Alternate Emergency Over Dose Response in Chicago
芝加哥的替代紧急剂量反应
基本信息
- 批准号:10425012
- 负责人:
- 金额:$ 20.5万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-05-15 至 2024-04-30
- 项目状态:已结题
- 来源:
- 关键词:911 callAddressAlgorithmsAmbulancesAreaAssertivenessAuthorization documentationBuprenorphineCase ManagementCatchment AreaCharacteristicsChicagoCitiesClinical DataCollaborationsCommunicationCommunitiesConsolidated Framework for Implementation ResearchCountyDataData SetDoseEffectivenessEmergency SituationEmergency medical serviceEmergency responseFire - disastersFundingFutureGrantHealthHealth ProfessionalHealth Service AreaIndividualInjecting drug userInterventionInterviewJournalsMachine LearningMedical ExaminersMedical emergencyModelingNeighborhoodsOpioidOutcomeOverdoseParamedical PersonnelParticipantPerformancePersonsPharmaceutical PreparationsPolicePoliciesPopulationPredictive AnalyticsPrevalenceProbabilityProgram EffectivenessPublic HealthPublicationsRandomizedRecoveryResearchResearch DesignResourcesRiskRisk FactorsSafetyServicesSideSignal TransductionSourceSpecialistSystemTechnology TransferTextUniversity resourcesadverse outcomeaustinbasebehavioral healthbrief interventioncare coordinationcommunity based carecomputer codecookingdesignexperiencefollow-uphigh riskhybrid type 1 studyimplementation barriersimplementation facilitatorsimprovedinnovationinsightlongitudinal analysismembermortalityopen sourceoperationopioid overdoseopioid use disorderoutreachoutreach servicesoverdose riskpatient engagementpeerpeer supportpost interventionprescription opioidprocess evaluationprogramsrandom forestresponseservice deliveryservice engagementservice interventionsociodemographicstooltreatment armunstructured data
项目摘要
PROJECT ABSTRACT
Chicago is a national epicenter of opioid overdose (OD) and related harms. Opioid-related Emergency Service
Calls (ORESCs) are critical opportunities for service engagement and intervention. Nationally and in Chicago,
high mortality rates subsequent to non-fatal OD underscore that such opportunities are often missed. Chicago
will pilot two innovative responses to address these challenges. Alternate Immediate Response (AIR) will
provide assertive outreach and engagement, including connecting people with medication opioid use disorder
treatment and other related services. Alternate Immediate Response plus Follow-up (AIR-F) includes AIR,
along with 8 weeks of follow-up services. AIR response teams consisting of a community paramedic and a
peer support specialist/recovery coach will be deployed to provide assertive outreach services, including
developing treatment, safety, and follow-up plans, delivering brief interventions, and providing transport to
pertinent other services. AIR-F engagement will include linkages to follow-up services that promote treatment
retention, including case management, care coordination, and connections to community-based care and
treatment. We propose to use machine learning (ML) to develop a tool to identify individuals at highest risk of
OD and OD-related mortality in order to prioritize service delivery and follow-up services. In particular, we will
develop a random forest (RF) classifier that will combine data from the Chicago Department of Public Health,
the Office of Emergency Management and Communications, Chicago Police and Fire departments, Chicago
Office of Public Safety Administration, and Cook County Medical Examiner’s Office to create an integrated
dataset to trace emergency calls from origination to final disposition. We will also extract data from
unstructured text included in CFD ambulance data. By incorporating multiple large administrative datasets, the
tool will capitalize on diverse sources of “signal,” maximizing prediction accuracy. We will then use our
integrated data to predict individuals at highest risk of subsequent ORESCs, OD, arrest, and other adverse
outcomes. AIR/AIR-F staff will use these indicators along with other clinical data to allocate scarce follow-up
resources. We will use difference-in-differences estimation to compare post-intervention outcomes within the
service area on Chicago’s west side (Humboldt Park, West Garfield Park, and East Garfield Park) to that
observed in contiguous communities (Austin, North Lawndale, South Lawndale, Lower West Side, and West
Town) to gauge the population impact of AIR/AIR-F. Finally, we will conduct qualitative interviews with various
stakeholders to provide additional insight into the pilot and explore how Chicago can better serve at-risk
individuals. To help reduce the prevalence of ORESCs’ and associated mortality, all computer code developed
for this grant will be made available open-source. We will disseminate project findings widely throughout the
policy and scientific communities, including publication in leading scientific journals and policymaker and media
outreach.
项目摘要
项目成果
期刊论文数量(0)
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会议论文数量(0)
专利数量(0)
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HAROLD Alexander POLLACK其他文献
HAROLD Alexander POLLACK的其他文献
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{{ truncateString('HAROLD Alexander POLLACK', 18)}}的其他基金
Alternate Emergency Over Dose Response in Chicago
芝加哥的替代紧急剂量反应
- 批准号:
10618266 - 财政年份:2022
- 资助金额:
$ 20.5万 - 项目类别:
Reducing Opioid Mortality in Illinois (ROMI)
降低伊利诺伊州阿片类药物死亡率 (ROMI)
- 批准号:
10402783 - 财政年份:2019
- 资助金额:
$ 20.5万 - 项目类别:
Predictive Analytics Applied to Integrated Administrative Emergency Response Datasets in Chicago - Resubmission 01
预测分析应用于芝加哥综合行政应急响应数据集 - 重新提交 01
- 批准号:
10200643 - 财政年份:2019
- 资助金额:
$ 20.5万 - 项目类别:
Reducing Opioid Mortality in Illinois (ROMI)
降低伊利诺伊州阿片类药物死亡率 (ROMI)
- 批准号:
10671066 - 财政年份:2019
- 资助金额:
$ 20.5万 - 项目类别:
Predictive Analytics Applied to Integrated Administrative Emergency Response Datasets in Chicago - Resubmission 01
预测分析应用于芝加哥综合行政应急响应数据集 - 重新提交 01
- 批准号:
9981836 - 财政年份:2019
- 资助金额:
$ 20.5万 - 项目类别:
Reducing Opioid Mortality in Illinois (ROMI)
降低伊利诺伊州阿片类药物死亡率 (ROMI)
- 批准号:
9978033 - 财政年份:2019
- 资助金额:
$ 20.5万 - 项目类别:
Community network driven COVID-19 testing of vulnerable populations in the Central US
社区网络驱动的美国中部弱势群体 COVID-19 测试
- 批准号:
10274013 - 财政年份:2019
- 资助金额:
$ 20.5万 - 项目类别:
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