University of Illinois at Chicago, College of Medicine, Department of Medicine, Center for Dissemination and Implementation Science, 1603 W. Taylor St., Chicago, IL 60612, United States of America.
Chestnut Health Systems, 221 W. Walton St., Chicago, IL 60610, United States of America.
J Subst Abuse Treat. 2021 Oct;129:108390. doi: 10.1016/j.jsat.2021.108390. Epub 2021 Apr 8.
This brief commentary discusses how provider organizations from Indiana's Recovery Coach and Peer Support Initiative (RCPSI) adapted their practices in response to the COVID-19 pandemic and associated restrictions. The RCPSI, which is funded through the 21st Century Cures Act, placed peer recovery coaches (PRCs) in emergency departments (EDs) to link opioid overdose patients to medication for opioid use disorder. This commentary discusses how COVID-19 restrictions increased use of telehealth to replace in-person PRC contacts with patients, affected the timing of initial PRC contacts with patients, and led to allowances for Medicaid billing of recovery coach support sessions conducted via telehealth. Future research should further determine the effects of these changes on PRC services in the ED.
本简评讨论了印第安纳州康复教练和同伴支持倡议（RCPSI）的服务提供商组织如何针对 COVID-19 大流行及其相关限制调整他们的实践。RCPSI 通过 21 世纪治愈法案获得资助，在急诊室（ED）安置同伴康复教练（PRC），以将阿片类药物过量患者与治疗阿片类药物使用障碍的药物联系起来。本简评讨论了 COVID-19 限制如何增加了对远程医疗的使用，以替代与患者的面对面 PRC 接触，影响了与患者的初始 PRC 接触的时间，并允许通过远程医疗进行医疗补助计费的康复教练支持会议。未来的研究应进一步确定这些变化对 ED 中 PRC 服务的影响。
