Review of Four CARA Programs and Preparing for Future Evaluations (2023) / Chapter Skim
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5 OD Treatment Access Findings
5 OD Treatment Access Findings
Pages 87-96
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From page 87... ...
The OD Treatment Access awardees include federally qualified health centers (FQHCs) , opioid treatment programs, and qualified practitioners with a waiver to prescribe buprenorphine.
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From page 88... ...
The committee received anonymized data from SAMHSA submitted by grantees through the Division of State Programs Management Reporting Tool (DSP-MRT) reporting system.3 Most of the information provided comprised the free text submission in response to specific modules from the DSP-MRT.
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From page 89... ...
Grantees/partners reported developing several different training modules specialized for unique settings. For example, one grantee/partner reported training tailored to schools and local colleges; another grantee reported developing specialized training for FQHC and emergency room settings; yet another grantee adapted training materials for jail inmates and staff.
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From page 90... ...
For example, several partners reported adding therapists, case managers, and other staff to their partner organizations to facilitate training and distribution of opioid overdose reversal interventions. Another grantee reported using patient navigators to engage patients receiving medications for opioid use disorder (MOUD)
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From page 91... ...
As such, these changes have potential to reduce the risk of overdose in the future. Creation of Toolkits and Presentations As a primary aim of the grant, grantees and/or partners developed training programs regarding best practices related to opioid reversal agents.
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From page 92... ...
Examples of specific structural and environmental changes, by way of partnerships, reported by grantees include addition of a case worker to the police department, adding a member to the drug court team, engaging the assistance of medical and social work students, designation of points of contact with law enforcement, and creation of a new Overdose Treatment Access Collaborative to address critical service gaps. While one grantee reported developing a pharmacy "detailing" program, another reported building a cross-systems coordination among pharmacies, medical providers, behavioral health, community service entities, hospitals, emergency departments, and justice entities.
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From page 93... ...
Changes in Informational Technology Systems The grants also enabled changes in informational technology to assist grantees and their partners, which may carry benefits beyond the grant period. One grantee reported changing electronic health record systems to include opioid overdose history in the patient's social history.
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From page 94... ...
They cited challenges such as inadequate data collection tools, inadequate data on specific drugs, maternal and child health and child abuse, and lack of training to appropriately support some communities facing the highest degrees of health inequities.
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From page 95... ...
SUMMARY Overall, several grantees and partners developed significant programs that increased training and distribution of opioid reversal agents. These trainings spanned a diverse range of settings from traditional substance use disorder treatment centers, to traditional medical settings (e.g., FQHCs, emergency departments)
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From page 96... ...
However, barriers to implementation of the training and distribution of opioid reversal interventions were identified including difficulty engaging community partners, data collection challenges, staffing shortages, sustainability, and the impact of the COVID-19 epidemic.
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