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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 element values transaction informationAdditional services providedDetermined by the types of needles and supplies distributed at site.

	MDS for NEP and CTS	Data Element	Permissible	Values
Site informationInformation	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 informationInformation	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
	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 (non-prescribed) Fentanyl (prescribed) Heroin Hydrocodone Inhalants (solvents such as gasoline, glue, aerosols such as spray paint, gases) Kadian Ketamine Methadone (non-prescribed) Methadone (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 TeachingIndigenous Traditional Services Practical Support
		Referrals providedProvided - OCHART/HROP	Addictions services Harm reduction services Clinical service providers - HIV Care Clinical service providers - Other Urgent Care Clinical service providers - Primary Care Clinical service providers - Urgent Other Care Community event Community-based HIV Mental health service providers Harm reduction servicesHIV/STI testing Hep C teams Hep C testing other (non-Hep C team) Hep C treatment other (non-Hep C team) HIV/STI testing Mental health 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	Safer injection equipment provided
		Safer inhalation equipment provided
		Other equipment provided
		Safer sex supplies provided
		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 InformationNeedles 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

Naloxone - distribution

Total number of naloxone kits distributed

Intra-nasal kit
Intra-muscular kit

Total number of trainings to administer naloxone provided

Intra-nasal training
Intra-muscular training

Total number of individuals who received naloxone refills

# of individuals who received 1 refill
# of individuals who received 2 refill
# of individuals who received 3 refill
# of individuals who received 4 refill
# of individuals who received 5 refill

(Differentiated by intra-nasal or intra-muscular dose, e.g. "1 intra-nasal dose")

(Optional) Reported reasons for resupply of naloxone kit

Kit broken/contents missing
Kit confiscated
Kit expired
Kit given away
Kit lost
Kit recalled
Kit used

(Optional) Reported access point for previous naloxone kit

This ONP site
Other ONP site
Pharmacy
Correctional facility
Another individual

Naloxone - administration

(Optional) Type of individual who reported administration of naloxone

Client
Friend or family member
Recently released inmate

(Optional) Location of overdose

At home/residence
On the street
Outside of local area

Number of doses individual reported they administered for the overdose

1
2
3
4
5 or more

(Differentiated by intra-nasal or intra-muscular dose, e.g. "1 intra-nasal dose")

Individual reported calling 911 when naloxone administered

(Optional) Individual reported someone stayed with person until paramedics arrived or person recovered

(Optional) Drugs used when overdose occurred

Same as list provided under Substances Used

Element	Permissible Values
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	Ontario 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 Element	Definition/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 Visits	Visit	A 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 Demographics	Unique CTS client	Number 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 CTS	Visit for supervised drug consumption	A client visits the CTS to consume one or multiple substances.
E - Overdose Events	Total # of overdose that occurred in the CTS	Drug poisoning event requiring medical intervention including the provision of oxygen/ rescue breathing and stimulation, administration of naloxone, and/or other intervention.
E - Overdose Events	Total # of overdose-related deaths that occurred in the CTS
G - Safety and Security	Security Staff	Security 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.
G - Safety and Security	Surrounding perimeter	The surrounding perimeter of the CTS is defined as a 15 metre perimeter surrounding the CTS.
H - Harm Reduction Education	Harm reduction education	Harm 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 Services	Referral	A 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 counselling	Addictions 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 treatment	Community 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 Services	Mental 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 Care	Primary care services	Primary 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 Supplies	Surrounding area of CTS	Surrounding area of the CTS is defined as a 15 metre perimeter surrounding the CTS.
K - Community Engagement and Liaison	Community 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)	Overdose	Drug poisoning event requiring medical intervention including the provision of oxygen/ rescue breathing and stimulation, administration of naloxone, and/or other intervention.

(Optional) Reported outcome of naloxone administration

Resuscitation successful

Resuscitation unsuccessful

Unknown

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