Implementing hospital-based peer recovery support services for substance use disorder
Implementing hospital-based peer recovery support services for substance use disorder
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DOI：
10.1080/00952990.2020.1841218
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发表时间：
2020-11-20
影响因子：
2.7
通讯作者：
Greene, Connie
中科院分区：
文献类型：
--
作者：
Liebling, Elliott J.;Perez, Jessica Joyce S.;Greene, Connie
背景
美国药物过量致死人数的上升使得有必要采取新的方法来减少危害。作为回应，几个州已经在临床和社区环境中实施了针对物质使用障碍的同伴康复支持服务。
目的
这项描述性分析旨在描述针对物质使用障碍的医院内同伴康复支持服务的实施情况。
方法
我们描述了同伴康复计划的实施情况，该计划每周7天、每天24小时为20家医院的急诊科和住院部的物质使用障碍患者提供康复支持服务。我们报告了计划、患者和转诊特征以及计划流程措施。
结果
从2016年到2019年，康复专家在30263次患者就诊期间收到了转诊。2019年，65.4%（n = 7564）的患者为男性。在三个转诊子样本中，患者对持续康复支持服务的接受率在74.8%到83.0%之间。2019年在附属医院，从转诊到康复专家到达患者床边的中位响应时间为8分钟（四分位间距 = 4 - 16），初次床边咨询的中位时长为35分钟（四分位间距 = 25 - 45）。2019年，康复专家和患者导航员尝试了113442次随访联系，患者接受了患者导航员提供的4696次转诊，这些转诊涉及物质使用障碍治疗以及其他医疗、社会和康复服务与支持。
结论
本研究描述了在急诊科和住院部提供的针对物质使用障碍的同伴康复支持服务。在广泛采用之前，需要有改善患者预后的证据。
BackgroundThe rise in drug overdose deaths in the United States necessitates novel approaches to reduce harms. In response, peer recovery support services for substance use disorder have been implemented in clinical and community settings in several states.ObjectivesThis descriptive analysis aimed to describe the implementation of hospital-based peer recovery support services for substance use disorder.MethodsWe describe the implementation of the Peer Recovery Program, which delivers recovery support services 24 hours a day, seven days a week, for patients with substance use disorder in emergency departments and inpatient settings across 20 hospitals. We report program, patient, and referral characteristics and program process measures.ResultsFrom 2016 to 2019, Recovery Specialists received referrals during 30,263 patient visits. In 2019, 65.4% (n = 7,564) of patients were male. Across three subsamples of referrals, patient acceptance of continued recovery support services ranged from 74.8% to 83.0%. At affiliated hospitals in 2019, the median response time from referral to Recovery Specialist arrival at patient bedside was eight minutes (interquartile range = 4-16), and the median duration of initial bedside consultation was 35 minutes (interquartile range = 25-45). In 2019, Recovery Specialists and Patient Navigators attempted 113,442 follow-up contacts, and patients accepted 4,696 referrals provided by Patient Navigators to substance use disorder treatment and other medical, social, and recovery services and supports.ConclusionsThis study describes peer recovery support services for substance use disorder delivered in emergency departments and inpatient settings. Evidence of improved patient outcomes is needed prior to widespread adoption.