PSP的数量。该计划已得到HHS、CDC、ONDCP、HHS/OASH和SAMHSA的批准。美国市长会议在2011年6月的年会上也通过了一项决议，支持该计划。该计划的第32D条规定：“政府将寻求扩大医生、护士、急救医务人员、执法专业人员和消防员的人数，这些人接受过如何识别过量服药的培训，并进一步知道如何管理救命技术和过量服药逆转药物，如纳洛酮。”这一拟议课程将调整和进一步发展为波士顿警察开发的面授课程--公共安全和执法阿片类药物过量预防课程，并将其转化为计算机辅助教学(CAI)格式，供所有PSP(消防/急救人员以及警察)在线使用。这一高度定制的基于网络的课程将1)解决为什么PSP需要教育和工具来逆转药物过量，2)教授如何在使用和不使用纳洛酮的情况下有效应对药物过量，3)解决PSP对学习这些新技能的担忧和感受，特别是对于承担这一新角色的警察，以及4)将PSP与其他信息和资源联系起来。双轨设计将使我们能够根据每个群体的需要调整课程(第一轨：警察；第二轨：消防/急救人员)，以提高相关性、可接受性和学习成果。该课程将积极推广，通过众多公共卫生和安全渠道在全国范围内迅速传播，因为其潜在的救命影响--在全国范围内减少致命的药物过量。 与公共卫生相关：根据美国疾病控制与预防中心的数据，2007年，药物导致的死亡人数攀升至3.8万人以上，其中增加的主要原因是合法药物的非医疗用途。该项目将调整并进一步开发预防服药过量教育和技能培训课程，供警察、消防员和急救人员在线展示。 与ONDCP公共安全人员预防计划相一致。所获得的知识将使公共安全人员能够有效干预，以减少与阿片类药物相关的致命过量，并将允许广泛传播。

DESCRIPTION (provided by applicant): We propose to develop an innovative, comprehensive, easily accessible, low-cost curriculum on opioid- overdose (OD) prevention for Public Safety Personnel - Police, Firefighters and EMTs. Public Safety Personnel (PSP) have a critical role to play in effectively responding to an OD-related 911 call, yet many are not equipped with the knowledge and tools to respond effectively. This 2-track curriculum [one track for police; a second track for firefighters and emergency medical technicians (EMTs)] will provide targeted, up-to-date, lifesaving information and teach skills on how to safely and effectively respond to an OD emergency. In the U.S. fatal drug ODs, from both legal and illegal drugs, have increased dramatically. According to the CDC, in 2007, drug-induced deaths climbed to more than 38,000. This increase was driven primarily by OD deaths from the non-medical use of legal pharmaceuticals. Opioid-related deaths are especially tragic because they are largely preventable. A safe, cheap, easy to administer antidote exists - naloxone hydrochloride or Narcan. Naloxone restores respiration rates that have been depressed by the OD. It has no psychoactive properties and is not a controlled drug. Because of its effectiveness in reversing opioid ODs, the 2010 Office of National Drug Control Policy (ONDCP) Prevention Plan call for an expansion in the number of PSPs who are equipped to recognize and respond to ODs with naloxone. The Plan has been endorsed by HHS, CDC, ONDCP, HHS/OASH, and SAMHSA. The U.S. Conference of Mayors also adopted a resolution in support of the plan at their June, 2011 Annual meeting. Section 32D of the Plan states: "The Administration will seek to expand the number of physicians, nurses, emergency medical technicians, law enforcement professionals, and firefighters who are trained in how to recognize an overdose and who further know how to administer life-saving techniques and overdose reversal medications such as naloxone." This proposed curriculum will adapt and further develop a face-to-face course, Opioid Overdose Prevention for Public Safety and Law Enforcement, developed for Boston police officers into a computer-assisted instructional (CAI) format, accessible online, for all PSPs (Fire/EMTs as well as Police). This highly tailored, web-based curriculum will 1) address why PSPs need education and tools to reverse ODs, 2) teach how to respond effectively to an OD both with and without naloxone (for times when naloxone is not available), 3) address concerns and feelings raised by PSPs about learning these new skills, especially for police assuming this new role, and 4) link PSPs to additional information and resources. The 2-track design will enable us to tailor the curriculum to the needs of each group (Track 1: Police; Track 2: Fire/EMTs) to enhance relevance, acceptability and learning outcomes. The curriculum will be marketed aggressively for rapid, nationwide dissemination through numerous public health and safety channels due to its potential life-saving impact - the reduction of fatal ODs, nationwide. PUBLIC HEALTH RELEVANCE: According to the CDC, in 2007, drug-induced deaths climbed to more than 38,000 with increases driven primarily by the non-medical use of legal pharmaceuticals. This project will adapt and further develop an overdose prevention education and skills training curriculum for presentation online for police, firefighters and EMTs in keeping with the ONDCP Prevention Plan for Public Safety Personnel. The knowledge gained will allow Public Safety Personnel to intervene effectively to reduce fatal opioid-associated overdoses and will permit wide dissemination.