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 | 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 | One or more of:
| |
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) |
| |
| Postal code of residence (Forward Sortation Area only) |
| |
| Substances used | This field can be left blank (non-mandatory field); the permissible options are below.
| |
NSP Transaction Information | Date of transaction | dd/mm/yyyy |
| Location of transaction |
| |
| Client collecting on behalf of |
| |
| Services Provided |
| |
| Referrals Provided |
| |
| Inhalation Equipment | (OHRDP Supplies)
Other distributed items (ie. types of needles, kits and supplies) determined by site. | |
| Injection Equipment | (OHRDP Supplies)
Other distributed items (ie. types of needles, kits and supplies) determined by site. | |
| Other Equipment | (OHRDP Supplies)
Other distributed items (ie. types of needles, kits and supplies) are determined by site. | |
| Safer Sex Supplies |
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 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 |
|
| Nasal Spray Naloxone Distributed |
| |
| Number of Individuals Trained |
| |
| Fire, Police, St. John Ambulance | 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:
| |
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) |
| |
| Postal code of residence (Forward Sortation Area only) |
| |
| 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. |
| 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. |
| 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. |
