REVIVE!

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View the August REVIVE! Newsletter HERE for training and naloxone updates.

For information on upcoming REVIVE! trainings, visit the Events tab at the bottom of the page.

REVIVE! is the Opioid Overdose and Naloxone Education (OONE) program for the Commonwealth of Virginia. REVIVE! provides training to professionals, stakeholders, and others on how to recognize and respond to an opioid overdose emergency with the administration of naloxone (Narcan ®).  REVIVE! is a collaborative effort led by the Virginia Department of Behavioral Health and Developmental Services (DBHDS) working alongside the Virginia Department of Health, the Virginia Department of Health Professions, recovery community organizations such as the McShin Foundation, OneCare of Southwest Virginia, the Substance Abuse and Addiction Recovery Alliance of Virginia (SAARA), and other stakeholders.

REVIVE! offers two different types of trainings:

  • Lay Rescuer trainings are between 1-1.5 hours long.  This training covers understanding opioids, how opioid overdoses happen, risk factors for opioid overdoses, and how to respond to an opioid overdose emergency with the administration of Naloxone. 
  • Lay Rescuer Training of Trainers is approximately 3 hours long and covers everything in the lay rescuer training with additional focus and discussion of each specific training objective to ensure a thorough understanding of the materials trainers will be presenting on.  This training teaches trainers how to conduct trainings and is appropriate for individuals who intend on leading trainings in the community.

For information on upcoming REVIVE! trainings, visit the Events tab at the bottom of the page.  Law enforcement is required to go through a separate Law Enforcement Officer training offered directly through DBHDS.  To request the Law Enforcement REVIVE! training for your agency, please contact revive@dbhds.virginia.gov

Virginia is currently under a public health emergency as a result of the opioid addiction crisis.  Virginia has been severely impacted by opioid abuse, particularly the abuse of prescription drugs. In 1999, the first year for which such data is available, approximately 23 people died from abuse of fentanyl, hydrocodone, methadone, and oxycodone (the leading prescription opioids abused, commonly referred to as FHMO). By 2013, the most recent year for which complete data is available, 386 individuals died from the abuse of FHMO, an increase of 1,578%, with fentanyl being the primary substance fueling this increase. In 2013 alone, there was an increase of more than 100% in deaths attributed to fentanyl use. In 2013, as before in 2011, drug-related deaths happened at a higher per capita level (11.0 deaths per 100,000) than motor vehicle crashes (10.1 per 100,000).

 This 2016 data provides evidence of other disturbing trends in Virginia, including a sharp rise in Opioid deaths.

Currently, the number of overdose deaths related to opioids continues to rise as seen in this chart on all opioid deaths in Virginia.

NEW  Local Health Departments are now dispensing Narcan Nasal Spray at no charge. 

In an attempt to make naloxone more accessible in our communities, the Virginia Department of Health will be dispensing Narcan Nasal Spray to those in need through the local health departments.   There are two ways this is being accomplished:

1-      In conjunction with REVIVE! trainings: This requires REVIVE! trainers to collaborate with their health departments on scheduling the training at a time when someone from the health department is available to dispense the medication at the event

2-      On a walk-in basis: For this option, individuals should call the health department in advance to make sure a staff member who is able to dispense the medication is on-site when the individual at need plans on going in.

 

Please contact your local health department to coordinate efforts to make Narcan Nasal Spray available in your county.   Click HERE for a list of Health District Directors who will serve as the main point of contact for their respective Health Department. 

2017 Naloxone Dispensing at Trainings §54.1-3408

  • A person who is authorized by the Department of Behavioral Health and Developmental Services to train individuals on the administration of naloxone for use in opioid overdose reversal and who is acting on behalf of an organization that provides services to individuals at risk of experiencing an opioid overdose or training in the administration of naloxone for overdose reversal and that has obtained a controlled substances registration from the Board of Pharmacy pursuant to § 54.1-3423 may dispense naloxone to a person who has completed a training program on the administration of naloxone for opioid overdose reversal approved by the Department of Behavioral Health and Developmental Services, provided that such dispensing is
    • (i) pursuant to a standing order issued by a prescriber,
    • (ii) in accordance with protocols developed by the Board of Pharmacy in consultation with the Board of Medicine and the Department of Health, and
    • (iii) without charge or compensation. The dispensing may occur at a site other than that of the controlled substance registration provided the entity possessing the controlled substances registration maintains records in accordance with regulations of the Board of Pharmacy.
  • A person to whom naloxone has been dispensed pursuant to this subsection may possess naloxone and may administer naloxone to a person who is believed to be experiencing or about to experience a life-threatening opioid overdose.
  • Click HERE for a quick start guide 
  • Contact the Board of Pharmacy to apply for Controlled Substance Registration:  pharmbd@dhp.virginia.gov

Naloxone - Virginia Statewide Standing OrderA Standing order serves as a prescription for all Virginians who would like to obtain Naloxone.  Virginia residents can now request Naloxone directly from the pharmacy without out having to visit their doctor or medical provider first.

