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Updated: Jul 1, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Implementation and Outcomes of 9 Deflection Teams in Ohio.

Brandon N Bledsoe1, Sarah Light, Sarah M Manchak

  • 1Author Affiliations: School of Criminal Justice, University of Cincinnati, Cincinnati, Ohio (Drs Manchak, Haberman, O'Guinn, Ms Light, and Mr Bledsoe); and Center for Health and Human Services Research, Talbert House, Cincinnati, Ohio (Drs Sperber, Vissman, and Chen).

Journal of Public Health Management and Practice : JPHMP
|June 30, 2026
PubMed
Summary

Ohio

Keywords:
deflectiondiversionquick response teamssubstance use

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Area of Science:

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

Background:

  • Ohio faces a prolonged opioid epidemic, necessitating community-based interventions.
  • Diversion and deflection programs aim to assist individuals with substance use disorder.
  • First responder-led initiatives are crucial in addressing the opioid crisis.

Purpose of the Study:

  • To evaluate the operations and client outcomes of 9 first responder-led diversion/deflection programs in Ohio.
  • To examine the impact of program activities on connecting individuals to treatment and support services.
  • To analyze demographic influences on program effectiveness and client outcomes.

Main Methods:

  • Funded 9 diversion/deflection programs across Ohio through the Comprehensive Opioid, Stimulant, and Substance Use Program.
  • Collected data on program activities, referral demographics, contact attempts, and treatment connections.
  • Analyzed successful contact and treatment connection rates across demographic groups.

Main Results:

  • Nearly 80% of teams demonstrated significant differences in contact attempts between successful and unsuccessful contacts.
  • Less than 25% of teams showed significant demographic disparities in contact or treatment connection rates.
  • Program activities like outreach and connection to resources were key proximal outcomes.

Conclusions:

  • First responder-led deflection programs show promise in connecting individuals to care.
  • Programmatic activities, particularly contact attempts, are directly linked to client outcomes.
  • Further research is needed to understand demographic influences and optimize deflection program effectiveness.