Findings from the recovery initiation and management after overdose (RIMO) pilot study experiment

Scott, Christy K.; Dennis, Michael L.; Grella, Christine E.; Nicholson, Lisa; Sumpter, Jamie; Kurz, Rachel; Funk, Rodney R.

doi:10.1016/j.jsat.2019.08.004

Cited by 21 publications

(36 citation statements)

References 56 publications

(47 reference statements)

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“…Pilot studies of peer recovery coaching interventions in hospital emergency departments targeting people who have experienced an opioid overdose have been performed. One study ( n =75) demonstrated a much greater likelihood of linkage to programs that provide MOUD (20x more likely) and longer retention in MOUD treatment among people who overdosed and received peer recovery coaching as compared to those who overdosed and received a passive referral to community substance abuse treatment programs [ 109 ]. A study of 1329 emergency department peer coaching contacts in Rhode Island demonstrated high rates of patients receiving naloxone training by peer recovery coaches (88.7%) and agreeing to continue contact with a peer recovery coach (86.8%) [ 110 •].…”

Section: Opportunities For Interventionmentioning

confidence: 99%

New and Emerging Opioid Overdose Risk Factors

2021

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Purpose of Review The purpose of this review is to provide a review of the current literature surrounding opioid overdose risk factors, focusing on relatively new factors in the opioid crisis. Recent Findings Both a market supply driving force and a subpopulation of people who use opioids actively seeking out fentanyl are contributing to its recent proliferation in the opioid market. Harm reduction techniques such as fentanyl testing strips, naloxone education and distribution, drug sampling behaviors, and supervised injection facilities are all seeing expanded use with increasing amounts of research being published regarding their effectiveness. Availability and use of interventions such as medication for opioid use disorder and peer recovery coaching programs are also on the rise to prevent opioid overdose. Summary The opioid epidemic is an evolving crisis, necessitating continuing research to identify novel overdose risk factors and the development of new interventions targeting at-risk populations.

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Section: Opportunities For Interventionmentioning

confidence: 99%

New and Emerging Opioid Overdose Risk Factors

2021

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“…Effective treatment (stage 2) includes rapid access to medication-based treatment and other psychosocial services ( 134 ). Providing a community-based recovery coach or case manager can improve the transfer rate from crisis to medication-based treatment ( 135 , 136 ). Stepped care procedures, such as the hub and spoke or collaborative care models (stage 3), are used to modify a person's OUD medications, medical care and psychosocial needs over 6 or more months, using the same approach that primary care practices (PCPs) apply to chronic diseases.…”

Section: Lifestyle Medicine Domain-specific Findings and Recommendatimentioning

confidence: 99%

Prioritized Research for the Prevention, Treatment, and Reversal of Chronic Disease: Recommendations From the Lifestyle Medicine Research Summit

Vodovotz

Barnard

et al. 2020

Front. Med.

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Declining life expectancy and increasing all-cause mortality in the United States have been associated with unhealthy behaviors, socioecological factors, and preventable disease. A growing body of basic science, clinical research, and population health evidence points to the benefits of healthy behaviors, environments and policies to maintain health and prevent, treat, and reverse the root causes of common chronic diseases. Similarly, innovations in research methodologies, standards of evidence, emergence of unique study cohorts, and breakthroughs in data analytics and modeling create new possibilities for producing biomedical knowledge and clinical translation. To understand these advances and inform future directions research, The Lifestyle Medicine Research Summit was convened at the University of Pittsburgh on December 4–5, 2019. The Summit's goal was to review current status and define research priorities in the six core areas of lifestyle medicine: plant-predominant nutrition, physical activity, sleep, stress, addictive behaviors, and positive psychology/social connection. Forty invited subject matter experts (1) reviewed existing knowledge and gaps relating lifestyle behaviors to common chronic diseases, such as cardiovascular disease, diabetes, many cancers, inflammatory- and immune-related disorders and other conditions; and (2) discussed the potential for applying cutting-edge molecular, cellular, epigenetic and emerging science knowledge and computational methodologies, research designs, and study cohorts to accelerate clinical applications across all six domains of lifestyle medicine. Notably, federal health agencies, such as the Department of Defense and Veterans Administration have begun to adopt “whole-person health and performance” models that address these lifestyle and environmental root causes of chronic disease and associated morbidity, mortality, and cost. Recommendations strongly support leveraging emerging research methodologies, systems biology, and computational modeling in order to accelerate effective clinical and population solutions to improve health and reduce societal costs. New and alternative hierarchies of evidence are also be needed in order to assess the quality of evidence and develop evidence-based guidelines on lifestyle medicine. Children and underserved populations were identified as prioritized groups to study. The COVID-19 pandemic, which disproportionately impacts people with chronic diseases that are amenable to effective lifestyle medicine interventions, makes the Summit's findings and recommendations for future research particularly timely and relevant.

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“…The program is also staffed with a DATA‐waivered nurse practitioner who provides buprenorphine, a licensed chemical dependency counselor who provides substance abuse counseling, and peer recovery coaches who provide support groups and regular check‐ins on participants of the program, and preliminary results suggest that 88% of people are retained in treatment at 30 days 45,46 . Programs such as EPICC (Engaging Patients in Care Coordination) in St. Louis, the RIMO (Recovery Initiation and Management After Overdose) intervention in Chicago, Project POINT (Planned Outreach, Intervention, Naloxone, and Treatment) in Indiana, and AnchorED (Anchor Recovery Center and Emergency Department) in Rhode Island also leverage the lived experience of peer recovery coaches within their programs, because coaches relate to the common challenges and barriers to sustaining treatment 47–50 …”

Section: Resultsmentioning

confidence: 99%