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Using RE-AIM Framework to Evaluate Recovery Opioid Overdose Team Plus: A Peer-Led Post-overdose Quick Response Team.

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Peer recovery coaches support overdose survivors, with the Recovery Opioid Overdose Team Plus (ROOT+) program showing promise. Despite implementation challenges, peer-led teams effectively engage survivors post-overdose.

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Area of Science:

  • Public Health
  • Addiction Medicine
  • Social Work

Background:

  • Peer recovery coaches leverage lived experience to support overdose survivors.
  • The Recovery Opioid Overdose Team Plus (ROOT+) program is a community-based initiative.
  • Evaluating such programs is crucial for understanding their impact and optimizing delivery.

Purpose of the Study:

  • To evaluate the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) of the ROOT+ program.
  • To assess the engagement and outcomes for overdose survivors participating in the ROOT+ program.
  • To identify barriers and facilitators to the implementation and sustainability of peer-led overdose recovery support.

Main Methods:

  • A convergent mixed methods design was employed.
  • Web-based surveys and qualitative interviews were used for iterative evaluation.
  • The RE-AIM framework guided the assessment of the ROOT+ program.

Main Results:

  • ROOT+ responded to 83% of overdose referrals, engaging 41% of survivors.
  • 36% of engaged survivors remained connected to services or in recovery at 90 days.
  • First responders completed 77% of referrals, though awareness and treatment access were implementation barriers.

Conclusions:

  • Peer-led teams, like ROOT+, demonstrate potential for engaging overdose survivors.
  • Program adaptations are necessary for successful implementation and maintenance.
  • Addressing barriers such as awareness and treatment accessibility is key to enhancing program effectiveness.