1. Prescription Drug Overdose (PDO) Grant Data collection in New Mexico
Martha W. Waller and Liz Lilliott
PIRE

2. Individual(s) via street outreach
Hub and Spoke System
Four targeted counties in NM
Three county organizations responsible for training and initial distribution of Narcan
Some have PDO funded Narcan, STR funded Narcan, and Narcan funded by state general funds
County Hub
Local Agency
Individual(s) via street outreach
Individual(s)
Individual(s)
Individual(s)
Individual(s)
Individual(s)
Individual(s)
Local Agency
Individual(s)
Individual(s)

3. NM’s Hub and Spoke Model
Training and Distribution Agency (BCCHC, DAHHS, SFPA, SFMC,)
NM’s Hub and Spoke Model
Level 1 - Hub
Training and distribution of Naloxone
Local entities and individuals (fire departments, school nurses, shelter staff, family, friends, MDC & RRC, etc.)
Level 2 - Spoke
Training and distribution of Naloxone
* There may be more levels
between these two
Naloxone administered
Level 3

4. Training & Data Collection Forms

5. Training data collection and data entry tools
Training Data Collection Documents:
Contact form
Demographic form (PDF and Qualtrics)
Post-test (PDF and Qualtrics)
Follow-up Narcan (naloxone) Training (PDF and Qualtrics)
First Distribution Form* (Excel file)
Record of Narcan (naloxone) Use Form (PDF and Qualtrics)
Narcan Replacement Form* (Excel file)

6. Data Expectations With Formal Trainees you will collect:
Contact information form
Demographic form
Post-test
Follow-up
Record of Use
Formal Trainees include agency staff or individuals who attend a formal training, able to read

7. Most important information to Collect
With informal trainees you will collect
Demographic Form
Record of Use
These two pieces of information are critical.
Informal trainees are individuals who are trained via street outreach or are active substance users, low reading levels

8. Additional Required Forms
Every trainer must complete the Narcan Training and Distribution Excel forms.
Informal trainings should be entered by the day they took place. If you completed 3 informal trainings on one day, you may enter all 3 trainings as one entry and do not need to enter each separately.

9. training FORMS Contact Form Demographic Form Trainee Post-test
Follow-up

10. Before Training Post Training
Contact Information Form
Demographic Form
Post Training
Post-Test
Follow-up
(3 months after)*
*Send link to form for them to complete in Qualtrics directly:

11. Data Collection

12. Trainee Data Collection Notes
We collect trainee “contact information” so that we may “follow up” with trainees after 3 months to see if they still feel that the training prepared them well for administering Narcan. Contact information is deleted once the follow-up survey is completed.
We ask each person to create a unique identifier (ID) that they’ll use every time they (or you) enter data. It is not connected to an actual name of a person. This is used so that we can track Narcan use over time but still have people remain anonymous.
Contact information and demographic information are collected at the beginning of a training.
Post-test is collected at the end of a training
Follow-up is collected 3 months post training (can be done electronically)
Trainee data are typically collected using paper forms and entered into Qualtrics or the Excel file by a staff person

13. Narcan (naloxone) Training and First Distribution Form
This Excel form is completed by the trainer post training and summarizes the key training information
Each training is one line of data – if two trainings are completed in one day, two lines of information are entered- one for each training (not necessarily each person trained).
This form should be completed after every training and after you enter the trainee data.

14. Initial Training & NaRcan Distribution
Distribution/Training Agency
Distribution/Training Agency zip code
Narcan Funding Stream
Training date (MM/DD/YY)
Type/Name of Agency Trained (if applicable)
ZipCode of Agency or Individual (if appplicable)
Type of responder trained (1)
Type of responder trained (2)
Type of responder trained (3)
Type of responder trained (4)
Type of responder trained (5)
Total # of people trained
# of Narcan boxes dispensed
Expiration date of Narcan (1) MM/YY
Expiration date of Narcan (2) MM/YY

15. Entering Data- Option # 1

16. Entering Data- Option # 2

17. Narcan (naloxone) Administration Form (aka: Record of Use Form)
Someone uses the Narcan. Then what happens?
Sticker or flyer on every box or kit of PDO funded Narcan
Unique local number for each community
Individuals may report on-line and/or go back to the agency or person they got the Narcan from; the agency should collect Record of Use data at that time and provide more Narcan.

18. When someone wants to replace their Narcan….
We ask them if s/he would be willing to provide some feedback on their experience administering Narcan.
If the person was trained originally, by you they should be “in the system” and they should expect to be asked questions about the experience because s/he will have already told them to expect it at the original training
Everyone must go through a “consent” process before completing the Record of Use Form.
The Record of Use Form can be completed on-line or on paper or verbally over the phone or in person. (You need to gauge the reading level of the respondent.)

19. Consent page for the Record of Use Form

20. Unique ID page

21. Replacement Narcan Agency kits distributed to (if applicable)
Agency/Individual Zip Code
What happened to previous Narcan? (1)
What happened to previous Narcan? (2)
What happened to previous Narcan? (3)
Date (MM/DD/YY)
# of Narcan kits dispensed
Expiration date of Narcan (1) MM/YY
Expiration date of Narcan (2) MM/YY
Expired
It was administered to a person

22. Questions?
Martha W. Waller, Ph.D. Pacific Institute for Research and Evaluation Liz Lilliott, Ph.D