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A Data-Driven Response to the Addiction Crisis in Hamilton County, Ohio

For more than a decade, the state of Ohio has been an epicenter of the opioid crisis. Multiple interventions have been deployed to address this crisis and reduce opioid overdoses and overdose deaths in the state. The Hamilton County Addiction Response Coalition (HC ARC) and its strategic, countywide...

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Autores principales: Manchak, Sarah M., Gosney, Meagan E., Haberman, Cory, Firesheets, Kelly C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9531991/
https://www.ncbi.nlm.nih.gov/pubmed/36194800
http://dx.doi.org/10.1097/PHH.0000000000001566
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author Manchak, Sarah M.
Gosney, Meagan E.
Haberman, Cory
Firesheets, Kelly C.
author_facet Manchak, Sarah M.
Gosney, Meagan E.
Haberman, Cory
Firesheets, Kelly C.
author_sort Manchak, Sarah M.
collection PubMed
description For more than a decade, the state of Ohio has been an epicenter of the opioid crisis. Multiple interventions have been deployed to address this crisis and reduce opioid overdoses and overdose deaths in the state. The Hamilton County Addiction Response Coalition (HC ARC) and its strategic, countywide prearrest diversion (LEAD) and deflection (QRT) programs have been at the forefront of this effort in Cincinnati, Ohio. Operating since April 2018, these programs have continued to grow and improve and have been successful in connecting hundreds of citizens to needed treatment and other social services. PROGRAM: HC ARC combats overdoses and overdose deaths by utilizing cross-sector planning and collaboration to operate 2 countywide programs: Quick Response Team (QRT) and Law Enforcement Assisted Diversion (LEAD). IMPLEMENTATION: The QRT and LEAD programs leverage partnerships with law enforcement, public health, addiction and mental health services, reentry services, and trained peer supporters. The QRT emphasizes triage, assessment, and connection to appropriate services for people with recent nonfatal drug overdoses and provides outreach and education in hot spot communities. LEAD provides diversion from the criminal justice system into long-term case management for nonviolent individuals with low-level offenses who also struggle with substance use disorder, mental health, homelessness, and/or poverty. EVALUATION: QRT and LEAD team members routinely track and record client contacts and outcomes using a centralized electronic case management platform. Data are extracted and analyzed by the evaluation team to examine indices of program success and provide ongoing feedback to the QRT and LEAD teams. DISCUSSION: HC ARC has implemented, tested, expanded, and now standardized its prearrest diversion programming. It has built a sustainable model to improve health and health equity for marginalized individuals whose needs intersect across health care, public health, community-based social services, and the criminal-legal system. Collectively, this work offers a guide for implementation and best practices for the following: detailed planning, policy, and procedure development; identification of key leaders and community partners; and methods to evaluate program operations to make data-driven decisions and real-time program adjustments.
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spelling pubmed-95319912022-10-11 A Data-Driven Response to the Addiction Crisis in Hamilton County, Ohio Manchak, Sarah M. Gosney, Meagan E. Haberman, Cory Firesheets, Kelly C. J Public Health Manag Pract Practice Reports For more than a decade, the state of Ohio has been an epicenter of the opioid crisis. Multiple interventions have been deployed to address this crisis and reduce opioid overdoses and overdose deaths in the state. The Hamilton County Addiction Response Coalition (HC ARC) and its strategic, countywide prearrest diversion (LEAD) and deflection (QRT) programs have been at the forefront of this effort in Cincinnati, Ohio. Operating since April 2018, these programs have continued to grow and improve and have been successful in connecting hundreds of citizens to needed treatment and other social services. PROGRAM: HC ARC combats overdoses and overdose deaths by utilizing cross-sector planning and collaboration to operate 2 countywide programs: Quick Response Team (QRT) and Law Enforcement Assisted Diversion (LEAD). IMPLEMENTATION: The QRT and LEAD programs leverage partnerships with law enforcement, public health, addiction and mental health services, reentry services, and trained peer supporters. The QRT emphasizes triage, assessment, and connection to appropriate services for people with recent nonfatal drug overdoses and provides outreach and education in hot spot communities. LEAD provides diversion from the criminal justice system into long-term case management for nonviolent individuals with low-level offenses who also struggle with substance use disorder, mental health, homelessness, and/or poverty. EVALUATION: QRT and LEAD team members routinely track and record client contacts and outcomes using a centralized electronic case management platform. Data are extracted and analyzed by the evaluation team to examine indices of program success and provide ongoing feedback to the QRT and LEAD teams. DISCUSSION: HC ARC has implemented, tested, expanded, and now standardized its prearrest diversion programming. It has built a sustainable model to improve health and health equity for marginalized individuals whose needs intersect across health care, public health, community-based social services, and the criminal-legal system. Collectively, this work offers a guide for implementation and best practices for the following: detailed planning, policy, and procedure development; identification of key leaders and community partners; and methods to evaluate program operations to make data-driven decisions and real-time program adjustments. Wolters Kluwer Health, Inc. 2022-11 2022-09-23 /pmc/articles/PMC9531991/ /pubmed/36194800 http://dx.doi.org/10.1097/PHH.0000000000001566 Text en © 2022 The Authors. Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Practice Reports
Manchak, Sarah M.
Gosney, Meagan E.
Haberman, Cory
Firesheets, Kelly C.
A Data-Driven Response to the Addiction Crisis in Hamilton County, Ohio
title A Data-Driven Response to the Addiction Crisis in Hamilton County, Ohio
title_full A Data-Driven Response to the Addiction Crisis in Hamilton County, Ohio
title_fullStr A Data-Driven Response to the Addiction Crisis in Hamilton County, Ohio
title_full_unstemmed A Data-Driven Response to the Addiction Crisis in Hamilton County, Ohio
title_short A Data-Driven Response to the Addiction Crisis in Hamilton County, Ohio
title_sort data-driven response to the addiction crisis in hamilton county, ohio
topic Practice Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9531991/
https://www.ncbi.nlm.nih.gov/pubmed/36194800
http://dx.doi.org/10.1097/PHH.0000000000001566
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