Characterization of peer support services for substance use disorders in 11 US emergency departments in 2020: findings from a NIDA clinical trials network site selection process.

Autor: Jennings LK; Department of Emergency Medicine, Medical University of South Carolina, 169 Ashley Avenue, MSC 300, Charleston, SC, 29425, USA. jennil@musc.edu., Lander L; Department of Behavioral Medicine & Psychiatry, West Virginia University, Morgantown, WV, USA., Lawdahl T; Faces and Voices of Recovery (FAVOR) Upstate, Greenville, SC, USA., McClure EA; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA., Moreland A; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA., McCauley JL; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA., Haynes L; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA., Matheson T; Center On Substance Use and Health, San Francisco Department of Public Health, San Francisco, CA, USA., Jones R; Yourturn Health Inc, Coppell, TX, USA., Robey TE; Providence Regional Medical Center Everett, Washington State University, Everett, WA, USA., Kawasaki S; Departments of Psychiatry and Internal Medicine, Penn State Health, Hershey, PA, USA., Moschella P; Department of Emergency Medicine, University of South Carolina School of Medicine, Greenville, SC, USA., Raheemullah A; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA., Miller S; Mercy Health - St. Elizabeth Youngstown Hospital, Youngstown, OH, USA., Gregovich G; Department of Internal Medicine, University of Utah, Salt Lake City, UT, USA., Waltman D; Deaconess Hospital, MultiCare Health System, Spokane, WA, USA., Brady KT; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA., Barth KS; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Jazyk: angličtina
Zdroj: Addiction science & clinical practice [Addict Sci Clin Pract] 2024 Apr 08; Vol. 19 (1), pp. 26. Date of Electronic Publication: 2024 Apr 08.
DOI: 10.1186/s13722-024-00453-x
Abstrakt: Introduction: Emergency departments (ED) are incorporating Peer Support Specialists (PSSs) to help with patient care for substance use disorders (SUDs). Despite rapid growth in this area, little is published regarding workflow, expectations of the peer role, and core components of the PSS intervention. This study describes these elements in a national sample of ED-based peer support intervention programs.
Methods: A survey was conducted to assess PSS site characteristics as part of site selection process for a National Institute on Drug Abuse (NIDA) Clinical Trials Network (CTN) evaluating PSS effectiveness, Surveys were distributed to clinical sites affiliated with the 16 CTN nodes. Surveys were completed by a representative(s) of the site and collected data on the PSS role in the ED including details regarding funding and certification, services rendered, role in medications for opioid use disorder (MOUD) and naloxone distribution, and factors impacting implementation and maintenance of ED PSS programs. Quantitative data was summarized with descriptive statistics. Free-text fields were analyzed using qualitative content analysis.
Results: A total of 11 surveys were completed, collected from 9 different states. ED PSS funding was from grants (55%), hospital funds (46%), peer recovery organizations (27%) or other (18%). Funding was anticipated to continue for a mean of 16 months (range 12 to 36 months). The majority of programs provided "general recovery support (81%) Screening, Brief Intervention, and Referral to Treatment (SBIRT) services (55%), and assisted with naloxone distribution to ED patients (64%). A minority assisted with ED-initiated buprenorphine (EDIB) programs (27%). Most (91%) provided services to patients after they were discharged from the ED. Barriers to implementation included lack of outpatient referral sources, barriers to initiating MOUD, stigma at the clinician and system level, and lack of ongoing PSS availability due to short-term grant funding.
Conclusions: The majority of ED-based PSSs were funded through time-limited grants, and short-term grant funding was identified as a barrier for ED PSS programs. There was consistency among sites in the involvement of PSSs in facilitation of transitions of SUD care, coordination of follow-up after ED discharge, and PSS involvement in naloxone distribution.
(© 2024. The Author(s).)
Databáze: MEDLINE