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Implementation of Overdose Prevention in Maryland: Implications for Resource Allocation, Program Scale-Up, and
Catherine Tomko1, Saba Rouhani1, Renee M Johnson1
1Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Health Promotion Practice
|November 22, 2023
Summary
Maryland
Area of Science:
- Public Health
- Epidemiology
- Health Services Research
Background:
- Opioid overdose deaths are a critical public health crisis in the United States, particularly in Maryland.
- Tracking the implementation of overdose prevention programs is essential for understanding their impact.
Purpose of the Study:
- To summarize overdose prevention and response program implementation in Maryland.
- To identify associations between opioid overdose deaths and program implementation across jurisdictions.
Main Methods:
- Utilized Maryland's Opioid Operational Command Center (OOCC) Program Inventory data.
- Tracked 145 programs across 12 domains, including 10 naloxone access programs.
- Dichotomized implementation levels and analyzed associations with per capita overdose deaths.
Main Results:
- Substantial implementation was observed in 51% of all programs and 70% of naloxone programs.
- Public health domain programs showed a significant association with subsequent overdose mortality (p = .04).
- No significant association was found between prior overdose deaths and subsequent program implementation, except for public health programs.
Conclusions:
- The OOCC Program Inventory offers a novel method for tracking program implementation.
- Public health programs may play a crucial role in mitigating overdose deaths.
- Findings can guide overdose program implementation and evaluation in other regions.
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