Abstract
Objective: To assess the attitudes and knowledge of behavioral health technicians (BHTs)
towards opioid overdose management and to assess the effect of online training on opioid
overdose response on BHTs’ attitudes and knowledge, and the confidence to identify and
respond to opioid overdose situations.

Design/Methods: Pre-intervention Opioid Overdose Knowledge Scale (OOKS) and Opioid
Overdose Attitude Scale (OOAS) surveys were administered electronically to five BHTs in
2020. Data obtained were de-identified. Comparisons between responses to pre-and post-surveys questions were carried out using the standardized Wilcoxon signed-rank statistical test(z). This study was conducted in a residential treatment center (RTC) with the institutional review board's approval from Arizona State University. BHTs aged 18 years and above, working at this RTC were included in the study.

Interventions: An online training was provided on opioid overdose response (OOR) and
naloxone administration and on when to refer patients with opioid use disorder (OUD) for
medication-assisted treatment.

Results: Compared to the pre-intervention surveys, the BHTs showed significant improvements
in attitudes on the overall score on the OOAS (mean= 26.4 ± 13.1; 95% CI = 10.1 - 42.7; z =
2.02; p = 0.043) and significant improvement in knowledge on the OOKS (mean= 10.6 ± 6.5;
95% CI = 2.5 – 18.7; z =2.02, p = 0.043).

Conclusions and Relevance: Training BHTs working in an RTC on opioid overdose response is
effective in increasing attitudes and knowledge related to opioid overdose management. opioid
overdose reversal in RTCs.

Keywords: Naloxone, opioid overdose, overdose education, overdose response program

For the past six months, I have been working with Black Lives Matter Phoenix Metro on the Tempe’s People’s Budget coalition. I served as a member on the research team as well as a temporary member of the Black Lives Matter’s nucleus leadership team. I joined weekly meetings for both groups, and conducted research on city budget proposals, initiatives, and resources. I also lead discussions and conversations about progress, next steps, and goals of the coalition with over 50 volunteers within the coalition. The Tempe’s People Budget crafted a survey in late October and sent it out mid-November to members of the Tempe community, asking them what community resources they would use and which resources and investments they believed the city of Tempe should commit to. After five months of survey collection, we presented a preliminary budget proposal to Tempe’s financial office for consideration for the 2022-2023 budget, using data from 318 survey responses. With the creation of the survey among the adaption of the Tempe’s coalition, we wanted to look at what preventive community resource most respondents wanted Tempe to reinvest in. We found that the majority of survey respondents would like investments in renewable energy, housing stability, and alternatives to police. It is the city’s job to protect and serve all members of their communities, and public safety should be prioritized by investing in preventive measures instead of remedial punishments. Public safety concerns would be most effectively resolved by addressing issues such as: little to no income, housing instability, lack of access to food and water and other basic necessities to survive. Currently, Tempe is investing in the police, who most often only serve punishments.