A qualitative study on overdose response in the era of COVID-19 and beyond: how to spot someone so they never have to use alone

Original research
by
Perri, Melissa et al

Release Date

2021

Geography

Canada

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

Yes

Peer Reviewed

Yes

Objective

During COVID-19 restrictions, remote spotting (e.g., using a telephone, video call, and/or a social media app) emerged to address physical distancing requirements and reduced access to harm reduction and/or sexually transmitted blood borne infection (STBBI’s) prevention services. We explored spotting implementation issues from the perspectives of spotters and spottees.

Findings/Key points

Spotting calls often began with setting an overdose response plan (i.e., when and who to call). Many participants noted that, due to the criminalization of drug use and fear of arrest, they preferred that roommates/friends/family members be called instead of emergency services in case of an overdose. Both spotters and spottees raised concerns about the timeliness of overdose response, particularly in remote and rural settings. Spotting is a novel addition to, but not replacement for, existing harm reduction services.

Design/methods

n=20 semi-structured interviews

Keywords

Overdose
Harm reduction
Policy/Regulatory
Decriminalization/legalization
About PWUD
Barriers and enablers
Illegal drugs
Rural/remote
SCS/OPS