In Rhode Island, over one in 4 emergency division (ED) sufferers at excessive threat of overdose has a non-fatal opioid overdose within the 18 months after discharge.
A parallel, two-arm, randomized managed trial carried out of over 600 ED sufferers at excessive threat of opioid overdose in Rhode Island has discovered that help from a peer restoration help specialist (a educated help employee with lived expertise of habit) is as efficient in decreasing opioid overdose as help from a licensed medical social employee. In different phrases, interviewing and intervention strategies knowledgeable by lived expertise are as efficient as these knowledgeable by social work concept and follow.
The work seems within the journal Dependancy.
The usual type of help delivered by licensed peer restoration help specialists is totally different from the usual type of help delivered by licensed medical social employees, although each are evidence-based. Each types of help use evidence-based interviewing and intervention strategies and supply sufferers with referrals for post-ED help.
However licensed peer restoration help specialists additionally present ongoing help locally for as much as 90 days after ED discharge. That help focuses on serving to the affected person to beat boundaries to remedy and restoration, educating the affected person on overdose prevention, and selling the affected person’s retention in remedy. Assist from licensed medical social employees usually ends when the affected person leaves the ED.
This trial included 648 ED sufferers at excessive threat of opioid overdose, of whom 323 had been randomized to obtain help from a peer restoration help specialist and 325 from a licensed medical social employee. Most members (96.8%, n=627) accomplished the randomly assigned ED intervention.
Inside 18 months, 81 members randomized to the peer restoration help specialist arm (25.1%) skilled a non-fatal opioid overdose in contrast with 95 who had been randomized to the licensed medical social employee arm (29.2%, p=0.24). The research additionally discovered no vital distinction between the peer restoration help specialist arm and the licensed medical social employee arm on deadly opioid overdoses.
Lead writer Dr. Laura Chambers, from the Brown College College of Public Well being, says, “Non-fatal opioid overdoses are an vital predictor of future overdose demise, so when somebody presents at an emergency room with an overdose or a current historical past of overdose, there is a chance to supply risk-reduction providers to somebody with a excessive threat of future overdose. Some emergency departments now use peer restoration help specialists to ship a few of these providers, however we’re nonetheless discovering out how effectively that works in contrast with extra accepted sources of help.
“The outcomes of our trial strongly counsel that educated friends, and the type of sustained help they ship, are simply as efficient at stopping opioid overdoses because the help provided by historically educated medical social employees.”
Extra info:
Impact of a peer-led emergency division behavioral intervention on non-fatal opioid overdose: 18-month end result within the Navigator randomized managed trial, Dependancy (2024). DOI: 10.1111/add.16581
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Society for the Research of Dependancy
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Skilled friends are as efficient as medical social employees in decreasing opioid overdose, new trial finds (2024, July 11)
retrieved 11 July 2024
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