Naloxone, a prescription medication, is an opioid antagonist drug that reverses the effects that opioids have in the brain. When a person overdoses on opioids, the opioid overwhelms specific receptors in the brain, slowly decreasing respiration and heart rate before finally stopping it altogether. Naloxone has a very high affinity for these receptors and effectively pushes the opioid off of the brain receptor. This action allows a person’s body to resume respiration. Naloxone has been used for years by emergency medical technicians and emergency room doctors to reverse opioid overdose emergencies. Outside of this singular purpose, naloxone has no effect on the body, and poses no danger to anyone who accidentally administers it to themselves or someone else.

Naloxone is a proven public health response to the epidemic of opioid overdose emergencies. The Centers for Disease Control and Prevention indicate that since 1996, when the first program to distribute naloxone to Lay Rescuers (REVIVE!’s terminology for community members who have been trained on naloxone administration) was implemented, 152,283 persons received training on administering naloxone. Those individuals have saved 26,463 lives by administering naloxone to individuals who were experiencing an opioid overdose emergency.

2016 RAM Video: SystemLEAD 2016 RAM Narcan Pilot Project

Please view the tabs below for more about REVIVE! If you need further information, you can send an email to revive@dbhds.virginia.gov.

 



LAY RESCUER TRAININGS:

  • Abingdon:
  • Alexandria
    • Department of Community and Health Services:  10/26/17 – Thursday, 6 p.m. Address: 2355A Mill Road, Room 140, Alexandria, VA 22314 Advance registration is not required, but RSVPs are preferred. RSVP here (https://www.eventbrite.com/e/opioid-overdose-naloxone-administration-lay-rescuer-training-3-tickets-38408510890) or contact Melissa Arons at 703.746.4997 for more information.

    • Gartlan Center 8119 Holland Road, Alexandria, Room 168
      • Advance registration is not required, but RSVPs are appreciated. RSVP to Natalie Holmes, 703-383-8408.
        • 10/25/17 – Wednesday, 1 p.m.
        • 11/29/17 – Wednesday, 5 p.m.
        • 12/27/17 – Wednesday, 1 p.m.
  • Arlington
    • Phoenix House Counseling Center: 200 N Glebe Road Suite 104, Arlington, VA. For more information, contact Ginny Lovitt 703-489-0402 or v.g.atwood@gmail.com.
      • Wednesday, November 1st, 6-7pm - Register HERE
      • Wednesday, December 13th, 6-7pm - Register HERE
  • Chesapeake 
    • Chesapeake Central Library: Wednesday, January 31, 2018 from 1-3p. 298 Cedar Rd, Chesapeake, VA 23320. Registration is required. Register here: https://www.surveymonkey.com/r/MV88S3R. Training provided by Chesapeake Integrated Behavioral Health Care. For more information, contact David Dillon at ddillon@chesapeakeibh.net.
  • Chesterfield
    • ***Free Narcan Nasal Spray Dispensed at Training*** North Courthouse Library: Tuesday, January 9, 2018. 325 Courthouse Rd, Richmond, VA 23236, Large Meeting Room. Registration Required, Register Here: https://www.surveymonkey.com/r/DR9ZY77. For more information, contact Debbie Severt (804) 717-6839.
    • Cloverhill Library –  Tuesday, November 28, 2017 6-7:30p.  Large Meeting Room - 6701 Deer Run Drive, Midlothian, Va 23112. Register HERE.  For more information, contact Debbie Severt at (804) 717-6839. Space is limited. 
  • Culpeper
  • Fairfax
    • Chris Atwood Foundation:  The last Wednesday of each month - click here to register
    • Merrifield Center: 8221 Willow Oaks Corporate Drive, Fairfax Room LL-419 Lower Level East.  
      • Advance registration is not required, but RSVPs are appreciated. RSVP to Lauren Krause Nickum, 703-352-3431.
        • 10/3/17 – Tuesday, 11:30 a.m.
        • 11/14/17 – Tuesday, 11:30 a.m.
        • 12/5/17 – Tuesday, 11:30 a.m.
         
