My 1st 48 hours out - continuity of care

Overdose is one of the most serious challenging risk that people using drugs face. Especially after release from prison or hospitalisation they face an serious increased risk of overdosing. Naloxon is a safe antidote and highly effective intervention to an opioid overdose that can easily be administered by lay people.

The article "Power in a bottle: expanding Naloxon access" decribes various ways to increase the availability and access to the life saving medication Naloxon.


6 video testimonials about personal experiences with naloxone in 6 EU countries: Denmark, Estonia, France, Italy, Lithuania and United Kingdom. The video are collected by EHRN in their programme I am the evidence on harm reduction and overdose prevention conducted in 2014.

There is limited research on overdosis and Naloxone interventions in prison settings. A good resource from the UK describing a randomised control pilot trial on Naloxone after release is from Mahesh Parmar et al, 2016.
The study adds research-based findings on the growing consensus that take-home Naloxon at prison release can prevent prevent overdose deaths and that the intervention is a significant opportunity to prevent overdose among PWID.

A usefull training manual is published by EHRN in 2014, The elalborte training manual written by Danny Morris and Gill Bradbury gives a broad overview of overdose prevention programming upon release in prison. The manual includes different modules and sessions that can be adjusted tot he local context. The comprehensive manual also includes templates, resources and PPT for the training.