Calm, Cool and Connected - The Guide Book to Peace of Mind

Overdose Prevention and Awareness with C.I.B.H.

June 01, 2022 Calm, Cool and Connected Season 1 Episode 183
Calm, Cool and Connected - The Guide Book to Peace of Mind
Overdose Prevention and Awareness with C.I.B.H.
Show Notes Transcript

According to the DEA, fentanyl is a synthetic opioid that is 50 to 100 times stronger than morphine. While some might be aware of fentanyl's increasing prevalence—it is often found alongside heroine either to increase potency or disguise the drug—many are still anywhere of the substance and its extreme risks.  

On today's episode, Dr. Liz is joined by Danyell Collins-Facteau, Licensed Program Supervisor, and Kristen Martin, Certified Prevention Specialist, from Chesapeake Integrated Behavioral Health. They share the dangers of fentanyl, various ways to prevent overdose, and what the average person can do to join the fight against overdose. 

Key Takeaways from Liz’s chat with  Danielle and Kristen:

  • Learn why there has been an increase in opioid and fentanyl overdoses 
  • Hear about the dangers of fentanyl, including the small fatal dosage amount
  • Find out how fentanyl test strips work and why they are making a huge difference in the  prevention of overdose
  • Discover how providing test strips can lead to conversations with users and reduce potential harm
  • Learn about the Revive training program, where you can find Narcan, what it is, and how you can help prevent overdose. 

All of this and more, on this episode of Calm, Cool and Connected.

Find more information about Chesapeake Integrated Behavioral Healthcare on their website:
For more information on prevention services in Virginia, visit:

For more information on Dr. Elizabeth Fedrick, visit her website:
Connect with Dr. Fedrick on Instagram: @drelizabethfedrick

Watch the video interview on our Facebook Page

Have a question you'd like answered on the show? Leave us a voicemail here:

For more great Calm, Cool and Connected content, don't forget to subscribe to the podcast on Apple Podcasts, Google Podcasts, Overcast, Spotify, and all the popular podcasting platforms. (RSS

Already subscribed? Please take a moment to rate and review the podcast so that we can reach as many people that need the help as we can: 



Dr. Liz: Hello, and welcome to calm and connected. I'm your host, Dr.

Elizabeth. According to the, but in all is a synthetic opioid that is 50 to a hundred times stronger than morphine because of its powerful opioid properties. But in all is often diverted for abuse and is added to heroin to increase its potency, to be disguised as a different type of heroin.

And so many people believe they're purchasing heroin and don't [00:01:00] actually know that they're purchasing fentanyl, the dangers with this. Heroin in and of itself leads to many overdoses and fentanyl included in that has just expanded those overdoses exponentially. Joining us today is Danielle Collins, facto, a licensed program supervisor and Kristen Martin, a certified prevention specialist with Chesapeake integrated behavioral healthcare.

Danielle and Kristen are here to discuss the dangers of Betanol, including warning signs and treatment options. I didn't yell and Kristen welcome.

 So let's jump in and talk about, we know that fentanyl, I mean, we see it in the news where we are hearing conversations at schools where there's a lot of conversation, a lot of media around the dangers of fentanyl. Let's talk about just jumping in and why is this conversation so important? And Kristen, can you share with us about, you know, these, the increase in the overdoses and why this is an important conversation?

Kristen: Of course. So opioids and [00:02:00] fentanyl have been around for quite a long time, but in more recent years, it's become more of an issue. So just to give you a couple stats to support why this is such an important topic in 2021, 107,000 Americans died by suicide. So if you break that down a little bit more, that means every five minutes someone dies of an overdose and.

That makes overdose the first leading cause of death between ages between 18 and 45. And then recently the Hampton roads area has experienced a major drug bust and police reported that they confiscated enough fentanyl to kill 500,000 people. So that just goes to show how the community needs to know about harm reduction strategies, the revive program, the standing order for Narcan and all the resources that are available to.

Dr. Liz: Yeah. And I think what people don't realize is that it's such a small amount. I was actually the, what you just discussed that most recent bust. My son actually brought it up to me one time on the way home from school and was talking about, you know, have you [00:03:00] heard about this and, and his biggest fascination with it, which I was very proud of him for the insight is that he, it was like a penny or something like that.

It was very, very small amounts that leak could lead to that many. And so I think that, that, what is your experience, even with the people you're talking to and, you know, prevention and awareness what are some of the, maybe things you're sharing with them that people just don't commonly know? 

Kristen: So I'm so glad that this came up because I actually have an infographic that I share when I do the revive program and it shows how.

The D different doses that can cause an overdose or even death between the different types of opioids and in every single class that I do the shock and awe of how little it takes to actually overdose and potentially died. It's not a lot at all. And in some cases, some opioids, it could be a half a grain of salt.

