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CDPH — HRI Recommendations <br />May 10, 2023 <br />Page 3 of 4 <br />Effective syringe disposal and collection <br />o Client Education/Disposal/Collection <br />■ Monitoring of needle collection will need to be completed in an electronic efficient <br />system. Paper log of weighed syringes was inadequate in the past to measure <br />collection and disposal. <br />■ Tracking method should be instituted to easily identify the origin of each syringe <br />dispensed and collected by HRI. <br />■ Each dispensed syringe should have markings as noted above to help HRI (as well as <br />City and County) to identify and track HRI dispensed syringes and to enhance HRI's <br />ability to account for properly and improperly disposed HRI syringe needles. <br />■ If feasible, enhanced RFID technology can be utilized to identify/quantify returned <br />HRI dispensed syringes more easily. <br />Example: RFID technology is now used for inventory management in many different <br />businesses. Similar technology can easily be affixed to each syringe to assist with <br />tracking, to identify syringes originating from HRI, Santa Ana. <br />o Community Collection and Disposal of HRI-identified syringes <br />■ Expand Hotline hours of operation for the local community to report HRI-identified <br />syringes discarded in public spaces for prompt collection. <br />■ Response time to collect/dispose HRI identified syringes in the community should <br />take place ideally within 1-2 hours, but no later than within 24 hours of receipt of any <br />report of discarded syringe needles. <br />■ If HRI fails to respond to a community complaint of syringe litter within 24 hours, <br />HCA Environmental Health response teams should have the ability to recover the <br />Agency's costs for responding to complaints and collecting and properly disposing of <br />HRI-distributed syringe litter. <br />■ CDPH should consider requiring HRI to post a bond or obtain insurance to allow <br />public agencies to recover their costs in the event of non-payment. <br />2. Provide counseling services, linkage to behavioral health and medical services and provide <br />close follow up to referrals placed. <br />• HRI personnel and volunteers should have strong knowledge of County behavioral health <br />resources (i.e., referral resources, hotlines, substance use and substance use disorder (SUD) <br />treatment options) and should regularly provide information about these available resources <br />to program participants. <br />o Required regular participation with OC Recovery Collaborative. <br />o Acceptance of drug rehabilitation/SUD treatment should be encouraged by HRI <br />personnel and staff of all program participants. <br />o Referral follow-up. HRI staff and volunteers should closely monitor participants and <br />follow-up on any referrals that were placed or recommended. <br />o HRI staff should log all referrals with outcomes of whether the participant was able to <br />follow-through with referrals to treatment. <br />o HRI should practice close collaboration with referral partners to improve linkage and <br />access through warm handoffs. <br />