The mobile phone application market is huge, over half a million apps for iPhone and quarter of a million for Android phones. As I write this, today’s top trending app in the Android Market is Buka HD – just £1.49 will buy you a game which features a big blue bubble whose purpose is to make ‘stars go boom’.
In addition, to the thousands of games, there are apps for every purpose imaginable. In the area of drugs and crime that this Blog is concerned with, there are a number of apps attempting to give you easy access to the local crime maps hosted by police.uk. If you are an American citizen, you have a choice of apps for seeing which sex offenders live in your neighbourhood – you can view their address on a map and see their personal information and photos.
There are relatively few apps about drug treatment though, just a couple giving self-help advice which have only been downloaded a handful of times.
I am investigating smartphone apps because I had an idea for using a phone app or Twitter to try to reduce the number of drug overdoses.
Most overdose deaths happen in users’ own homes or the homes of their friends and most are witnessed by other people. There is evidence to suggest that that drug users who have survived overdose and go on to witness it may be less aware of the life-threatening nature of the situation and less likely to call an ambulance. (Research by Tobin which can be found in a Scottish Government publication aimed at reducing overdose.)
Drug overdoses are frequently witnessed by drug users who want to help but are scared to report the overdose, or stay with the person in crisis to give critical information about what drugs they have taken, for fear of arrest. A Lifeline video by Michael Linnell provides an excellent explanation of this issue and includes interviews with drug users who have been in overdose situations.
He recommends negotiating protocols with local ambulance services to ensure that police are not routinely called to overdoses – which saves police time and encourages drug users to stay with a friend in crisis.
Many drug treatment agencies do a lot of work with users around overdose prevention and management. The Injecting Advice website provides free workshop materials which includes a section on getting drug users to sign up to an ‘Overdose Promise’ to look after each other.
Despite all this excellent work, drug-related deaths are a growing problem in the UK – rising by 11.8% in 2009 to 2,182.
My idea was to see if it was possible to develop a smartphone app which would enable anyone who is likely to be present at an drug overdose – other drug users, but also family and friends who might find someone overdosed in their bedroom or bathroom – to communicate immediately with the emergency services. I couldn’t find such an app in existence although HIT have developed a very useful app with information about avoiding and managing overdoses.
There is a US app called MyFlare™ which lets a user do the following with one push of a button:
- Calls 911 or your designated non-911 emergency contact
- Automatically text messages and e-mails up to 10 of your pre-selected contacts your customized distress message, along with your GPS location
- Delivers your text and e-mail messages every three minutes to your pre-selected contacts with your updated GPS location
- Sends 20-second video recordings capturing your present environment (optional), which are attached to the delivered e-mails every few minutes (as determined by you)
- Blasts a police siren (optional)
Would a version of this app specifically for drug overdose be effective? I am guessing the video and police sirens might not be desirable, but clearly there is a range of communication possibilities which could be made fit for purpose.
Here is a preliminary list of the main issues as I see them:
- Do enough drug users have smartphones? Drug users always have mobile phones, they can’t buy drugs without them, but do enough have smartphones?
- Ideally, the message would include details about the user’s usual drugs of choice, their GP and drug treatment agency – the person using the app is unlikely to be the person overdosing. Is it possible for drug using partners/friends to press one button to call an ambulance and then another to choose one of up to five friends to select their personal details?
- The app would need to be promoted by Needle Exchanges and Drug Treatment Agencies who would talk drug users through the issues (should they include next of kin details etc.) and get them to practice using it.
- There needs to be consultation with emergency services so they can have input into the types and form of information to be provided, to make staff aware and incorporate it into any protocols.
- Can we find an app developer who is prepared to work on this pro bono or would funding be required?
An alternative approach would be to use Twitter which also has a GPS service (which needs to be turned on) with an appropriate hashtag, but the smartphone app feels more viable to me.
There are two reasons for putting this idea out via a Blog:
Firstly, to get enough comment and feedback from drug users and drug treatment agencies to test out the viability of this idea.
Secondly, if it is viable, to expedite a collaborative way forward to develop and disseminate the app ASAP.
What do you think? Please give your views, thoughts and comments below: