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Evaluation of a Statewide Policy to Improve Post-Overdose Care in Emergency Departments and Subsequent Treatment Engagement.
Chambers, Laura C; Hallowell, Benjamin D; Samuels, Elizabeth A; Daly, Mackenzie; Baird, Janette; Beaudoin, Francesca L.
Affiliation
  • Chambers LC; Lead Research Scientist and Assistant Professor of the Practice of Epidemiology in the Department of Epidemiology at Brown University in Providence, Rhode Island.
  • Hallowell BD; Program Manager of the Substance Use Epidemiology Program at the Rhode Island Department of Health in Providence, Rhode Island.
  • Samuels EA; Assistant Professor in the Departments of Epidemiology and Emergency Medicine at Brown University and an Assistant Medical Director for the Drug Overdose Prevention Program at the Rhode Island Department of Health in Providence, Rhode Islan.
  • Daly M; Chief Health Program Evaluator in the Research, Data Evaluation, and Compliance Unit at the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals in Providence, Rhode Island.
  • Baird J; Assistant Professor of Research in the Department of Emergency Medicine at Brown University in Providence, Rhode Island.
  • Beaudoin FL; Associate Professor and Interim Chair of the Department of Epidemiology, as well as an Associate Professor of Emergency Medicine and Health Services, Policy, and Practice, at Brown University in Providence, Rhode Island.
R I Med J (2013) ; 106(2): 34-39, 2023 Mar 01.
Article in En | MEDLINE | ID: mdl-36848541
ABSTRACT

OBJECTIVE:

To evaluate the impact of a statewide treatment standards policy for post-overdose emergency department (ED) care on services provided and subsequent treatment engagement.

METHODS:

This pre-/post-study used electronic health record data and surveillance data from Rhode Island. Outcomes were compared for patients attending EDs for opioid overdose before (03/1/2015-02/28/2017) and after (04/01/2017-03/31/2021) policy release.

RESULTS:

Overall, 2,134 patients attended 2,891 ED visits for opioid overdose. Compared to pre-policy, visits post-policy more often included initiation of buprenorphine in or from the ED (<1% vs. 3%, p<0.01), provision of a take-home naloxone kit or prescription (41% vs. 58%, p<0.01), and referral to treatment (0% vs. 34%, p<0.01). Provision of behavioral counseling in the ED and initiation of treatment within 30 days of the visit were similar during the two periods.

CONCLUSIONS:

Statewide post-overdose treatment standards may improve provision of some ED services. Additional strategies are needed to improve subsequent treatment engagement.
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Collection: 01-internacional Database: MEDLINE Main subject: Emergency Medical Services / Drug Overdose / Opiate Overdose Type of study: Evaluation_studies / Guideline Limits: Humans Language: En Journal: R I Med J (2013) Year: 2023 Document type: Article
Search on Google
Collection: 01-internacional Database: MEDLINE Main subject: Emergency Medical Services / Drug Overdose / Opiate Overdose Type of study: Evaluation_studies / Guideline Limits: Humans Language: En Journal: R I Med J (2013) Year: 2023 Document type: Article