2016 Spark Award Winner

Karen Rosene Montella Spark Award for Innovation in Women’s Health in RI 2016 Winner

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Corinna Roy receives Spark award for recipient Rebecca Boss, Acting Director, Rhode Island Department of Behavioral Health, Developmental Disabilities and Hospitals and State Opioid Treatment Authority

For: Her development and implementation of the Anchor ED Program which connects overdose patients in Hospital EDs with peer to peer recovery support while they are being held for observation, a time when they are likely to be receptive to help from others who have lived the experience, and continues that care post visit to help them on a path to recovery and health.

Primary Evaluation Criteria:

Innovative research, education, clinical care and policy/advocacy that improves medical, behavioral and/or social health of women in Rhode Island at any point in their lifespan. Size of initiative is not relevant.

  • The Program provides an innovative approach to reaching overdose patients who come to Hospital EDs and their families to improve outcomes and long-term recovery.
  • The Program is reducing opioid overdose deaths, ED visits and, therefore, is impacting individuals, families and communities throughout the State as individuals begin a successful path to recovery.

awardFocuses on health and/or socioeconomic disparities in community

  • The significant increase in opioid deaths in Rhode Island has become a public health crisis. Women have historically been low users of heroin but there has been a 100% increase in use among women nationwide since 2004. Rhode Island rates are rising and likely similar.
  • Prior to this program patients routinely left the ED without being referred to treatment or recovery support services, a lost opportunity for intervention and successful continuity of care and a high likelihood that they would return.

Removes barriers to care or broadens reach of existing are centers

  • The patients are more likely to agree to talk with an Anchor coach because of the peer to peer nature of the consult. To date, only 16 survivors have declined.
  • The post ED support also enhances the chance that patients access recovery support services.

Has been in place for 1 year with demonstrable results

  • Was launched in June 2014 and now a Certified Peer Recovery Specialist is available to all RI hospital EDs 24/7.
  • Has successful statistics and qualitative support from ED providers and national organizations

Secondary Evaluation Criteria:

Links providers who deliver care and coordinate services or promotes the health of women

  • Has developed a continuity of care from ED visit through recovery treatment and follow-up in the community.
  • Uses appropriate providers at appropriate times of the patient’s visit

Expected transferability of process, service or program to other organizations

  • Has already been implemented in all the EDs across the State and is being implemented in at least ten other states nationwide.
  • The Director of the Office of National Drug Control Policy has called it one of the most innovative programs in the country
  • The Program is supported by Certified Peer Recovery Specialists, or “Anchor coaches” who go through a vigorous training and continuing education developed for the Program.

Ability to engage patients, clients and/or community in a meaningful way

  • Most of the patients seen by the Anchor coaches have not been in a formal treatment program in the prior 12 months.
  • 87.5% engagement on the 30th day following an ED visit after overdosing and 37.5% have accepted a referral to detox or medicated assisted treatment within one week after the ED visit.

Other Program Components:

  • Provide warm handoffs to individuals and/or family members (if the individual is agreeable) to treatment and recovery resources
  • Offer SUD education and support to any family member or friend supporting the patient’s recovery
  • Provide the individual and/or family member(s) (if agreeable) specific education on overdose prevention, the use of Naloxone and how to obtain Naloxone
  • Review “recovery planning” tool and/or additional resources to patients and their family members
  • Continued contact for additional recovery support after discharge with first contact within 24 hours
  • Followed by Anchor Recovery Community Center through recovery coaching, telephone recovery support, treatment referral and recovery housing.

 

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