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>)]] <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>)]] <span style="font-size: 13px;">or </span>[[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]] | ||
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= Background = | = Background = | ||
| − | *One of the best opportunities to prescribe maintenance medication occurs during the hours or days after the hospitalization for an overdose | + | == Increasing Linkages to Care == |
| − | *Maintenance medication is the only approach known to cut the overdose mortality rate by 50-70%<sup class="reference">[1]</sup> | + | |
| + | 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 linkages to care. This care can include opportunities for inpatient and out pateint (IOP) treatment, access to Medication-Assisted Treatment (MAT), and other options including 12-Step support groups. 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. | ||
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| + | For those who are rivied by another individual and does not seek medical assistance, communities can provide linkages to care that can be accessed by someone willing to get help. | ||
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| + | == Medication Assisted Treatment (MAT) == | ||
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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"><ref>[1]Pierce, M., Bird, S. M., Hickman, M., Marsden, J., Dunn, G., Jones, A., & Millar, T. (2016). Impact of treatment for opioid dependence on fatal drug-related poisoning: A national cohort study in England. Addiction, 111(2), 298–308. https://doi.org/10.1111/add.13193 | ||
| + | </ref></sup> | ||
*In one clinical trial, those offered immediate medication treatment were: | *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<sup class="reference">[2]</sup> | + | **Twice as likely as those who were simply offered treatment referrals to still be in treatment a month later<sup class="reference"><ref>[2]Szalavitz, M. (2016). Opioid Overdose: Emergency Treatment Is Crucial, but It’s Not Enough. Retrieved December 5, 2019, from Scientific American Blog Network website: https://blogs.scientificamerican.com/guest-blog/opioid-overdose-emergency-treatment-is-crucial-but-it-s-not-enough/ |
| − | ** | + | </ref></sup> |
| + | **Reduced their illegal opioid use from an average of five days a week to an average of just one<sup class="reference"><ref>[3]Szalavitz, M. (2016). Opioid Overdose: Emergency Treatment Is Crucial, but It’s Not Enough. Retrieved December 5, 2019, from Scientific American Blog Network website: https://blogs.scientificamerican.com/guest-blog/opioid-overdose-emergency-treatment-is-crucial-but-it-s-not-enough/ | ||
| + | </ref></sup> | ||
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| − | = Programs = | + | <div class="mw-parser-output"> |
| − | + | = Promising Programs = | |
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== Emergency Medicine Initiative == | == Emergency Medicine Initiative == | ||
| − | + | <div class="_">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.<sup class="reference"><ref>[4]Page Not Found </ref></sup></div> </div> </div> | |
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= Tools & Resources = | = Tools & Resources = | ||
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[[TR_-_Improve_Links_to_Treatment_for_People_who_Experience_a_Non-Lethal_Overdoses_or_Naloxone_Revivals|TR - Improve Links to Treatment for People who Experience a Non-Lethal Overdoses or Naloxone Revivals]] | [[TR_-_Improve_Links_to_Treatment_for_People_who_Experience_a_Non-Lethal_Overdoses_or_Naloxone_Revivals|TR - Improve Links to Treatment for People who Experience a Non-Lethal Overdoses or Naloxone Revivals]] | ||
| − | + | <br/> <br/> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span><br/> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span> | |
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| − | + | [[Category:SAFE-Prescriptions and Medical Response]] [[Category:SAFE-Treatment and Recovery]] | |
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Latest revision as of 17:30, 31 March 2020
Return to Zoom Map (Improve Treatment & Enable Recovery for People with SUDs) or Opioid Top-Level Strategy Map
Background
Increasing Linkages to Care
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 linkages to care. This care can include opportunities for inpatient and out pateint (IOP) treatment, access to Medication-Assisted Treatment (MAT), and other options including 12-Step support groups. 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.
For those who are rivied by another individual and does not seek medical assistance, communities can provide linkages to care that can be accessed by someone willing to get help.
Medication Assisted Treatment (MAT)
- 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:
Promising 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
PAGE MANAGER: [insert name here]
SUBJECT MATTER EXPERT: [fill out table below]
| Reviewer | Date | Comments |
Sources
- ^ [1]Pierce, M., Bird, S. M., Hickman, M., Marsden, J., Dunn, G., Jones, A., & Millar, T. (2016). Impact of treatment for opioid dependence on fatal drug-related poisoning: A national cohort study in England. Addiction, 111(2), 298–308. https://doi.org/10.1111/add.13193
- ^ [2]Szalavitz, M. (2016). Opioid Overdose: Emergency Treatment Is Crucial, but It’s Not Enough. Retrieved December 5, 2019, from Scientific American Blog Network website: https://blogs.scientificamerican.com/guest-blog/opioid-overdose-emergency-treatment-is-crucial-but-it-s-not-enough/
- ^ [3]Szalavitz, M. (2016). Opioid Overdose: Emergency Treatment Is Crucial, but It’s Not Enough. Retrieved December 5, 2019, from Scientific American Blog Network website: https://blogs.scientificamerican.com/guest-blog/opioid-overdose-emergency-treatment-is-crucial-but-it-s-not-enough/
- ^ [4]Page Not Found
