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Harm reduction supply distribution

The following data elements will be collected and stored by core Needle Syringe Program workers, workers funded under the AIDS Bureau Harm Reduction Outreach program, and Hep C Team outreach workers when distributing harm reduction supplies.



Data ElementPermissible Values
Site Information

...

Data elementPermissible valuesSite information

Site Name

Any site name chosen by the participating agency is acceptable.

Affiliated PHU

One of the 35 public health units in Ontario.

Programs provided

One or more of:

  • Needle Exchange
  • Harm reduction outreach
  • Hep C Team
  • Ontario Naloxone Program

Client

informationYear of birth

Information

Anonymous Client Code (part of the client reference code)Exactly 4 letters
Year of birth (part of the client reference code)4-digit year, between 1901 and 2018
Gender
Gender (part of the client reference code)
  • Male
  • Female
  • Trans Male
  • Trans Female
  • Other gender not listed
Postal code of residence (Forward Sortation Area only)
  • The first three characters of any valid postal code within Ontario (e.g. M5A)
  • Do not know
  • No fixed address
  • Outside of Ontario


Substances used

This field can be left blank (non-mandatory field); the permissible options are below.

  • Alcohol

  • Amphetamines

  • Antidepressants

  • Benzodiazepines (Valium, Xanax, Ativan, etc.)

  • Cannabis (prescription/medical use)

  • Cannabis (recreational use)

  • Cocaine

  • Codeine

  • Crack / cocaine

  • Dilaudid/ Hydromorphone

  • Fentanyl (

patch
  • non-prescribed)

  • Fentanyl (

bootleg
  • prescribed)

  • Heroin

  • Hydrocodone

Hydromorphone
  • Inhalants (solvents such as gasoline, glue, aerosols such as spray paint,  gases)

  • Kadian

  • Ketamine

  • Methadone (non-prescribed)

  • Methadone

(non-prescribed/diverted)
  • Suboxone (prescribed)
  • Suboxone (non-prescribed/diverted)
  • Morphine
  • Oxycodone
  • Alcohol
  • Amphetamines
  • Anti-depressants
  • Benzodiazepines
  • Cocaine
  • Crack
  • Party drugs (ecstasy, MDMA, K, GHB, etc.)
  • Methamphetamine (e.g., crystal meth, ice, etc.)
  • Inhalants (solvents such as petrol, glue; aerosols such as spray paint, gases)
  • Marijuana (recreational use)
  • Marijuana (prescription/medical use)
  • Steroids
  • Non-beverage alcohol
  • Anonymous Client Code4 letters

    NEP transaction information

    Date of transactionLocation of transactionClient collecting on behalf ofAdditional services providedReferrals providedSafer injection equipment providedSafer inhalation equipment providedOther equipment providedSafer sex supplies providedNeedles returned and Community Clean-up information

    Date needles were returned

    Quantity of needles returned

    Date of community clean-up

    Naloxone - distribution

    Naloxone kits distributed

    Training to administer naloxone providedReported reasons for resupply of naloxone kitReported access point for previous naloxone kitNaloxone - administration

    Type of individual who reported administration of naloxone

    Location of overdose

    Number of doses individual reported they administered for the overdose

    Individual reported calling 911 when naloxone administered

    Individual reported someone stayed with person until paramedics arrived or person recovered

    Drugs used when overdose occurred

    Reported outcome of naloxone administration

    ...

    • (prescribed)

    • Methamphetamine (Crystal Meth)

    • Methamphetamine (speed)

    • Morphine

    • Non-beverage Alcohol (e.g., Listerine, other mouthwash, cooking wine, hand sanitizer, etc.)

    • Other

    • Oxycodone/Percocet/OxyNEO

    • Party Drugs (Ecstasy, MDMA, K, GHB, etc.)

    • Ritalin/methylphenidate

    • Speedball (crystal meth/fentanyl)

    • Speedball (crystal meth/hydromorphone/Dilaudid)

    • Speedball (fentanyl/crack)

    • Speedball/other polysubstance

    • Steroids/ testosterone

    • Suboxone/ buprenorphine (non-prescribed)

    • Suboxone/ buprenorphine (prescribed)

