Harm reduction strategies have become increasingly important in addressing public health challenges. One innovative approach that’s gaining traction is the use of vending machines to distribute life-saving medicine. This blog post explores the impact and potential of harm reduction vending machines, with a focus on efforts in Montana.

The Opioid Crisis in Montana

The gravity of the opioid crisis in Montana cannot be overstated. According to recent data, "The opioid-related death rate has tripled in Montana in recent years, from 3.6 deaths per 100,000 residents in 2017 to 11.3 per 100,000 residents in 2023." Even more alarming is the disproportionate impact on Native American communities: "Native people in Montana died of opioid overdoses at a rate of 33 deaths per 100,000 people in 2023 — more than three times

the rate for white people."

Naloxone: A Life-Saving Tool

At the forefront of harm reduction efforts is naloxone, an opioid overdose reversal drug. The importance of naloxone is underscored by the experience of Cierra Coon, a recovery coach who has personally benefited from its life-saving potential. Coon shares, "The times I wasn't administered naloxone, it's a miracle that I made it out. People brought me back by shocking me with cold water and doing CPR. But that's not a for-sure 'I'm going to bring you back to life.'"

Harm Reduction Vending Machines: Increasing Accessibility

To address the critical need for naloxone and other harm reduction supplies, Montana health officials are considering a innovative approach: vending machines. The proposal involves "installing two dozen naloxone and fentanyl testing strip vending machines around the state at behavioral health drop-in centers and service locations for homeless people."

These machines would provide 24/7 access to crucial supplies, overcoming barriers such as limited pharmacy hours and the stigma associated with requesting these items in person. As Jami Hansen, prevention bureau chief for the state health department's Behavioral Health and Developmental Disabilities Division, explains, "Having something available that they could utilize themselves would be very, very beneficial."

Current Initiatives in Montana

Some areas in Montana have already implemented harm reduction vending machines. For example, in Helena, "three machines purchased by Lewis and Clark County have been distributing free Narcan nasal spray and safe drug disposal pouches — used to dissolve prescription and recreational pills — for more than a year."

However, finding suitable locations for these machines has been challenging. Kellie Goodwin McBride, director of the county's criminal justice services department, notes that some business owners were hesitant, worrying that "a Narcan vending machine would convey that the business condoned or welcomed drug use." Despite these challenges, machines have been successfully placed in locations such as a nonprofit drop-in center, the state district court building, and the Law and Justice Center.

The Impact of Harm Reduction Vending Machines

While tracking the direct impact of these machines can be challenging, evidence from other areas is promising. In Clark County, Nevada, which implemented a similar program, "41 fewer overdose deaths than expected were recorded... during the first year of distribution."

Challenges and Considerations

Implementing harm reduction vending machines comes with various challenges. Funding is a significant consideration, with Montana's proposal estimating "$400,000 to build, stock, and maintain 24 vending machines for a year." Additionally, decisions must be made about what supplies to include. While some argue for the inclusion of sterile syringes, Montana's current proposal does not include them, partly due to restrictions on federal funding for such items.

Looking Forward

As Montana and other states continue to explore and expand the use of harm reduction vending machines, it's clear that this approach has significant potential to save lives and improve public health outcomes. By increasing access to naloxone and other crucial supplies, these machines represent an important step forward in addressing the opioid crisis and supporting those struggling with addiction.

Cierra Coon's question resonates with many: "How are we supposed to afford this drug that's ultimately to save the lives of ourselves and those around us?" Harm reduction vending machines offer one powerful answer to this crucial question.

Contact Global Vending Group for a free quotefor your Naloxone Harm Reduction Vending Machine.