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Summary
This summary is machine-generated.

Mobile overdose response services (MORS) offer vital support. Hotline-based services are perceived as safer and more reliable than timer-based options, though technology access remains a challenge for both.

Keywords:
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Area of Science:

  • Public Health
  • Substance Use Research
  • Digital Health Interventions

Background:

  • Overlapping overdose and COVID-19 epidemics have increased morbidity and mortality.
  • Novel mobile overdose response services (MORS) have been developed to mitigate these harms.
  • Two MORS strategies, hotline-based and timer-based services, aim to reduce overdose mortality.

Purpose of the Study:

  • To gather diverse stakeholder perspectives on mobile overdose response services (MORS).
  • To compare user and provider views on staffed hotline-based versus unstaffed timer-based MORS.
  • To identify optimal strategies for supporting individuals experiencing acute overdose.

Main Methods:

  • Semi-structured interviews were conducted with 47 participants.
  • Participants included people who use substances, healthcare workers, family members, harm reduction staff, and MORS operators.
  • Thematic analysis was used to analyze interview transcripts.

Main Results:

  • Four key themes emerged: connection, perceived safety, privacy, and accessibility.
  • Participants indicated varying needs for connection during substance use sessions.
  • Hotline-based services were perceived as more reliable and safer than timer-based services.

Conclusions:

  • Service user preferences for connection differ across MORS modalities.
  • Hotline-based MORS are viewed as more reliable and safer, addressing overdose risks.
  • Technological accessibility presents a limitation for both hotline and timer-based MORS.