Boys and Girls Clubs

Inequities with access to naloxone and fentanyl test strips (FTS) due to cost and stigma have reinforced the necessity of community-based distribution of lifesaving harm reduction supplies. In Wichita and Sedgwick County, the epicenter of the opioid epidemic in Kansas, Safe Streets Wichita, a grassroots prevention and harm reduction coalition, started Project Wichita Overdose Recovery Kit Expedited Delivery (WORKED), a free volunteer-led intramuscular naloxone and FTS program. To assess the lessons learned from those involved with Project WORKED, interviews with 12 key stakeholders were conducted. These interviews focused on reflection, constructive criticism, and feedback. Individuals interviewed for this study included volunteers, former/current employees, and naloxone and FTS kit recipients, with special considerations for those with lived experiences of substance-related harms. Based on a reflexive thematic analysis, findings highlight the importance of meaningfully engaging community members most affected by substance-related harms, emphasizing a strengths-based perspective of harm reduction, and being cognizant of the barriers that undermine harm reduction supply distribution efforts and harm reduction in general. These findings help serve as the foundation by which interviewees envision a more holistic and comprehensive approach to harm reduction. Findings will be used to inform the fidelity, efficiency, accessibility, and longevity of community-based naloxone and FTS distribution and the implementation of harm reduction strategies in general across the state of Kansas

The current study longitudinally investigated relations between proactive (goal-oriented, calculated) and reactive (response to perceived threat) aggression and disciplinary actions in an after-school care program in a sample of 147 school-age children (Mean age = 8.22 years; 54.4% male). In addition, perceived best friend delinquency was examined as a moderator of the relations between proactive and reactive aggression and disciplinary actions. As expected, high levels of proactive aggression were associated with high levels of disciplinary actions. Reactive aggression, in contrast, was negatively associated with disciplinary actions 2-months later. Finally, perceived best friend delinquency moderated the association between proactive, but not reactive, aggression and disciplinary actions. However, this interaction effect was only marginally statistically significant (p = .06). Implications for findings and future directions are discussed.