Wright Nat, Oldham Nicola, Francis Katharine, Jones Lesley
Healthcare Department, HMP Leeds, Leeds, UK.
Subst Abuse Treat Prev Policy. 2006 Oct 2;1:28. doi: 10.1186/1747-597X-1-28.
Peer use of take home naloxone has the potential to reduce drug related deaths. There appears to be a paucity of research amongst homeless drug users on the topic. This study explores the acceptability and potential risk of peer use of naloxone amongst homeless drug users. From the findings the most feasible model for future treatment provision is suggested.
In depth face-to-face interviews conducted in one primary care centre and two voluntary organisation centres providing services to homeless drug users in a large UK cosmopolitan city. Interviews recorded, transcribed and analysed thematically by framework techniques.
Homeless people recognise signs of a heroin overdose and many are prepared to take responsibility to give naloxone, providing prior training and support is provided. Previous reports of the theoretical potential for abuse and malicious use may have been overplayed.
There is insufficient evidence to recommend providing "over the counter" take home naloxone" to UK homeless injecting drug users. However a programme of peer use of take home naloxone amongst homeless drug users could be feasible providing prior training is provided. Peer education within a health promotion framework will optimise success as current professionally led health promotion initiatives are failing to have a positive impact amongst homeless drug users.
同伴使用纳洛酮带回家有减少与药物相关死亡的潜力。在无家可归的吸毒者中，关于该主题的研究似乎很少。本研究探讨了无家可归吸毒者中同伴使用纳洛酮的可接受性和潜在风险。根据研究结果，提出了未来治疗提供的最可行模式。
在英国一个大城市的一个初级保健中心和两个为无家可归吸毒者提供服务的志愿组织中心进行了深入的面对面访谈。访谈进行录音、转录，并采用框架技术进行主题分析。
无家可归者能识别海洛因过量的迹象，并且如果提供了事先培训和支持，许多人愿意承担给予纳洛酮的责任。先前关于滥用和恶意使用的理论可能性的报道可能被夸大了。
没有足够的证据推荐向英国无家可归的注射吸毒者提供“非处方”带回家的纳洛酮。然而，如果提供事先培训，在无家可归吸毒者中开展同伴使用带回家纳洛酮的项目可能是可行的。在健康促进框架内的同伴教育将优化成功几率，因为目前由专业人员主导的健康促进举措未能对无家可归吸毒者产生积极影响。
