背景:美国的公共图书馆在其社区和场所使用阿片类药物相关物质的增加。这包括致命和非致命的过量事件。一些图书馆在其分支机构采取了应对措施,以阻止物质使用或防止过量服用。全国范围内的少数图书馆已决定储备阿片类药物拮抗剂纳洛酮(Narcan),供工作人员管理过量的顾客。这一应对措施引起了媒体的广泛关注。尽管俄亥俄州的年龄调整药物死亡率在美国排名第四,没有调查俄亥俄州图书馆是否在观察与阿片类药物相关的交易,消费,和/或过量事件,或针对这些活动采取了哪些措施。我们与俄亥俄州公共图书馆馆长进行了多方法调查,以确定他们采取的应对措施。我们提供了我们调查中定量和定性项目的描述性结果。
方法:我们对俄亥俄州的公共图书馆系统主任(每个系统一名)进行了一项横断面的54项多方法调查。俄亥俄州每个公共图书馆系统的主管都被邀请通过电子邮件参与。
结果:在251个图书馆系统中,56回答(22.3%的反应率),34名受访者(60.7%)表示对阿片类药物相关交易的认识,消费,和/或在他们的处所过量。大多数(n=43,76.8%)的建筑物中没有纳洛酮。超过一半(n=34,60.7%)报告实施了一种或多种非纳洛酮应对措施。这些措施的重点是改善工作人员和顾客的安全,阻止与阿片类药物相关的交易(购买和交换)和消费,并提供有关物质使用的教育活动。近一半(n=25,47.2%)与社区组织合作提供阿片类药物应对措施。类似的比例报告有足够的资金来应对阿片类药物的使用(n=23,45.1%),大多数(n=38,74.5%)报告其董事会和社区提供了足够的支持。很少有受访者对其应对措施进行了评估。
结论:俄亥俄州公共图书馆正在回应与阿片类药物相关交易的证据,消费,和/或在其场所过量,采取一系列措施,重点是预防和威慑物质使用。大多数俄亥俄州图书馆系统都没有纳洛酮。受访者表示,他们更喜欢拨打911,让第一响应者处理过量事件。大多数受访者表示,他们的图书馆系统具有政治能力,可以对其场所使用阿片类药物相关物质的证据做出回应,但运营和功能能力有限。研究结果表明,有必要重新审视公共图书馆愿意储存纳洛酮以应对过量事件的假设,图书馆有资源对阿片类药物相关交易做出强有力的反应,消费,和/或在他们的处所过量。
BACKGROUND: Public
libraries in the United States have experienced increases in opioid-related substance use in their communities and on their premises. This includes fatal and non-fatal overdose events. Some
libraries have adopted response measures in their branches to deter substance use or prevent overdose. A small number of
libraries around the nation have decided to stock the opioid antagonist naloxone (Narcan) for staff to administer to patrons who experience overdose. This response measure has generated extensive media attention. Although Ohio ranks fourth in age-adjusted drug mortality rate in the United States, there has been no investigation of whether Ohio libraries are observing opioid-related transactions, consumption, and/or overdose events, or which measures they have adopted in response to these activities. We conducted a multimethod survey with Ohio public library directors to identify the response measures they have adopted. We present descriptive findings from the quantitative and qualitative items in our survey.
METHODS: We conducted a cross-sectional 54-item multimethod survey of public library system directors (one per system) in Ohio. Directors of each of Ohio\'s public library systems were invited to participate via email.
RESULTS: Of 251 library systems, 56 responded (22.3% response rate), with 34 respondents (60.7%) indicating awareness of opioid-related transactions, consumption, and/or overdose on their premises. Most (n = 43, 76.8%) did not stock naloxone in their buildings. Over half (n = 34, 60.7%) reported implementing one or more non-naloxone response measures. These measures focus on improving security for staff and patrons, deterring opioid-related transactions (purchases and exchanges) and consumption, and providing educational events on substance use. Nearly half (n = 25, 47.2%) partner with community organizations to provide opioid response measures. A similar proportion reported adequate funding to respond to opioid-related substance use (n = 23, 45.1%), and most (n = 38, 74.5%) reported adequate support from their boards and communities. Few respondents have implemented evaluations of their response measures.
CONCLUSIONS: Ohio public
libraries are responding to evidence of opioid-related transactions, consumption, and/or overdose on their premises with a range of measures that focus on substance use prevention and deterrence. Most Ohio library systems do not stock naloxone. Respondents indicated they prefer to call 911 and let first responders handle overdose events. The majority of respondents indicated their library systems have political capacity to respond to evidence of opioid-related substance use on their premises, but have limited operational and functional capacity. Findings suggest the need to revisit assumptions that public
libraries are willing to stock naloxone to respond to overdose events, and that libraries have the resources to respond robustly to opioid-related transactions, consumption, and/or overdose on their premises.