    • Unknown

    • Unspecified opioid

    • Unspecified stimulant
    • Wellbutrin/bupropion

    NSP Transaction Information

    Date of transaction

    dd/mm/yyyy

    Location of transaction
    • In-service NEP/NSP (core or satellite)
    • Addiction programs (e.g., residential and day programs)
    • Bars/night clubs
    • Residence (e.g., client home, apartment/house, hotel/motel, friend's place, place where client resides, etc.)
    • Community agencies/services (that are not fixed site needle exchange programs, e.g., church basement for the out of the cold program, shelters, etc.)
    • Community public spaces (e.g., barbershop, hair salon, bathhouse, massage parlour, etc.)
    • Jails/detention centres/prisons
    • Opioid agonist therapy clinics
    • Parties/raves
    • Pharmacies
    • Street/parks (e.g., you are on foot and distributing safer injection or inhalation equipment)
    • Mobile distribution from a van (e.g., driving a route and distributing from a van/car, does not include driving to a specific location to deliver supplies)
    Client collecting on behalf of
    • Self
    • Self and others
    • Others only
    Services Provided - OCHART/HROP
    • Indigenous Traditional Services
    • Brief Counselling
    • Harm Reduction Teaching
    • Practical Support
    Referrals Provided - OCHART/HROP
    • Addictions services
    • Harm reduction services
    • Clinical service providers - HIV Care
    • Clinical service providers - Urgent Care
    • Clinical service providers - Primary Care
    • Clinical service providers - Other Care
    • Mental health service providers
    • HIV/STI testing
    • Hep C teams
    • Hep C testing other (non-Hep C team)
    • Hep C treatment other (non-Hep C team)
    • Community-based HIV service providers
    • Other community-based service providers
    Test Provided - NEP/NSP
    • HIV
    • Hepatitis B
    • Hepatitis C
    • Other STI
    • Pregnancy tests
    Vaccines provided - NEP/NSP
    • Number of clients started on Hepatitis B vaccine
    • Number of clients started on other vaccines (e.g. influenza, Hep A)
    Services Provided - NEP/NSP
    • Drug info/counselling
    • Safer sex information
    • Basic medical care
    • Other
    Referrals Provided - NEP/NSP
    • Additional BBI/HIV/STI testing
    • Addictions treatment/counselling
    • Social services (housing supports, OW, ODB)
    • Other types of referrals
    Inhalation Equipment

    (OHRDP Supplies)

    • Bowl Pipe 
    • Foil 
    • Push Stick
    • Screen (Impact 1.0 Blue)
    • Screen (Impact 1.0 Orange)
    • Straight Stems
    • Straw - Blue
    • Straw - Green
    • Straw - Orange
    • Straw - Yellow
    • Mouthpiece - Bowl Pipe
    • Mouthpiece - Straight Stems


    Other distributed items (ie. types of needles, kits and supplies) determined by site.

    Injection Equipment

    (OHRDP Supplies)

    • Blister Packed Filters
    • Cooker - One-Use
    • Cooker - Maxicup
    • Cooker - Stericup
    • Sterile Water
    • Tourniquet
    • Vitamin C
    • Needle & Syringe - 1cc x 27G x 1/2in        
    • Needle & Syringe - 1cc x 28G x 1/2in    
    • Needle & Syringe - 1cc x 29G x 1/2in    
    • Needle & Syringe - 1cc x 30G x 1/2in    
    • Needle & Syringe - 1cc x 30G x 5/16in    
    • Needle Tip - 18G x 1 1/2in    
    • Needle Tip - 21G x 1    
    • Needle Tip - 21G x 1 1/2in    
    • Needle Tip - 22G x 1 1/2in    
    • Needle Tip - 23G x 1 1/2in    
    • Needle Tip - 23G x 1in    
    • Needle Tip - 25G x 1 1/2in    
    • Needle Tip - 25G x 1in    
    • Needle Tip - 25G x 5/8in    
    • Needle Tip - 26G x 1/2in    
    • Needle Tip - 27G x 1/2in    
    • Needle tips    
    • Syringe - 1cc, Luer Lock    
    • Syringe - 3cc, Luer Lock    
    • Syringes    
    • Syringes with Attached Needles


    Other distributed items (ie. types of needles, kits and supplies) determined by site.


    Other Equipment

    (OHRDP Supplies)

    • Alcohol Swab
    • Baggie - Black, Resealable
    • Baggie - Black, Ties
    • Baggie - Blue, Resealable
    • Baggie - Blue, Ties
    • Baggie - Clear, Resealable
    • Baggie - Green, Resealable
    • Baggie - Green, Ties
    • Baggie - Orange, Resealable
    • Baggie - Yellow, Ties
    • BZK Wipe

    Other distributed items (ie. types of needles, kits and supplies) are determined by site.


    Safer Sex Supplies 
    • Condoms
    • Lube
    • Dental dams

    Other distributed supplies are determined by site.


    Needles Returned and Community Clean-up Information

    Date needles were returned

    dd/mm/yyyy

    Quantity of needles returned

    Number

    Date of community clean-up

    dd/mm/yyyy

    Ontario Naloxone Program

    Organizations that report to the Ontario Naloxone Program need only to fulfill the requirements of the ONP Quarterly Report. NEO can be used to collect this data on a client-by-client basis (i.e. service providers record an encounter in NEO every time they distribute/train for the naloxone program), or this data can be submitted in bulk once a quarter.


    Data ElementPermissible Values
    Site InformationSite NameAny site name chosen by the participating agency is acceptable.
    Affiliated PHUOne of the 35 public health units in Ontario.
    Programs ProvidedOntario Naloxone Program

    Naloxone Transaction Information

    Required Questions (applicable to all sites except Fire, Police, St. John Ambulance)

    Injectable Naloxone Distributed

    • Number of injectable naloxone kits distributed
    • Number of SINGLE injectable doses distributed (1 box is 10 doses)
    Nasal Spray Naloxone Distributed
    • Number of nasal spray naloxone kits distributed
    • Number of SINGLE nasal spray doses distributed (1 box is 2 doses)
    Number of Individuals Trained
    • Number of individuals trained to administer naloxone
    Fire, Police, St. John Ambulance

    Number of Overdoses where First Responders Administered Naloxone
    • Number of overdoses where first responders administered naloxone


    Consumption and Treatment Services


    Data ElementDefinition/Calculation
    Site Information

    Site Name

    Any site name chosen by the participating agency is acceptable.

