Bailey Amelia, Harrington Calla, Evans Elizabeth A
Department of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA, 01003, USA.
Department of Behavioral and Social Sciences, School of Public Health, Brown University, Providence, RI, 02912, USA.
Health Justice. 2023 Jan 28;11(1):3. doi: 10.1186/s40352-022-00201-w.
An emergent intervention to address the opioid epidemic is the use of multidisciplinary outreach teams which connect an individual in the community to healthcare resources after the experience of an opioid overdose. While these interventions are receiving federal funding, less is known empirically to inform future interventions. Understanding the process and outcomes of these interventions is advisable due to the novel partnerships of public health and law enforcement agencies who sometimes hold divergent goals. The objective of the present review was to describe program structure and evaluated outcomes of community-based post-overdose interventions.
A search of PubMed, PsycInfo, and Web of Science yielded 5 peer-reviewed articles that detail the implementation and outcomes of interventions delivered in the United States published from 2001 to July 2021. Most interventions used a multidisciplinary outreach team and referenced first responder data to contact individuals who recently experienced an overdose at their residence. Services offered often included referral to substance use treatment, recovery coaches, and social services. Method of outreach, evaluation measures, and outcomes varied. From the available literature, facilitators of program engagement included communication, information sharing, and leadership buy-in among multidisciplinary partners.
Future studies could benefit from exploration of service provision in rural areas, for family affected by overdose, and for minoritized populations. Community-based post-overdose interventions utilizing a law enforcement partnership are emergent with promising yet limited examples in empirical literature.
应对阿片类药物流行的一种紧急干预措施是使用多学科外展团队，该团队在个人经历阿片类药物过量使用后，将其与社区中的医疗资源联系起来。虽然这些干预措施正在获得联邦资金，但从经验上了解的情况较少，难以指导未来的干预措施。鉴于公共卫生和执法机构有时目标不同，了解这些干预措施的过程和结果是明智的。本综述的目的是描述基于社区的过量用药后干预措施的项目结构并评估其结果。
对PubMed、PsycInfo和科学网的检索产生了5篇同行评审文章，这些文章详细介绍了2001年至2021年7月在美国实施的干预措施的实施情况和结果。大多数干预措施使用了多学科外展团队，并参考急救人员的数据来联系最近在其住所经历过量用药的个人。提供的服务通常包括转介到物质使用治疗、康复教练和社会服务。外展方法、评估措施和结果各不相同。从现有文献来看，项目参与的促进因素包括多学科合作伙伴之间的沟通、信息共享和领导层的支持。
未来的研究可以从探索农村地区、受过量用药影响的家庭以及少数族裔人群的服务提供中受益。利用执法伙伴关系的基于社区的过量用药后干预措施正在兴起，实证文献中的例子虽有前景但有限。