    • A New Beginning: Every 3rd Sunday at 4213 Walney Rd Chantilly, VA 20151. Preregistration required.  Contact Miranda Gillespie: 703 502-7021 Miranda.Gillespie@fairfaxcounty.gov or Lisa Taylor: 703 502-7016 Lisa.Talor@fairfaxcounty.gov
  • Fredericksburg
    • Fredericksburg Library Main Branch: November 14, 2017 at 9 a.m. 1201 Caroline St. Fredericksburg, VA 22401.  To register, contact Sherry Norton-Williams 540-374-3337 ext. 102 or snorton@rappahannockareacsb.org
    • England Run Library: December 5, 2017 at 1 p.m. 806 Lyons Blvd, Fredericksburg, VA 22406. To register, contact Sherry Norton-Williams 540-374-3337 ext. 102 or snorton@rappahannockareacsb.org
  • Gloucester
    • Wednesday, October 18th, 2017 from 2-3:30 P.M. The location for the training is the Bay Transit Building 5959 Fiddlers Green Road, Gloucester, VA 23061. This training is open to the public. Register HERE.

    • Thursday, October 26th, 2017 from 6-7:30 P.M. The location for the training is the Gloucester Point Library in the community room. 2354 York Crossing Dr. Hayes, VA 23072. This training is open to the public, but space is limited to 15. Register HERE.

    • Thursday, November 16th, 2017 from 6-7:30 P.M. The location for the training is the Gloucester Point Library in the community room. 2354 York Crossing Dr. Hayes, VA 23072. This training is open to the public, but space is limited to 15. Register HERE.

  • Hampton
    •  Hampton-Newport News Community Services Board - November 22nd 1pm-3pm. 300 Medical Drive, Hampton, VA 23666 in the Seminar RoomTo register, contact Alethea Lambert at: alambert@hnncsb.org  Desk # (757) 788-0021 Ext# 2321, Mobile # (757) 274-352  
  • Hopewell
  • Hanover
  • Henrico
  • Leesburg ***Free Narcan Nasal Spray Dispensed at Training***
    • Leesburg Office of Mental Health, Substance Abuse & Developmental Services:  Trailview Office Building: Tuesday,  November 28th, 2017  at 12:30pm.  Register HERE.  For more information, contact Access Program 703-771-5155,DEPT-MHSADS-ACCESS@LOUDOUN.GOV.

  • Martinsville
    • Piedmont Community Services - See training dates below.  All trainings scheduled from 4:30-6:00p.  Address: 24 Clay Street, Martinsville, VA
      • Thursday, November 9, 2017: Register HERE
      • Thursday, December 7, 2017: Register HERE 
      • Thursday, January 4, 2017: Register HERE 
      • Thursday, February 1, 2017: Register HERE
  • Miford  
  • Norfolk ***Free Narcan Nasal Spray Dispensed at Training*** 
    • Norfolk Community Services Board currently offers ongoing trainings.  View their website for updated training list.
  • Petersburg ***Free Narcan Nasal Spray Dispensed at Training***
    • Oct 31, 2017 at Eastside Enhance Center 7301 Boydton Plank Rd, Petersburg, VA 23803.  There will be two sessions:
  • Richmond ***Free Narcan Nasal Spray Dispensed at McShin Foundation Training*** 
    • SAARA: Second Thursday of each month - SAARA of Virginia .  All trainings from 11a-1pm.  Lunch served.   
      • October 12,2017 - Register HERE
      • November 9,2017 - Register HERE
      • December 14,2017 - Register HERE 
  • Roanoke
    • Blue Ridge Behavioral Healthcare: 2nd Wednesday of each month from 6:30-7:30pm, 611 McDowell Ave. Roanoke Va., 24012.  Click here to connect to their website.  To register, contact Steve Ratliff, (540) 266-9200 or sratliff@brbh.org.
  • Suffolk
    • Western Tidewater CSB: 135 South Saratoga Street, Suffolk, 23434, in the 2nd floor conference roomTo register contact Terry Carroll at TCarroll@wtcsb.org.
      • October 19th         9am-10:30am
      • November 16th      9am-10:30am
      • December 21st       3pm-4:30pm 
  • Virginia Beach ***Free Narcan Nasal Spray Dispensed at Training*** 
    • EMS Training Center: January 16, 2017.  4160 Virginia Beach Boulevard, Virginia Beach, VA 23452.  Registration Required: Call 757-385-0800 to register.
  • Waynesboro
  • Winchester
    • Family Life Center: Monday November 13th, 6:30 - 8:30 p.m.  Behind Winchester Church of God - 2080 N. Frederick Pike, Winchester, VA 22603.  Register HERE
  • Woodstock

