Descriptive analysis of recommendations made by county-level overdose fatality review teams in indiana to combat the opioid epidemic.

Autor: Dir AL; Department of Psychiatry, Indiana Univeristy School of Medicine, Indianapolis, IN, USA; Adolescent Behavioral Health Research Program, Indiana University School of Medicine, Indianapolis, IN, USA. Electronic address: adir@iu.edu., Gillenwater L; Adolescent Behavioral Health Research Program, Indiana University School of Medicine, Indianapolis, IN, USA; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA., Wao M; Adolescent Behavioral Health Research Program, Indiana University School of Medicine, Indianapolis, IN, USA; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA., Smith J; Indiana Department of Health, Indianapolis, IN, USA., Short C; Indiana Department of Health, Indianapolis, IN, USA., Schwartz K; Adolescent Behavioral Health Research Program, Indiana University School of Medicine, Indianapolis, IN, USA; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA., Reda K; Luddy School of Informatics, Computing, and Engineering, Indiana University Purdue University - Indianapolis, Indianapolis, IN, USA., Aalsma MC; Adolescent Behavioral Health Research Program, Indiana University School of Medicine, Indianapolis, IN, USA; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA., Ray B; RTI International, Research Triangle Park, NC, USA.
Jazyk: angličtina
Zdroj: Drug and alcohol dependence [Drug Alcohol Depend] 2024 Nov 01; Vol. 264, pp. 112414. Date of Electronic Publication: 2024 Sep 05.
DOI: 10.1016/j.drugalcdep.2024.112414
Abstrakt: Overdose fatality review teams (OFRTs) are becoming more common across U.S. communities as a means of addressing the overdose epidemic and improving local overdose prevention strategies; however, empirical examinations of the work of OFRTs are lacking. The current study seeks to characterize recommendations for local overdose prevention strategies made by county-level OFRTs across Indiana in order to understand their practices.
Methods: A qualitative descriptive content analysis was conducted on recommendations made by 19 county-level OFRTs across Indiana in 2022.
Results: OFRTs generated 1512 recommendations during 2022 based on case reviews of 291 overdose deaths occurring across 19 Indiana counties; of those, 26.8 % (n=405) were specific to the case reviewed, rather than relevant to the broader community, and were not further coded. The remaining 1109 recommendations were coded according to their overall scope, recommendation strategy, and target agency. The most common recommendations addressed substance use more broadly (e.g., improving substance use screening/assessment in healthcare settings), followed by recommendations directly addressing overdose risk (e.g., naloxone distribution, increasing harm reduction programs). Other common recommendations related to mental health, OFRT practices, and addressing social determinants of health. Common recommendation strategies were to implement new services or service improvements.
Conclusion: Results highlight the extent of further efforts needed to improve overdose prevention and the need for further research and support of OFRTs across the United States.
Competing Interests: Declaration of Competing Interest Authors have no conflict of interest to disclose.
(Copyright © 2024. Published by Elsevier B.V.)
Databáze: MEDLINE
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