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Overdose Lifeline Continues County-Wide NaloxBox Campaign for Naloxone Distribution in Indiana

Overdose Lifeline, a 501(c)(3) nonprofit organization dedicated to helping individuals, families, and communities affected by the disease of substance use disorder, has been working closely with Governor Eric J. Holcomb and the Indiana Family and Social Services Administration’s Division of Mental Health and Addiction (DMHA) to place NaloxBoxes throughout the state. This coordinated effort is designed to increase access to lifesaving naloxone (or “Narcan”) in areas deeply affected by opioid overdoses. As of 2024, Overdose Lifeline has successfully placed over 500 NaloxBoxes at colleges, churches, restaurants, and parks. 

A Look Back at How The NaloxBox Project Started

Since 2015, Overdose Lifeline has been distributing overdose reversal kits since the passing of Aaron’s Law. This project has made incredible strides toward overdose prevention and has saved many lives with approximately 24,000 naloxone kits a month (or 6,000/week) across the state. 

After learning about a new distribution mechanism for naloxone called a NaloxBox, which is a clear acrylic box intended for 24/7 access to overdose reversal kits, Overdose Lifeline immediately began developing a county-wide rollout. The goal is at least two in each county. 

Overdose Lifeline was the first to place a NaloxBox on an Indiana college campus, which inspired other colleges to join the prevention project. 

Types of Naloxone Distribution Mechanisms

There are multiple types of naloxone distribution mechanisms to increase access. These include:

  • Distribution Center: A community partner administering naloxone to the public during specific hours. Please contact the center to confirm availability. 
  • NaloxBox: A 24/7 resource where naloxone can be picked up at an outside location with no personal interaction required.
  • Vending Machines: Repurposed vending machines with up to 300 free naloxone kits. These are accessible 24/7.
  • Distribution Center + FTS: A community partner administering both naloxone and fentanyl test strips. Please contact the center to confirm availability and hours. 
  • NaloxBox + FTS: 24/7 resources where both naloxone and fentanyl test strips can be picked up outside without any personal interaction.

Power Through Partnerships

This project would not be successful without the help of some incredible partners. This includes funding from the DMHA that allows Overdose Lifeline to do its work. It also includes several access partnerships that make it easier for people to get lifesaving naloxone. This year, the Indianapolis Public Library is hosting 13 new NaloxBoxes throughout several branches. We also work with the Sidney & Lois Eskenazi Hospital, which has numerous NaloxBoxes throughout the facility. We will continue creating new partnerships with other businesses, universities, and other organizations to install more NaloxBoxes.

Erasing the Stigma Around Substance Use Disorder

Not only have NaloxBoxes created easier access to lifesaving intervention resources, but they have started conversations in many communities around substance use disorder and harm reduction tools. Unfortunately, there is still a strong stigma around substance abuse disorders that creates barriers to access to lifesaving naloxone in the most affected communities. 

Since the NaloxBox project began, the positive effect on the community is palpable. There have been notes left in NaloxBoxes saying how people are thankful for them and that they have helped save lives. This spurns us to continue our work in expanding access to these invaluable intervention techniques to cease unnecessary losses to the opioid epidemic.

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