  • Fairfax
    • Merrifield Center: Wednesday November 29th, 1:30-4:30pm.  Room LL-419 & LL-425; 8221 Willow Oaks Corporate Drive, Fairfax, VA.  Register HERE.  For more information, contact Ginny Lovitt 703-489-0402 or v.g.atwood@gmail.com
  • Loudoun
    • Loudoun County Mental Health Substance Abuse Developmental Services: Thursday, January 18th from 3:30-6:30p. 906 Trailview Boulevard, Leesburg VA 20176. Registration is required as space is limited. Please register here: https://www.surveymonkey.com/r/NMH5F3H. For more information, contact Amira Turner, REVIVE! Coordinator at Amira.turner@dbhds.virginia.gov.
  • Richmond
    • SAARA Center.  4th Wednesday of each month, 11:00a-2:30p. 
      2000 Mecklenburg Street, Richmond, VA 23223.  Register through links next to training date.  For more information, contact John Beaver, SAARA of Virginia Outreach Coordinator at Tel: 804 762-4445 or johnb@saaracenter.org
      • October 25th, 2017 11:00am-2:30pm - Register HERE
      • November 29, 2017 11:00am-2:30pm - Register HERE
      • December 27, 2017 11:00am-2:30pm - Register HERE
  • Blacksburg
    • Garvin Building: Friday, December 1, 2017 from 2p-5p.
      1872 Pratt Drive, Suite 1050 Blacksburg VA 24060. Register HERE. For more information on this training, contact Amira Turner at amira.turner@dbhds.virginia.gov.
  • Norfolk
    • Norfolk Public Library: Friday, December 15, 2017 from 1:00-4:00p.
      Mary D. Pretlow Anchor Branch, 111 W. Ocean View Ave, Norfolk, VA 23503. Register HERE. For more information on this training, contact Amira Turner at amira.turner@dbhds.virginia.gov.


  • GOVERNOR DECLARES OPIOID ADDICTION CRISIS A PUBLIC HEALTH EMERGENCY IN VIRGINIA.  Click here for more information on what you can do.
  • Virginia AWARE - Here you will find information of where to find treatment if you or a loved one is struggling with addiction, access to resources in your part of Virginia, and the latest research and data on this crisis. 



These are the bills that are relevant to REVIVE! Click on the bill number for more information.    

NEW  2017 Naloxone Dispensing at Trainings §54.1-3408

  • A person who is authorized by the Department of Behavioral Health and Developmental Services to train individuals on the administration of naloxone for use in opioid overdose reversal and who is acting on behalf of an organization that provides services to individuals at risk of experiencing an opioid overdose or training in the administration of naloxone for overdose reversal and that has obtained a controlled substances registration from the Board of Pharmacy pursuant to § 54.1-3423 may dispense naloxone to a person who has completed a training program on the administration of naloxone for opioid overdose reversal approved by the Department of Behavioral Health and Developmental Services, provided that such dispensing is
    • (i) pursuant to a standing order issued by a prescriber,

    • (ii) in accordance with protocols developed by the Board of Pharmacy in consultation with the Board of Medicine and the Department of Health, and

    • (iii) without charge or compensation. The dispensing may occur at a site other than that of the controlled substance registration provided the entity possessing the controlled substances registration maintains records in accordance with regulations of the Board of Pharmacy.
  • A person to whom naloxone has been dispensed pursuant to this subsection may possess naloxone and may administer naloxone to a person who is believed to be experiencing or about to experience a life-threatening opioid overdose.
  • Click HERE for a quick start guide 

  • Contact the Board of Pharmacy to apply for Controlled Substance Registration: Caroline.juran@dhp.virginia.gov

  • HB 1427Death caused by controlled substance; penalty. 
  • HB 1458Naloxone; administration in cases of opiate overdose. 
  • HB 1500Safe reporting of overdoses. 
  • HB 1833Law-enforcement officers; administration of naloxone. 
  • SB 892Safe reporting of overdoses. 
  • SB 1186Naloxone; administration in cases of opiate overdose.