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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As first responders and others in communities are increasingly using naloxone (often Narcan) to reverse overdoses and prevent deaths, there is often a missed opportunity to connect the people who were revived from the overdose with the appropriate Medication-Assisted Treatment (MAT).&nbsp; 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.
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As first responders and others in communities are increasingly using naloxone (often Narcan) to reverse overdoses and prevent deaths, there is often a missed opportunity to connect the people who were revived from the overdose with the appropriate Medication-Assisted Treatment (MAT).&nbsp; 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.&nbsp; Regardless of whether a person survived due to administration of naloxone, or whether they were taken to an ER or hospital or if they survived the overdose without either of those, a comprehensive strategy should have multiple ways that help that person get into treatment.&nbsp;
  
 
= Background =
 
= Background =
  
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*One of the best opportunities to prescribe maintenance medication occurs during the hours or days after the hospitalization for an overdose  
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*One of the best opportunities to prescribe maintenance medication occurs during the hours or days after the overdose reversal or hospitalization for an overdose  
 
*Maintenance medication is the only approach known to cut the overdose mortality rate by 50-70%<sup class="reference">[1]</sup>  
 
*Maintenance medication is the only approach known to cut the overdose mortality rate by 50-70%<sup class="reference">[1]</sup>  
 
*In one clinical trial, those offered immediate medication treatment were:  
 
*In one clinical trial, those offered immediate medication treatment were:  
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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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[[Category:SAFE-Prescriptions and Medical Response]] [[Category:SAFE-Treatment and Recovery]]
 
[[Category:SAFE-Prescriptions and Medical Response]] [[Category:SAFE-Treatment and Recovery]]

Revision as of 18:51, 2 November 2019

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

As first responders and others in communities are increasingly using naloxone (often Narcan) to reverse overdoses and prevent deaths, there is often a missed opportunity to connect the people who were revived from the overdose with the appropriate 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.  Regardless of whether a person survived due to administration of naloxone, or whether they were taken to an ER or hospital or if they survived the overdose without either of those, a comprehensive strategy should have multiple ways that help that person get into treatment. 

Background

  • One of the best opportunities to prescribe maintenance medication occurs during the hours or days after the overdose reversal or 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]
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