Core Naloxone Training Curriculum
Required Curriculum
Maryland law requires that Overdose Response Program (ORP) trainings address the following topics:
- Education on recognizing the symptoms and signs of opioid overdose;
- Training on responding to an opioid overdose;
- The proper use and administration of naloxone;
- Proper rescue breathing technique;
- The importance of contacting emergency medical services;
- The care of an individual after the administration of naloxone; and
- Any other topics required by the Department, including:
- Compassionate overdose response: Emphasize the restoration of breathing, avoiding withdrawal, and compassionate post-overdose support and care. When choosing which opioid overdose reversal drug products to distribute, listen to people who use drugs. Experience, familiarity, & comfort with particular products is important.
Compassionate Overdose Response
To learn more about compassionate overdose response, please see:
Example Training Slides for ORPs
For an example naloxone training slide deck that meets the above requirements, visit Naloxone Training Slides for ORPs. Naloxone trainings don't have to use slides, but they do have to cover the required curriculum.
Relevant Laws
COMAR 10.47.08.04 outlines the minimum requirement for training third parties to carry and administer naloxone. The Maryland Overdose Prevention Program is codified in
Md. HEALTH-GENERAL Code Ann. §13-3101 - 3109.
ORP Training of Trainers
Training transitioned to new leadership with Health HIV on July 1, 2025. MDH will ensure the continued delivery of high-quality, evidence-informed materials and learning opportunities that support and advance community-based overdose prevention efforts across the state. If you have any questions or would like to speak with someone directly, please contact Ingrid McDowell, DrPHc, MPH at [email protected].
ORPs may reference a
2022 ORP Training of Trainers video recording and
slides.
