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

Math homework is a highly debated topic within the middle school education field. Teachers, parents, and students all have differing opinions on what the ideal math homework assignment is and how it promotes academic achievement. This study was intended for discovering what the optimal middle school math homework assignment looks like, how teachers can best follow-up on the assignment, and the most beneficial quantity and frequency of homework. Currently, teachers need more distinct guidelines when designing homework assignments. Students in Barrett, The Honors College, at Arizona State University were asked a series of questions about the type, length, and follow-up practices of their homework assignments and how they felt about them. It was found that students who like math are generally highly motivated in the subject. Most often, students are given short but frequent practice homework assignments, which they find to be most helpful, and they appreciate when teachers review the steps and solutions to the assignments in class. These results should allow educators to better align their math homework assignments with practices that students find to be helpful and necessary.