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Type: Toolkit

How do drug users define their progress in harm reduction programs? Qualitative research to develop user-generated outcomes

The study used nominal group technique to develop the outcomes and focus group interviews to help validate the findings. Study participants were recruited from a large harm-reduction program in New York City.

Big Cities Health Coalition – Messaging Playbook

The Big Cities Health Coalition polled residents in its member jurisdictions about how government should address issues affecting them. The results show broad support for a public health approach to these problems and support for increased investment in those solutions.

SAMHSA Harm Reduction Framework

The SAMHSA Harm Reduction Framework is the first document to comprehensively outline harm reduction and its role within the Department of Health and Human Services (HHS). The Framework: 1) Provides a roadmap of best practices, principles, and pillars that anyone can apply to their work. 2) Serves as a list of best practices and services, with descriptions and citations of evidence. 3) Gives a brief background on harm reduction in the U.S. and describes Community-Based Harm Reduction Programs (CHRP) and their mission-critical role in connecting with our communities’ most vulnerable individuals.

National Harm Reduction Coalition – Principles of Harm Reduction

NHRC’s definition of harm reduction and principles to guide the approach

California Poison Control System Implementation of a Novel Hotline to Treat Patients with Opioid Use Disorder

The California Poison Control System successfully created a hotline to assist frontline health care providers in treating patients with opioid use disorder and highlight the critical role of poison centers in the public health domain.

Calls to the new hotline increased over time, along with CPCS-initiated outreach and advertisement. A majority of questions received by the hotline were related to uncomplicated buprenorphine starts in special populations.

Low barrier buprenorphine treatment for persons experiencing homelessness and injecting heroin in San Francisco

This program engaged and retained a subset of persons experiencing homelessness with OUD in care and on buprenorphine over 12 months. While uninterrupted treatment and abstinence are reasonable outcomes for conventional treatment programs, intermittent treatment with buprenorphine and decreased opioid use were more common in this pilot and may confer important reductions in opioid and injection-related harms.

Rural Health Information Hub – Mobile Health Units for Opioid Use Disorder Treatment

This case study shares how the Colorado Department of Human Services Behavioral Health Administration (BHA) used federal State Opioid Response grant funds to implement a mobile health model to bring medication-assisted treatment to rural and underserved areas.

Mobile low-threshold buprenorphine integrated with infectious disease services

This cohort analysis includes clinical service data from the first 15 months of The Spot mobile clinic, from September 4, 2018, to November 23, 2019. The Spot co-located with the Baltimore syringe services program in five locations across the city. Descriptive data are provided for patient demographics and services provided, as well as percent of patients retained in buprenorphine treatment at one and three months. Logistic regression identified factors associated with retention at three months.

Mobile Telemedicine for Buprenorphine Treatment in Rural Populations With Opioid Use Disorder

In this quality improvement study, comparable to office-based telemedicine programs, 58.51% of patients treated in a mobile telemedicine treatment unit remained in treatment at 90 days. Longer retention was significantly associated with reduced opioid use. These findings suggest that the combination of telemedicine and mobile services is a unique approach to extend access to medications for opioid use disorder to rural areas and is especially relevant in a postpandemic climate; this model demonstrates feasibility and lays the groundwork for adoption in rural populations.

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