Excess Fentanyl-related Overdose Deaths — Rhode Island, 2014 Key Informatn Interviews

Attachment C4

Excess Fentanyl-related Overdose Deaths — Rhode Island, January-March 2014 (EpiAid 2014-037)

Semi-structured Key Informant Interviews

Law Enforcement

Interviewer’s Name:		Date:
Respondent’s Name:		Agency:

1. How old are you?

   1. 20-24 years

   2. 25-29 years

   3. 30-39 years

   4. 40-49 years

   5. 50+ years

2. How many years have you been serving at your current law enforcement agency in Rhode Island?

3. Do you work directly in drug-control and/or drug-use prevention efforts in Rhode Island? Please explain.

4. Within the past 12 months, have you been involved in any fentanyl, heroin, or acetyl fentanyl investigations in Rhode Island? Please explain.

5. What are some of the common street drug names for…

   1. Heroin?

   2. Fentanyl?

   3. Acetyl Fentanyl?

6. Would you say that in the past 3 months heroin/fentanyl possession cases in Rhode Island have ____ decreased, ____ remained constant, or ____ increased? Please explain.

7. Would you say that in the past 3 months heroin/fentanyl overdose cases in Rhode Island have ____ decreased, ____ remained constant, or ____ increased? Please explain.

8. Are you aware of any new heroin or fentanyl trends in Rhode Island?

PROBES: sources, free sample distributions, new target customers, changes in purity, single vs. multiple substance use, etc.

Excess Fentanyl-related Overdose Deaths — Rhode Island, January-March 2014 (EpiAid 2014-037)

Semi-structured Key Informant Interviews

Department of Health

Interviewer’s Name:		Date:
Respondent’s Name:		Agency:

1. How old are you?

   1. 20-24 years

   2. 25-29 years

   3. 30-39 years

   4. 40-49 years

   5. 50+ years

2. What is your academic training background?

3. How many years have you been serving at your current position within the Rhode Island Department of Health?

4. Do you work directly in drug-overdose and/or illicit drug-use research, intervention or prevention efforts in Rhode Island? Please explain.

   1. Please describe recent RI efforts for heroin/fentanyl overdose surveillance.

   2. Have you engaged the media in any drug overdose prevention efforts? Please explain.

5. Would you say that in the past 3 months heroin/fentanyl overdose cases in Rhode Island have ____ decreased, ____ remained constant, or ____ increased? Please explain.

6. Are you aware of recent heroin/fentanyl overdose trends elsewhere?

Excess Fentanyl-related Overdose Deaths — Rhode Island, January-March 2014 (EpiAid 2014-037)

Semi-structured Key Informant Interviews

Emergency Medical Services

Interviewer’s Name:		Date:
Respondent’s Name:		Agency:

1. How old are you?

   1. 20-24 years

   2. 25-29 years

   3. 30-39 years

   4. 40-49 years

   5. 50+ years

2. How many years have you been working in emergency medical services?

   1. How long as part of Rhode Island’s emergency medical services team?

3. What is Rhode Island’s EMS standard procedure in responding to drug overdose cases? Please explain.

PROBES: tests, medications, information collected (e.g., scene, paraphernalia)

4. What type of equipment and medications are routinely carried by ambulances and emergency vehicles that could assist in responding to a drug overdose medical emergency? Amounts?

   1. What is the current naloxone dosage available per ambulance?

5. Would you say that in the past 3 months overdose cases have ____ decreased, ____ remained constant, or ____ increased? Please explain.

6. Have you seen any trends in the type of overdose cases EMS is responding to?

PROBES: type of drugs, single vs. multiple substances, socio-demographics (e.g., age, sex), locations, route, single vs. multiple ODs per incident

Excess Fentanyl-related Overdose Deaths — Rhode Island, January-March 2014 (EpiAid 2014-037)

Semi-structured Key Informant Interviews

Hospital – Emergency Department

Interviewer’s Name:		Date:
Respondent’s Name:		Agency:

1. How old are you?

   1. 20-24 years

   2. 25-29 years

   3. 30-39 years

   4. 40-49 years

   5. 50+ years

2. How many years have you been working at emergency department settings?

   1. How long in Rhode Island?

3. Could you please describe the standard emergency department procedures followed in responding to drug overdose cases? Please explain.

PROBES: tests, medications, information collected, notification to law enforcement and/or health department

4. What are the components of the routine drug screen tests performed when responding to an overdose?

   1. Is this standard across Rhode Island’s emergency departments?

5. What is the naloxone dosage readily available to respond to drug overdose emergencies?

6. Have you seen any trends in the type of overdose cases you are attending to at the emergency department?

PROBES: type of drugs, single vs. multiple substances, socio-demographics (e.g., age, sex), locations, route, single vs. multiple ODs per incident

7. Would you say that in the past 3 months drug overdose cases have ____ decreased, ____ remained constant, or ____ increased? Please explain.

8. Would you say that in the past 3 months heroin overdose cases have ____ decreased, ____ remained constant, or ____ increased? Please explain.

9. Would you say that in the past 3 months fentanyl overdose cases have ____ decreased, ____ remained constant, or ____ increased? Please explain.

Excess Fentanyl-related Overdose Deaths — Rhode Island, January-March 2014 (EpiAid 2014-037)

Semi-structured Key Informant Interviews

Community Outreach and Prevention Program

Interviewer’s Name:		Date:
Respondent’s Name:		Agency:

1. How old are you?

   1. 20-24 years

   2. 25-29 years

   3. 30-39 years

   4. 40-49 years

   5. 50+ years

2. How many years have you been working in drug use prevention and education?

   1. How long as part of Rhode Island’s Preventing Overdose and Naloxone Intervention (PONI) program?

3. Could you please describe the type of prevention and education activities you engage in?

PROBES: heroin and fentanyl specific efforts

4. What is the recommended naloxone dosage that the PONI program grants users and their families access to?

5. Have you seen any trends in the use and abuse of heroin and fentanyl?

PROBES: single vs. multiple substances, socio-demographics (e.g., age, sex), locations, route, single vs. multiple ODs per incident

6. Would you say that in the past 3 months heroin use has ____ decreased, ____ remained constant, or ____ increased? Please explain.

7. Would you say that in the past 3 months fentanyl use has ____ decreased, ____ remained constant, or ____ increased? Please explain.

8. Have you engaged the media in any drug overdose prevention efforts? Please explain.