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Comparing Practices Used in Overdose Fatality Review Teams to Recommended Implementation Guidelines
Bradley Ray1, Katie Bailey, Megan Dunnigan
1Division for Applied Justice Research, RTI International, Research Triangle Park, North Carolina (Dr Ray); University of California, San Diego, California (Ms Bailey); Center for Behavioral Health and Justice, Wayne State University School of Social Work, Detroit, Michigan (Ms Dunnigan); Indiana University School of Medicine, Indianapolis, Indiana (Drs Aalsma and Bell); and Medical College of Wisconsin, Institute for Health & Equity, Milwaukee, Wisconsin (Dr O'Brien).
Overdose fatality review teams show promise but need improvement. Most teams lack adherence to recommended practices, particularly in implementing recommendations, highlighting a need for enhanced training and support.
Area of Science:
- Public Health
- Public Safety
- Epidemiology
Background:
- Overdose fatality review teams are multidisciplinary collaborations aimed at preventing overdose deaths.
- Existing research lacks insight into the current case review practices of these vital programs.
Purpose of the Study:
- To investigate the current case review practices and perceptions of overdose fatality review teams.
- To identify gaps in adherence to recommended practices and factors influencing their uptake.
Main Methods:
- A cross-sectional online survey was administered to participants at a national virtual forum.
- Data were collected from 30 county-level overdose fatality review teams across 6 states.
- Measures of case review practices were developed based on an implementation guide.
Main Results:
- While most teams had adequate membership, none fully adhered to all measured practices.
- Significant gaps were observed in the perceived effectiveness and implementation of case review recommendations.
- Teams with longer case review experience demonstrated greater adherence to recommended practices.
Conclusions:
- Overdose fatality case review collaborations hold significant potential for overdose prevention.
- Additional training, technical assistance, and community support are crucial for ensuring actionable recommendations.
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