Evaluation of post-discharge engagement for emergency department patients with opioid use history who received telehealth recovery coaching services | Substance Abuse Treatment, Prevention, and Policy
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Source link As public health experts strive to reduce the opioid epidemic, prevention strategies are needed to minimize overdose and mortality risks associated with opioid use disorders. In response, telehealth recovery coaching services that provide engagement with emergency department (ED) patients with a history of opioid abuse have been developed. This article reviews the evidence related to the effectiveness of post-discharge engagement for ED patients with a history of opioid use who received telehealth recovery coaching services.
To begin, EDs have become one of the most common settings for primary treatment of opioid use disorder (OUD). Thus, ED visits present an opportunity to identify patients with OUD and to initiate recovery-oriented treatment. One of the strategies utilized for OUD post-discharge engagement is telehealth recovery coaching. Telehealth recovery coaching is an evidence-based recovery-oriented strategy that uses technology such as computers, tablets, and smartphones to connect patients with recovery coaches to provide support and guidance in seeking recovery.
Studies of telehealth recovery coaching have indicated that it can improve post-discharge opioid use outcomes, reduce risk of overdose and mortality, and improve adherence to treatment. Studies have also shown that it can increase engagement rates, motivate patients to adhere to treatment plans, provide education and resources on opioid management and treatment, and facilitate connection of patients to community and addiction services.
However, there is also evidence that not all patients benefit equally from telehealth recovery coaching. Studies suggest that the effectiveness of telehealth recovery coaching varies between racial and ethnic groups, with Black and Hispanic individuals showing the greatest benefit. Telehealth recovery coaching may also be more effective for those who are less experienced with technology or those with a greater need for socio-emotional support.
In conclusion, telehealth recovery coaching appears to be effective for improving engagement with ED patients with a history of opioid use. This strategy can provide support and resources for overcoming opioid use disorder, reducing overdose and mortality risks associated with opioid use, and increasing productive post-discharge engagement. Further research is needed to identify which subgroups of patients may benefit most from telehealth recovery coaching services.