    Affiliated PHU

    One of the 35 public health units in Ontario.

    Programs provided

    One or more of:

    • Needle Exchange
    • Harm reduction outreach
    • Hep C Team
    • Ontario Naloxone Program

    Client Information

    Anonymous Client Code (part of the client reference code)Exactly 4 letters
    Year of birth (part of the client reference code)4-digit year, between 1901 and 2018
    Gender (part of the client reference code)
    • Male
    • Female
    • Trans Male
    • Trans Female
    • Other gender not listed
    Postal code of residence (Forward Sortation Area only)
    • The first three characters of any valid postal code within Ontario (e.g. M5A)
    • Do not know
    • No fixed address
    • Outside of Ontario


    CTS Transaction Information
    B - Total VisitsVisitA visit by a client to the CTS for supervised drug consumption and/or to access, or receive a referral to, wrap-around services (e.g., harm reduction education, mental health services, primary care services, social services).
    Total # of CTS visits this month Total # of visits = # visits where client complete/ discharged from service
    # of visits by time of day # of visits, by time of day = Visit counted as time where transaction started
    C - Non-Identifiable Client DemographicsUnique CTS clientNumber of unique CTS clients refers to the number of discrete individuals that visited the CTS (e.g. If one client visited the CTS 10 times in one month, this is counted as one unique client. If four clients visit the site once in a month, this is counted as four unique clients).
    D - Supervised Consumption Visits within the CTSVisit for supervised drug consumptionA client visits the CTS to consume one or multiple substances.
    E - Overdose EventsTotal # of overdose that occurred in the CTSDrug poisoning event requiring medical intervention including the provision of oxygen/ rescue breathing and stimulation, administration of naloxone, and/or other intervention.
    Total # of overdose-related deaths that occurred in the CTS
    G - Safety and SecuritySecurity StaffSecurity staff is a person with a defined job description involving security whether they are direct CTS staff, property management/building staff, and/or from a private company.
    Surrounding perimeterThe surrounding perimeter of the CTS is defined as a 15 metre perimeter surrounding the CTS.
    H - Harm Reduction EducationHarm reduction educationHarm reduction education (facilitated by any staff) provides education and information using a harm reduction approach on safer substance use, sexual health and/or other high-risk behavior (includes teaching safer injecting techniques, providing information on overdose prevention, naloxone training, or basic wound care, and/or information on local health or social services).
    I.1 - Addiction Treatment ServicesReferralA referral includes the receiving organization having a referral on record and/or CTS staff making an appointment on behalf of a client or transporting a client to access an offsite service (e.g., warm referral).
    Addictions counsellingAddictions counselling includes initial and ongoing assessment and treatment planning, case management, brief intervention, lifestyle and personal counselling to assist in developing skills to manage substance use and related problems, and/or maintain and enhance treatment goals.
    Community treatmentCommunity treatment can operate in a variety of settings, including at an addiction's agency or other community service setting, or through outreach at a recipient’s home or school. Community treatment can include initial and ongoing assessment and treatment planning, some case management, brief intervention, psychotherapy, lifestyle and personal counselling to assist in developing skills to manage substance use and related problems, and/or maintain and enhance treatment goals.
    I.2 - Mental Health ServicesMental health services

    *Mental health services are provided by qualified professionals (i.e. counsellors, social workers, psychiatrists) who assess, identify, and work with clients re: social, mental health through creating care plans that include goal setting, development of coping skills, crisis intervention, and ongoing counselling.

    Supportive counselling offered by peers and by other CTS staff is an important part of mental health supports and is to be captured on the supportive counselling line.

    I.3 - Primary CarePrimary care servicesPrimary care services are provided by a physician, nurse practitioner, nurse or paramedic and/or address basic health needs.
    J - Removal of Inappropriately Discarded Harm Reduction SuppliesSurrounding area of CTSSurrounding area of the CTS is defined as a 15 metre perimeter surrounding the CTS.
    K - Community Engagement and LiaisonCommunity engagement

    Community engagement and liaison efforts may include but are not limited to: follow-up(s) after initial consultations; public education about CTS; or engagement mechanisms to identify and address community concerns.

    Communities can include but are not limited to: local businesses and/or business associations; local citizens and/or community groups, persons with lived experience, local municipality, police and other emergency services, health and social agencies.

    Distribution of harm reduction supplies and/or needle pick-ups are already captured in other sections and are not to be included for community engagement.

    M - Drug Checking (IF APPLICABLE)OverdoseDrug poisoning event requiring medical intervention including the provision of oxygen/ rescue breathing and stimulation, administration of naloxone, and/or other intervention.