So that's how much can impact someone's health and overdose inmate. [00:04:00]

Dr. Liz: And that is just really scary and something that we ask to be aware of. Danielle, can you tell us about fentanyl test strips and then the data on this? Like why they're so helpful, why they're really needed? 

Danielle: Yes. Yes, definitely. So fentanyl test strips are Strips that the person puts in a very small amount of what they're getting ready to use.

Puts it in water and waits to see if it's positive or negative. And that empowers the individual with information that can increase their safety, whether or not they decide they want to continue to use. We're also using fentanyl testing strips as a way to engage individuals who are using drugs in conversations, fostering conversations about treatment options, recovery options, and it's very inexpensive.

And it's endorsed by the federal government. So this harm reduction strategy that we're starting to use at CIB H. We will see this increase in availability in the coming years because of [00:05:00] the overdose 

Dr. Liz: deaths. So essentially it is allowing a, if somebody is using or abusing a substance, it's allowing them to be aware and to make an informed decision.

Is this something I want to go forward with? Is that part of the use of. 

Danielle: Exactly exactly. We know people are using and they're going to continue to use and that's their choice, but can we equip them with information that could change the outcome? 

Dr. Liz: Which is also so important because instead of, you know, only just promoting abstinence constantly, and as you're saying, people are going to use, so what is the best way to reduce the harm of that and to help them make these informed decisions?

I'm Christine, tell us a little bit about Narcan and the revived training program. What is that, that you guys are. So 

Kristen: the revive training program, I've been a trainer for about five years now. And it's actually a program that was started by Virginia. DVH DS, and it's about an hour long. So it's not a huge time commitment for people to take, to learn about this really [00:06:00] important topic.

So we teach a lot of things in this class. We start off talking about the laws in place for overdoses and safe reporting. We talked about how addiction works because some people truly don't understand how addiction. Plays a role in a person's body and their physiological dependency of it. We dispel some myths.

We talk about how Narcan works in the chemical makeup of Narcan. And then we talk about how to administer the three different FDA approved formulations of Narcan and how someone can save a life by using. 

Dr. Liz: And what are some of the benefits that you're seeing? So our, our people attending for awareness purposes, or if they're already using, like, what is the general population who is.

We have a great 

Kristen: variety of people who attend our trainings. I just did one a couple of weeks ago for a community outreach program who sees a lot of this in their community. We also have people of course, to attend because there's a close friend or family member who has been impacted by this issue. And then we also have privacy since you just want to be more informed about what's [00:07:00] going on in our community, because if you think about it at the end of the day, overdoses and fatalities from overdoses affect the entire community, not just that immediate family or neighbors.

Dr. Liz: I completely agree. And I mean, even going back to that conversation with my son, having, if I would've had that awareness, those are some things I could have warned him about instead of vice versa. Right. And so I think that awareness is so important. So parents can have these active conversations about the truth threat that is here.

And Danielle tell us what are some treatment options, some recovery resources. What do you guys do in regard to that? What's. Right. 

Danielle: Yeah. We want to make sure that the, the community knows that Narcan is available to anyone at any pharmacy. They don't have to have a prescription because there's a standing federal order that allows anyone to go and request it.

Additionally, we have assembled rescue bags and the rescue bags contain Narcan, fentanyl testing, strips, and treatment resource information. And we are making those [00:08:00] available to the community in Chesapeake. In, in regards to treatment a medication assisted treatment and therapy is often kind of the gold standard for opioid addiction and individuals could access that information through their local community services board.

They could see a private provider and additionally the curve, the website is a great resource for individuals who live in Virginia to gain more information. 

Dr. Liz: And can you tell us just briefly, Danielle, before we wrap up, what is Narcan for people who are listening? And they're like, okay, they keep saying this term, what is it?

Can you describe it just quickly? What that is? 

Danielle: It's an opioid reversal agent. So commonly we, we distribute it's a nasal spray and what it does is it knocks the opioid receptors off the person's brain. Reverses what's going to be an overdose. There, there's no harm to administering Narcan to someone who's [00:09:00] not actually having an opioid overdose.

It is an FDA approved and evidence-based harm reduction practice. 

Dr. Liz: Okay. That's great information. Thank you so much. And Christian, where can listeners find more about what you guys are doing and the programs that you 

Kristen: offer? Well, they can go to our website, which is CIBS We have printable resources on there.

If you want to print some and talk to your family, our calendars on there. So you can directly sign up from our calendar, any of our trainings, including of course our revive program training. We have a lot of other great information. Of course, we also have treatment resource numbers available on our website, too.

Dr. Liz: Great. Well, thank you guys so much for joining us. I appreciate you bringing the awareness and really spreading very valuable information on. 

Kristen: Thank you for your goodness. 

Dr. Liz: Thank you. And thank you all for tuning in to this episode of calm, cooling, connected. Please make sure to find us on Facebook and Instagram and also make sure to rate and subscribe to our podcast so that others can discover our content as well.

Thank [00:10:00] you again for joining us on this episode of calm, cooling, connected. .