Evidence map›Paper›PMID 38589934›Full record

ArticleAddiction science & clinical practice2024

Characterization of peer support services for substance use disorders in 11 US emergency departments in 2020: findings from a NIDA clinical trials network site selection process.

Lindsey K Jennings, Laura Lander, Tricia Lawdahl, Erin A McClure, Angela Moreland, Jenna L McCauley, Louise Haynes, Timothy Matheson, Richard Jones, Thomas E Robey and 8 more

Open access · goldAbstract read
In one paragraph

Article in Addiction science & clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 11 institutions in 1 country.

Lindsey K JenningsDepartment of Emergency Medicine, Medical University of South Carolina, 169 Ashley Avenue, MSC 300, Charleston, SC, 29425, USA. jennil@musc.edu.ORCID 0000-0002-9462-0424
Laura LanderDepartment of Behavioral Medicine & Psychiatry, West Virginia University, Morgantown, WV, USA.
Tricia LawdahlFaces and Voices of Recovery (FAVOR) Upstate, Greenville, SC, USA.
Erin A McClureDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Angela MorelandDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Jenna L McCauleyDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Louise HaynesDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Timothy MathesonCenter On Substance Use and Health, San Francisco Department of Public Health, San Francisco, CA, USA.
Richard JonesYourturn Health Inc, Coppell, TX, USA.
Thomas E RobeyProvidence Regional Medical Center Everett, Washington State University, Everett, WA, USA.
Sarah KawasakiDepartments of Psychiatry and Internal Medicine, Penn State Health, Hershey, PA, USA.
Phillip MoschellaDepartment of Emergency Medicine, University of South Carolina School of Medicine, Greenville, SC, USA.
Amer RaheemullahDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA.
Suzette MillerMercy Health - St. Elizabeth Youngstown Hospital, Youngstown, OH, USA.
Gina GregovichDepartment of Internal Medicine, University of Utah, Salt Lake City, UT, USA.
Deborah WaltmanDeaconess Hospital, MultiCare Health System, Spokane, WA, USA.
Kathleen T BradyDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Kelly S BarthDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Medical University of South Carolina · USDeaconess Hospital · USFaces and Voices of RecoveryPenn State Milton S. Hershey Medical Center · USProvidence Regional Medical Center Everett · USSan Francisco Department of Public Health · USStanford University · USSt. Elizabeth Youngstown Hospital · USUniversity of South Carolina · USUniversity of Utah · USWest Virginia University · US

Funding

Southern Consortium Node of the Clinical Trials Network (Varenicline)UG1DA013727 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KATHLEEN T. BRADY, Kelly S. Barth · 2015 to 2026
$24.8M
Greater Intermountain Node (CTN-0151)UG1DA049444 · NIDA · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Gerald T. Cochran, Gerald T. Cochran · 2019 to 2026
$16.8M
Drug Abuse Research Training (DART) ProgramR25DA020537 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KATHLEEN T. BRADY, Sudie E Back · 2006 to 2026
$6.3M
NIDA NIH HHS R25 DA020537NIDA NIH HHS UG1 DA013727NIDA NIH HHS UG1 DA049444
6 · The paper itself

Abstract

introductionEmergency departments (ED) are incorporating Peer Support Specialists (PSSs) to help with patient care for substance use disorders (SUDs). Despite rapid growth in this area, little is published regarding workflow, expectations of the peer role, and core components of the PSS intervention. This study describes these elements in a national sample of ED-based peer support intervention programs.

methodsA survey was conducted to assess PSS site characteristics as part of site selection process for a National Institute on Drug Abuse (NIDA) Clinical Trials Network (CTN) evaluating PSS effectiveness, Surveys were distributed to clinical sites affiliated with the 16 CTN nodes. Surveys were completed by a representative(s) of the site and collected data on the PSS role in the ED including details regarding funding and certification, services rendered, role in medications for opioid use disorder (MOUD) and naloxone distribution, and factors impacting implementation and maintenance of ED PSS programs. Quantitative data was summarized with descriptive statistics. Free-text fields were analyzed using qualitative content analysis.

resultsA total of 11 surveys were completed, collected from 9 different states. ED PSS funding was from grants (55%), hospital funds (46%), peer recovery organizations (27%) or other (18%). Funding was anticipated to continue for a mean of 16 months (range 12 to 36 months). The majority of programs provided "general recovery support (81%) Screening, Brief Intervention, and Referral to Treatment (SBIRT) services (55%), and assisted with naloxone distribution to ED patients (64%). A minority assisted with ED-initiated buprenorphine (EDIB) programs (27%). Most (91%) provided services to patients after they were discharged from the ED. Barriers to implementation included lack of outpatient referral sources, barriers to initiating MOUD, stigma at the clinician and system level, and lack of ongoing PSS availability due to short-term grant funding.

conclusionsThe majority of ED-based PSSs were funded through time-limited grants, and short-term grant funding was identified as a barrier for ED PSS programs. There was consistency among sites in the involvement of PSSs in facilitation of transitions of SUD care, coordination of follow-up after ED discharge, and PSS involvement in naloxone distribution.

Indexed as

National Institute on Drug Abuse (U.S.)NitrosaminesOpioid-Related DisordersEmergency Service, HospitalHumansNaloxoneUnited StatesNaloxoneNitrosaminesN-nitrosoiminodiacetic acidEmergency departmentPeer Support SpecialistsSubstance use disorders

Identifiers

PMID38589934
PMCPMC11003047
OpenAlexW4394570031

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.