Addressing the Opioid Crisis through an Interdisciplinary Task Force in Cincinnati, Ohio, USA

MacKinnon, Neil J.; Privitera, Ellena M.

doi:10.3390/pharmacy8030116

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…The state of Ohio is widely considered an epicentre of the opioid crisis (Lyle Cooper et al, 2020;MacKinnon & Privitera, 2020). Franklin County, the most-populated county and home to the state capital of Columbus, reported a three-fold increase in opioid-related deaths per capita between 2007 and 2017 (16.3-44.1 per 100,000) (Columbus and Franklin County Addiction Plan, 2023).…”

Section: Settingmentioning

confidence: 99%

RREACT: A mobile multidisciplinary response to overdose

Ulintz,

McCloskey,

Clark Hammond

et al. 2024

JCSWB

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Opioid overdose is a leading cause of death in the United States, and engaging with patients following overdose to provide harm reduction and recovery resources can prove difficult. Quick response models use mobile, multidisciplinary teams to establish a time-sensitive connection between individuals who overdosed and harm reduction and recovery resources that improve outcomes. These quick response models are consistent with the broader field of mobile-integrated health programs that are growing in number and acceptability, though the literature base is sparse and programs vary. We describe the 5-year reach, effectiveness, adoption, implementation and maintenance (RE-AIM) framework of the Rapid Response Emergency Addiction and Crisis Team (RREACT), a fire/emergency medical services-led, multidisciplinary (firefighter/paramedic, law enforcement officer, social worker) mobile outreach team. RREACT provides harm reduction, linkage/transportation to care and wrap-around services to individuals following a nonfatal opioid overdose that resulted in an emergency response in Columbus, Franklin County, Ohio, United States. Between 2018 and 2022, RREACT made 22,157 outreach attempts to 11,739 unique patients. RREACT recorded 3,194 direct patient contacts during this time, resulting in 1,200 linkages to care: 799 direct transports to opioid use disorder treatment and 401 warm handoffs to communitytreatment agencies. Furthermore, RREACT’s staffing increased from 4 full-time equivalent staff in 2018 to 15.5 in 2022 and was supported by the surrounding community through 287 community outreach events and the development of an alumni program. These preliminary results further support the deployment of multidisciplinary mobile outreach teams to increase access to harm reduction and recovery resources following opioid overdose.

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Section: Settingmentioning

confidence: 99%

RREACT: A mobile multidisciplinary response to overdose

Ulintz,

McCloskey,

Clark Hammond

et al. 2024

JCSWB

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“…The James serves central and southern Ohio, as well as Northern West Virginia, areas hit hard by the opioid epidemic. 18 The specific aim was to identify experiences and knowledge with substance and OUDs among oncology health-care providers. This article focuses on mitigation strategy use, emphasizing risk reduction approaches for every patient to improve safety and health outcomes while decreasing stigma.…”

Section: Introductionmentioning

confidence: 99%

Opioid Risk Mitigation Practices of Interprofessional Oncology Personnel: Results From a Cross-Sectional Survey

McNally,

McLaughlin,

Ridgway-Limle

et al. 2023

The Oncologist

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Background This study explored the risk mitigation practices of multidisciplinary oncology health-care personnel for the nonmedical use of opioids in people with cancer. Methods An anonymous, cross-sectional descriptive survey was administered via email to eligible providers over 4 weeks at The Ohio State University’s Arthur G. James Cancer Hospital. The survey asked about experiences and knowledge related to opioid use disorders. Results The final sample of 773 participants included 42 physicians, 213 advanced practice providers (APPs consisted of advanced practice nurses, physician assistants, and pharmacists), and 518 registered nurses. Approximately 40% of participants responded feeling “not confident” in addressing medication diversion. The most frequent risk reduction measure was “Checking the prescription drug monitoring program” when prescribing controlled medications, reported by physicians (n = 29, 78.4%) and APPs (n = 164, 88.6%). Conclusion People with cancer are not exempt from the opioid epidemic and may be at risk for nonmedical opioid use (NMOU) and substance use disorders. Implementing risk reduction strategies with every patient, with a harm reduction versus abstinence focus, minimizes harmful consequences and improves. This study highlights risk mitigation approaches for NMOU, representing an opportunity to improve awareness among oncology health-care providers. Multidisciplinary oncology teams are ideally positioned to navigate patients through complex oncology and health-care journeys.

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“…The Ohio State University Comprehensive Cancer Center-Arthur G. James Cancer Hospital and Richard J. Solove Research Institute (The James) in Columbus, Ohio, serves central and southern Ohio and northern West Virginia, which are areas hit hard by the opioid epidemic (MacKinnon & Privitera, 2020). Identifying knowledge gaps is the first step to tailor future education strategies for oncology providers.…”

mentioning

confidence: 99%