Intervention
Barriers and facilitators (sometimes called "contextual determinants") are factors that make it harder or easier to implement Naloxone. These factors span multiple levels. Click the buttons on the left to read more about common barriers and facilitators for Naloxone. In addition, view the RASC guides on Contextual Determinants Affecting Implementation and the Inventory of Factors Affecting Successful Implementation and Sustainment (IFASIS) to learn practical ways to assess these constructs.
Opioid overdose education and naloxone distribution (OEND) barriers and facilitators often relate to the pricing, availability, and ease of use of naloxone. Nalmefene is another medication that can be used to reverse an opioid overdose, however, it is not available over-the-counter and may therefore be less accessible than naloxone.
Barriers
Although naloxone is now sold over the counter, a two-dose pack is currently priced at about $50 and may be difficult for organizations to purchase in large volumes.
Facilitators
The FDA approved naloxone as an over-the-counter medication, which has simplified the process for organizations to purchase and distribute naloxone.
The naloxone nasal spray device is easy to store — it is pocket-sized and can be stored at room temperature. It does not require advanced dexterity or strength to operate, and it does not require handling of any sharp or hazardous materials.
OEND programs are brief and can be delivered from any setting with minimal training.