Introduction: Opioid overdose mortality rate in the U.S. has seen a staggering upward trend lately, more than tripling between the years 2000-2017. Although the use of Certified Recovery Specialists (CRSs) has been shown to improve overdose rates, relapse rates, and treatment completion rates for people with opioid use disorder (OUD), the optimal specialization of CRSs in healthcare settings has yet to be clearly defined. This project seeks the perspectives of CRSs and healthcare workers to gain insight into how CRSs can be most effectively implemented in the ED at Jefferson to treat OUD.
Methods: The study population includes CRSs and healthcare workers with experience treating OUD. Detailed interviews and qualitative analysis are being conducted to analyze common themes behind the successes and failures of CRSs. Among other results, pertinent outcomes may reveal the importance of EMR access for CRSs, reduced OUD stigma among healthcare workers, and reduced healthcare worker stress.
Results: A total of ten interviews have been conducted - six of which have been with CRSs and four of which have been with physicians. The interview transcription and coding processes remain in progress. Given that the CRS program at the ED at Jefferson began during this analysis, further interviews with Jefferson staff may be useful to assess the program’s early progress.
Conclusion: The results are currently pending. Ultimately, the information yielded from this qualitative analysis may be directed toward the optimal use of CRS programs to improve health outcomes for patients with OUD presenting to the ED at Jefferson.
Annese, A. Cosmo and Brawer, PhD, MPH, CHES, Rickie, "An Assessment of Quality Improvement Strategies for the Implementation of Certified Recovery Specialists in Treating Opioid Use Disorder at the Emergency Department at Jefferson" (2021). Phase 1. Paper 22.