Recovery opioid overdose team (ROOT) pilot program evaluation: A community-wide post-overdose response strategy.
Recovery opioid overdose team (ROOT) pilot program evaluation: A community-wide post-overdose response strategy.
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恢复阿片类药物过量团队（根）试点计划评估：社区范围内的过量后反应策略。
DOI：
10.1080/08897077.2020.1847239
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发表时间：
2021
期刊：
影响因子：
3.5
通讯作者：
Boyd CJ
中科院分区：
文献类型：
--
作者：
Dahlem CHG;Scalera M;Anderson G;Tasker M;Ploutz-Snyder R;McCabe SE;Boyd CJ
急诊科需要对服药过量幸存者进行有效干预。一个有希望的模式是使用同伴康复教练与急救中心的幸存者接触，然后与社区病例管理导航员合作，将幸存者与康复支持和治疗服务联系起来。本文描述了对试点计划--恢复阿片类药物过量小组(ROOT)的评估，这是一个温暖的移交系统，将幸存者与ED出院后的治疗服务联系起来。ROOT计划由一名处于长期康复中的同伴康复教练和一名专门从事精神卫生保健并为获得社区服务提供指导的病例管理导航员组成。在过量用药逆转后，执法部门联系了县全天候危机小组，后者随后通知了Root。同伴康复教练在急诊室与幸存者接触，然后继续与病例管理导航员和同伴康复教练在ED出院后长达90天的时间内进行跟进。从2017年9月到2019年3月，对两个中西部ED进行了回顾性图表审查，以评估Root。在122宗转介个案中，77.0%(n=94)的幸存者最初是在教育署或社区扎根。其余23.0%(n=28)的病人不听医嘱离开教育署或无工作。大多数服药过量的幸存者是男性(63.9%；n=78)、白人(43.4%；n=53)、有住房(80.2%；n=48)和交通便利(48.4%；n=59)。在122例转诊中，33.6%(n=41)接受了持续治疗服务(门诊20例，住院式17例，戒毒所2例，康复室1例，阿片使用障碍药物治疗1例)，2.5%(n=3)入狱，2.5%(n=3)死亡，61.5%(n=75)拒绝服务。根是急诊室的一个社区范围的协调计划，在将过量服药幸存者与过量服药后的康复支持和治疗服务联系起来方面显示出希望。
Effective interventions for overdose survivors are needed in the emergency departments (EDs). One promising model is the use of peer recovery coaches to engage with survivors in EDs, followed by partnering with community case management navigators to connect survivors to recovery support and treatment services. This paper describes the evaluation of a pilot program, the Recovery Opioid Overdose Team (ROOT), a warm hand-off system that links survivors to treatment services post-ED discharge. The ROOT program is composed of a peer recovery coach who is in long-term recovery, and a case management navigator who specializes in mental health care and provides guidance for accessing community services. After an overdose reversal, law enforcement contacts a county 24/7 Crisis Team, who then notifies ROOT. The peer recovery coach engages with the survivor in the ED, and then follow up continues with the case management navigator and the peer recovery coach for up to 90 days post-ED discharge. Retrospective chart reviews were conducted to evaluate ROOT in two Midwest EDs from September 2017 through March 2019. Of the 122 referrals, 77.0% (n=94) of the survivors initially engaged with ROOT in the ED or in the community. The remaining 23.0% (n=28) left the ED against medical advice or were unengaged. The majority of overdose survivors were male (63.9%; n=78), White (43.4%; n=53), had housing (80.2%; n=48), and access to transportation (48.4%; n=59). From the 122 referrals, 33.6% (n=41) received ongoing treatment services (n=20 outpatient, n=17 residential, n=2 detoxification facility, n=1 recovery housing, n=1 medication treatment for opioid use disorder), 2.5% (n=3) were incarcerated, 2.5% (n=3) were deceased, and 61.5 % (n=75) declined services. The ROOT, a community-wide coordinated program in the EDs, shows promise in linking overdose survivors to recovery support and treatment services post-overdose.
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影响因子：
33.9
作者：
Vivolo-Kantor, Alana M.;Seth, Puja;Coletta, Michael A.
通讯作者：
Coletta, Michael A.
影响因子：
6.2
作者：
Duber HC;Barata IA;Cioè-Peña E;Liang SY;Ketcham E;Macias-Konstantopoulos W;Ryan SA;Stavros M;Whiteside LK
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2.3
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2.3
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作者：
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通讯作者：
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