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

Area of Science:

• Public Health
• Substance Use Disorder Interventions
• Criminal Justice Reform

Background:

• Ohio, particularly Hamilton County, has been severely impacted by the opioid crisis for over a decade.
• Numerous interventions have been implemented to combat opioid overdoses and fatalities.
• The Hamilton County Addiction Response Coalition (HC ARC) has been a key player in addressing this crisis.

Purpose of the Study:

• To describe the implementation and impact of HC ARC's countywide prearrest diversion programs.
• To highlight the collaborative, cross-sector approach to addressing substance use disorder and its associated challenges.
• To provide a model for sustainable, equitable interventions.

Main Methods:

• HC ARC operates two main programs: Quick Response Team (QRT) and Law Enforcement Assisted Diversion (LEAD).
• QRT focuses on nonfatal overdose response, triage, assessment, and service connection.
• LEAD diverts nonviolent individuals with low-level offenses from the criminal justice system into long-term case management.
• Programs utilize partnerships with law enforcement, public health, social services, and peer supporters.
• Client data is tracked and analyzed using a centralized electronic case management platform for evaluation and program adjustment.

Main Results:

• HC ARC's QRT and LEAD programs have successfully connected hundreds of individuals to treatment and social services.
• These programs demonstrate a sustainable model for improving health and health equity.
• The initiative has standardized prearrest diversion programming within the county.

Conclusions:

• The HC ARC model offers a replicable framework for developing and implementing effective addiction response programs.
• Cross-sector collaboration and data-driven evaluation are crucial for success.
• These programs improve outcomes for marginalized populations with complex needs.