Implementing peer recovery services for overdose prevention in Rhode Island: An examination of two outreach-based approaches
Implementing peer recovery services for overdose prevention in Rhode Island: An examination of two outreach-based approaches
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DOI：
10.1016/j.addbeh.2018.09.027
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发表时间：
2019-02-01
影响因子：
4.4
通讯作者：
Marshall, Brandon D. L.
中科院分区：
文献类型：
--
作者：
Waye, Katherine M.;Goyer, Jonathan;Marshall, Brandon D. L.
背景：罗德岛州的意外服药过量死亡率在美国排名第十。为了应对这一危机，社区同伴康复计划Anchor Recovery Center开发了一些项目，将认证的同伴康复专家部署到急诊科(Anchored)和意外阿片类药物过量发生率较高的社区(Anchmore)。目的：本文的目的是描述Anchred和Anclmore的活动和实施过程。方法：Anchor Recovery Center的锚定数据来自标准登记问卷，其中包括参与者联系信息、人口统计学和需求评估。固定的计划结果包括登记的客户数量、纳洛酮培训课程的数量以及向康复和治疗服务转介的数量。结果：从2016年7月到2017年6月，Anchored与1329名因报告药物滥用或疑似过量而去急诊科就诊的患者有接触。在这些接触者中，88.7%的人接受了纳洛酮培训，86.8%的人同意在ED出院后继续与同伴康复专家联系。在从锚定恢复社区中心接受同伴恢复服务的人中，44.7%(n=1055/2362)是通过锚定联系人转介的。从2016年7月到2017年6月，AnclMORE在高危社区分发了854个纳洛酮试剂盒，提供了1311个服务转诊。结论：这些发现表明同伴康复计划可能对高危人群参与治疗、过量用药和其他减少伤害活动产生潜在影响。还需要进行更多的研究，以评估实施和接受服务的范围。
Background: Rhode Island has the tenth highest rate of accidental drug overdose deaths in the United States. In response to this crisis, Anchor Recovery Center, a community-based peer recovery program, developed programs deploying certified Peer Recovery Specialists to emergency departments (AnchorED) and communities with high rates of accidental opioid overdoses (AnchorMORE).Objectives: The purpose of this paper is to describe AnchorED and AnchorMOREs activities and implementation process.Methods: AnchorED data were analyzed from a standard enrollment questionnaire that includes participant contact information, demographics, and a needs assessment. The AnchorED program outcomes include number of clients enrolled, number of naloxone training sessions, and number of referrals to recovery and treatment services. Overdose deaths and naloxone distribution through AnchorMORE were mapped using Tableau software.Results: From July 2016-June 2017, AnchorED had 1329 contacts with patients visiting an emergency department for reported substance misuse cases or suspected overdose. Among the contacts, 88.7% received naloxone training and 86.8% agreed to continued outreach with a Peer Recovery Specialist after their ED discharge. Of those receiving peer recovery services from the Anchor Recovery Community Center, 44.7% (n = 1055/2362) were referred from an AnchorED contact. From July 2016-June 2017, AnchorMORE distributed 854 naloxone kits in high-risk communities and provided 1311 service referrals.Conclusion: These findings indicate the potential impact peer recovery programs may have on engaging high-risk populations in treatment, overdose prevention, and other harm reduction activities. Additional research is needed to evaluate the reach of implementation and services uptake.