Setting
The implementation of OEND programs is best administered in settings where staff come in contact with high numbers of individuals who use drugs (such as hospitals or prisons) and can be impacted by existing organizational structures or workflows within institutions.
Barriers
Some settings have difficulty incorporating the task of opioid overdose education into the existing workflows of staff who have been tasked with delivering treatment. For example, the lone nurse working in a clinic may be tasked with conducting opioid overdose education, but that nurse may already be overloaded with other regular duties for clinic patients.
Settings may lack a convenient location to store naloxone, have unclear processes for labeling dispensed medications, or have an inability to track naloxone dispensing to comply with local regulatory requirements.
Facilitators
Support from an organization leader or executive champion can reduce administrative hurdles by expediting approval processes, allocating additional resources, and prioritizing the effort among the organization’s multiple other competing priorities.