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A Syringe Service Program Within a Federal System: Foundations for Implementation.

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Staff at a Veterans Affairs Medical Center showed positive perceptions of patients who use drugs, paving the way for a new syringe service program. Educational initiatives were well-received and are now routine training.

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Area of Science:

  • Public Health
  • Harm Reduction
  • Healthcare Quality Improvement

Background:

  • Opioid use disorder presents a significant public health challenge in the U.S.
  • Syringe service programs (SSPs) are effective harm reduction strategies for improving health outcomes.
  • Assessing healthcare provider perceptions is crucial before implementing SSPs.

Purpose of the Study:

  • To prepare for the implementation of a syringe service program at a Northeastern Veterans Affairs Medical Center (NEVAMC).
  • To assess healthcare provider perceptions and readiness for an SSP.
  • To develop foundational elements for an SSP within a federal healthcare system.

Main Methods:

  • A multiphase quality improvement project involving stakeholder needs assessment.
  • Administration of the Drug and Drug Problems Perceptions Questionnaire (DDPPQ) to 153 staff members.
  • Development and delivery of two educational modules on trauma-informed care for individuals with substance use disorders.

Main Results:

  • Needs assessment identified 266 patients eligible for expanded harm reduction services.
  • DDPPQ results indicated positive staff perceptions (median score 73) regarding working with people who use drugs.
  • Educational modules were attended by 68 and 35 staff members, respectively.

Conclusions:

  • NEVAMC staff exhibit a high comfort level working with individuals with substance use disorders.
  • Staff educational programs were positively received and integrated into routine training.
  • Standardized document templates are available to support federal SSP implementation.