Protocol for the implementation of a statewide mobile addiction program

Tschampl, Cynthia A.; Regis, Craig; Johnson, Nafissa; Davis, Margot Trotter; Hodgkin, Dominic; Brolin, Mary; Do, Elizabeth; Horgan, Constance M.; Green, Traci C.; Reilly, Brittni; Duska, MaryKate; Taveras, Elsie M.

doi:10.57264/cer-2022-0117

Cited by 2 publications

(3 citation statements)

References 26 publications

(27 reference statements)

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“…Tribal communities like this one positively impact their own health and exert Tribal sovereignty through MOV initiatives and culturally centered harm reduction strategies. A strength of this MOV approach is that it utilizes the RE-AIM framework and builds on previous evaluations and research conducted in the community to guide the approach ( 18 , 20 ). Data are collected locally during MOV outreach and information is consistently used for improving MOV strategies.…”

Section: Discussionmentioning

confidence: 99%

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Tribally-led mobile outreach: improving access to harm reduction services in one rural reservation community

Kelley,

Webb,

Hirchak

et al. 2024

Front. Public Health

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American Indian and Alaska Native populations in the United States face significant disparities related to opioid use disorder and opioid-related mortality. Inequitable access to medications and harm reduction strategies due to structural, societal, and geographical factors prevent Tribal communities from obtaining needed services, and further contribute to the opioid epidemic. One Tribal Healing Center in the Rocky Mountain region identified mobile outreach to build upon existing opioid prevention, treatment, and harm reduction efforts. The Healing Center purchased a mobile outreach vehicle and worked with a combination of clinical staff, peer recovery support specialists, and Tribal elders to reach identified high-risk areas on the reservation. As of December 2023, the mobile outreach vehicle has disseminated 150 Narcan kits, 150 Fentanyl testing strips, 20 self-care kits, and 500 brochures detailing Healing Center services. Preliminary results from this formative evaluation demonstrate the success of MOV efforts and the process required to purchase and launch an MOV campaign.

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Section: Discussionmentioning

confidence: 99%

“…The next section provides preliminary findings from the MOV evaluation in the first 6 months of the project and a framework for future data collection using the RE-AIM approach ( 20 ).…”

Section: Contextmentioning

confidence: 99%

Tribally-led mobile outreach: improving access to harm reduction services in one rural reservation community

Kelley,

Webb,

Hirchak

et al. 2024

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…These mobile services meet patients within their contexts and routines, whether that be in a shelter, encampment, or food pantry. Our care delivery was modeled after other successful mobile programs ( 12 ), and part of a Massachusetts statewide implementation involving four programs ( 13 ).…”

Section: Introductionmentioning

confidence: 99%

A mobile addiction service for community-based overdose prevention

Pepin

Joseph

Chapman

et al. 2023

Front. Public Health

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Mainstays of opioid overdose prevention include medications for opioid use disorder (e.g., methadone or buprenorphine) and naloxone distribution. Inadequate access to buprenorphine limits its uptake, especially in communities of color, and people with opioid use disorders encounter multiple barriers to obtaining necessary medications including insurance, transportation, and consistent availability of telephones. UMass Memorial Medical Center and our community partners sought to alleviate these barriers to treatment through the deployment of a mobile addiction service, called the Road to Care. Using this approach, multidisciplinary and interprofessional providers deliver holistic addiction care by centering our patients’ needs with respect to scheduling, location, and convenience. This program also extends access to buprenorphine and naloxone among people experiencing homelessness. Additional systemic and individualized barriers encountered are identified, as well as potential solutions for future mobile addiction service utilization. Over a two-year period, we have cared for 1,121 individuals who have accessed our mobile addiction service in over 4,567 encounters. We prescribed buprenorphine/naloxone (Suboxone®) to 330 individuals (29.4% of all patients). We have distributed nearly 250 naloxone kits directly on-site or and more than 300 kits via prescriptions to local pharmacies. To date, 74 naloxone rescue attempts have been reported back to us. We have demonstrated that a community-based mobile addiction service, anchored within a major medical center, can provide high-volume and high-quality overdose prevention services that facilitate engagement with additional treatment. Our experience is described as a case study below.

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Protocol for the implementation of a statewide mobile addiction program

Cited by 2 publications

References 26 publications

Tribally-led mobile outreach: improving access to harm reduction services in one rural reservation community

Tribally-led mobile outreach: improving access to harm reduction services in one rural reservation community

A mobile addiction service for community-based overdose prevention

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