Difference between revisions of "Improve Links to Treatment for People who Experience a Non-Lethal Overdoses or Naloxone Revivals"

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Return to [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (<span style="font-family: Helvetica; font-size: 10pt;">Improve Treatment & Enable Recovery for People with SUDs</span>)]]&nbsp;<span style="font-size: 13px;">or </span>[[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]
 
Return to [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map (<span style="font-family: Helvetica; font-size: 10pt;">Improve Treatment & Enable Recovery for People with SUDs</span>)]]&nbsp;<span style="font-size: 13px;">or </span>[[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]
  
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Naloxone immediately saves lives by expelling opioid molecules from the receptors in our brains, causing a near immediate reversal of the primary cause of an opioid overdose.<br/> However, there is no miracle drug that clears the body of the urges, the underlying substance use disorder, that typically led the patient to take a dangerous dose of opioids. But there is<br/> evidence-based treatment that incorporates behavioral therapy with medication that works very well and should be the next step after administering naloxone — Medication-Assisted Treatment<br/> (MAT). Typically, after receiving a lifesaving dose of naloxone, patients are released with only information and numbers to call if they’re ready to start their recovery. Sometimes they are even<br/> introduced to a peer support specialist, a former user who encourages the patient to seek long-term treatment. Too infrequently, physicians also prescribe one of a handful of medications<br/> known as MAT. This is commonly referred to as a “warm handoff,” directly transferring overdose survivors from the hospital emergency department to MAT. There is growing evidence that these<br/> drugs can immediately reduce some of the symptoms of opioid withdrawal and the urges that usually lead active users to immediately search out more opioids to combat withdrawal.
  
 
= Background =
 
= Background =
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#[https://blogs.scientificamerican.com/guest-blog/opioid-overdose-emergency-treatment-is-crucial-but-it-s-not-enough/ [3]]  
 
#[https://blogs.scientificamerican.com/guest-blog/opioid-overdose-emergency-treatment-is-crucial-but-it-s-not-enough/ [3]]  
 
#[http://www.addictionpolicy.org/single-post/2017/12/12/Addiction-Policy-Forum-Announces-New-Initiatives-and-Partnerships-to-Address-the-Opioid-Crisis [4]]  
 
#[http://www.addictionpolicy.org/single-post/2017/12/12/Addiction-Policy-Forum-Announces-New-Initiatives-and-Partnerships-to-Address-the-Opioid-Crisis [4]]  
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Revision as of 18:43, 15 October 2019

Return to Zoom Map (Improve Treatment & Enable Recovery for People with SUDs) or Opioid Top-Level Strategy Map

Naloxone immediately saves lives by expelling opioid molecules from the receptors in our brains, causing a near immediate reversal of the primary cause of an opioid overdose.
However, there is no miracle drug that clears the body of the urges, the underlying substance use disorder, that typically led the patient to take a dangerous dose of opioids. But there is
evidence-based treatment that incorporates behavioral therapy with medication that works very well and should be the next step after administering naloxone — Medication-Assisted Treatment
(MAT). Typically, after receiving a lifesaving dose of naloxone, patients are released with only information and numbers to call if they’re ready to start their recovery. Sometimes they are even
introduced to a peer support specialist, a former user who encourages the patient to seek long-term treatment. Too infrequently, physicians also prescribe one of a handful of medications
known as MAT. This is commonly referred to as a “warm handoff,” directly transferring overdose survivors from the hospital emergency department to MAT. There is growing evidence that these
drugs can immediately reduce some of the symptoms of opioid withdrawal and the urges that usually lead active users to immediately search out more opioids to combat withdrawal.

Background

  • One of the best opportunities to prescribe maintenance medication occurs during the hours or days after the hospitalization for an overdose
  • Maintenance medication is the only approach known to cut the overdose mortality rate by 50-70%[1]
  • In one clinical trial, those offered immediate medication treatment were:
    • Twice as likely as those who were simply offered treatment referrals to still be in treatment a month later[2]
    • reduced their illegal opioid use from an average of five days a week to an average of just one[3]

 

Programs

Emergency Medicine Initiative

The Addiction Policy Forum will work with hospitals to develop tools to support effective post-overdose interventions. This project will ensure that health systems have the necessary protocols, assessment tools, and linkages between care and follow-up to turn an overdose into an opportunity for intervention and connection with treatment and recovery. Pilots underway with Mercy Health Systems and Berger Hospital in Ohio will produce open-source tools and protocols necessary to support emergency departments across the country in implementing interventions to help patients who overdose.[4]

Tools & Resources

TR - Improve Links to Treatment for People who Experience a Non-Lethal Overdoses or Naloxone Revivals

Scorecard Building

Potential Objective Details
Potential Measures and Data Sources
Potential Actions and Partners

Resources to Investigate

More RTI on Links to Treatment for Those that Experience a Non-lethal Overdose

PAGE MANAGER: [insert name here]
SUBJECT MATTER EXPERT: [fill out table below]

Reviewer Date Comments
     

Sources


  1. [1]
  2. [2]
  3. [3]
  4. [4]