Table 2 Overdose prevention practices

Overdose response

Create building-specific written overdose prevention and response plan; conduct formal debriefings after any overdose; provide support to staff and tenants related to trauma resulting from overdose; make naloxone readily available in the building; provide all tenants and staff with a naloxone kit and training on naloxone use and overdose response; systematically track information on overdoses in the building

Harm reduction

Uphold protocols that support a harm reduction model; take steps to minimize tenants using drugs alone without someone aware; train staff and tenants on harm reduction specific to the PSH environment and trends/risks related to the drug supply; have and document discussions with all tenants about safer drug use and overdose risk reduction; hold events and trainings for staff and tenants focused on reducing stigma toward people who use drugs; train staff in trauma-informed care; provide additional support for tenants during higher risk periods for overdose (e.g., transitions)

Support for SUD treatment

Educate staff and tenants about different SUD treatment types, including dispelling common myths about medication to treat opioid use disorder (MOUD); regularly assess tenant SUD treatment needs and interests; establish referral pathways to MOUD providers; provide access to peer support models; provide assistance to help tenants successfully engage in SUD treatment; provide support for tenants who are already in SUD treatment or are trying to reduce their drug use and/or who are maintaining sobriety