Kauffman Emily, Qiu Yuxuan, Frey Jennifer A, Bischof Jason J
Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, USA.
Cureus. 2022 Mar 14;14(3):e23145. doi: 10.7759/cureus.23145. eCollection 2022 Mar.
There is a high prevalence of opioid use disorder in the United States, and emergency departments (EDs) play multiple vital roles in providing care to help these patients with achieving sobriety, one of which is the application of peer recovery services. This technical report discusses the utilization of peer recovery supporters in the ED and associated barriers. They include but are not limited to the difficult hiring process, referral process challenges for certain populations, difficulty with follow-up data collection, retention of peer recovery supporters, and a lack of ED provider awareness. This article also discussed strategies to address these barriers. Examples include simplifying hospital onboarding processes for peer recovery supporters, obtaining grants to utilize peer recovery services, and using managed care organizations to facilitate follow-up data collection, ED provider education, and discharge planning.
在美国，阿片类药物使用障碍的患病率很高，急诊科在为这些患者提供帮助以实现戒酒的护理方面发挥着多重关键作用，其中之一是应用同伴康复服务。本技术报告讨论了急诊科同伴康复支持者的利用情况及相关障碍。这些障碍包括但不限于招聘过程困难、特定人群的转诊过程挑战、后续数据收集困难、同伴康复支持者的留用以及急诊科医护人员缺乏认识。本文还讨论了应对这些障碍的策略。示例包括简化同伴康复支持者的医院入职流程、获取资金以利用同伴康复服务，以及利用管理式医疗组织促进后续数据收集、急诊科医护人员教育和出院计划。
