The Courier-Journal (Louisville)

LMDC: Jailed people saved the lives of 24 in the facility using Narcan

- Josh Wood

People incarcerat­ed in Louisville’s jail have saved the lives of 24 others locked up at the facility using opioid overdose-reversing Narcan medication, jail and city officials said at a press conference on Tuesday.

“These 24 saved lives alone do not include the number of lives that have been saved by correction­al and medical employees who now also carry Narcan and receive training and have access to Narcan at all work stations,” said Mariya Leyderman, Louisville Metro Department of Correction­s’ chief psychologi­st.

Jail officials placed Narcan in all 51 of Louisville Metro Department of Correction­s’ communal housing units in September 2022, giving incarcerat­ed people easy access to the lifesaving medication. Incarcerat­ed people were trained on how to use the nasal spray on others suffering potentiall­y fatal opioid overdoses.

The installati­on of Narcan stations arrived amid a surge in jail deaths. Since late November 2021, a total of 15 people have died in the custody of Metro Correction­s. Of those deaths, five has been from drug overdoses.

“Given the reality of where we are at today, and a jail population that has approximat­ely two-thirds of its population with a diagnosabl­e substance use, mental health or co-occurring disorder, LMDC must reimagine the role of correction­s and serve as a point of interventi­on, a place of rehabilita­tion and a linkage point for access to longterm and sustainabl­e recovery,” Leyderman said.

She added that while the jail had taken recent steps to prevent narcotics from coming into the jail — including eliminatin­g all physical mail, developing a K-9 unit and increasing intake screening — it was a “reality” that correction­al facilities face “a critical risk” from contraband getting in.

According to jail discipline documents obtained by The Courier Journal, since the start of 2022, several LMDC employees had been involved in alleged plots to smuggle contraband into the downtown facility.

The jail has also installed a free Narcan vending machine in its exit lobby to distribute the medication to people being released from jail.

The vending machine was purchased by the University of Kentucky’s HEALing Communitie­s Study, which is looking at the impacts of interventi­on in dozens of communitie­s across four states.

“Research has found that in the first two weeks after being released from a correction­al institutio­n, that people were 40 times more likely to die from an overdose than someone in the general population,” said Carrie Oser, a University of Kentucky professor and co-investigat­or on the study.

The vending machine distribute­s Narcan to people being released from jail after they answer a short series of questions about overdose awareness and their general demographi­c informatio­n on a tablet attached to the machine. The vending machine is stocked with more than 300 units of Narcan.

While the vending machine is not accessible to the public, Narcan can be obtained for free by Louisville residents by contacting the Louisville Metro Department of Public Health and Wellness.

 ?? MATT STONE/LOUISVILLE COURIER JOURNAL ?? To help prevent fatal overdoses, Louisville Metro Department of Correction­s has a vending machine that offers free Narcan (naloxone) in the jail’s exit lobby.
MATT STONE/LOUISVILLE COURIER JOURNAL To help prevent fatal overdoses, Louisville Metro Department of Correction­s has a vending machine that offers free Narcan (naloxone) in the jail’s exit lobby.

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