Evidence map›Paper›PMID 36972652›Full record

ArticleThe International journal on drug policy2023

"Another tool in the toolkit"-Perceptions, suggestions, and concerns of emergency service providers about the implementation of a supervised consumption site.

David Perlmutter, Courteney Wettemann, Callan Elswick Fockele, Tessa Frohe, Will Williams, Nathan Holland, Thea Oliphant-Wells, Hendrika Meischke, Jenna van Draanen

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The International journal on drug policy, 2023. 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
1.5field-weighted citation impact, top 17% 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, 7 citations in OpenAlex.

  1. Article
  2. Article
  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

9 authors at 2 institutions in 2 countries.

David PerlmutterDepartment of Health Systems and Population Health, School of Public Health, University of Washington, 3980 15th Ave NE, Fourth Floor, 98195 Seattle, WA, USA.
Courteney WettemannResearch with Expert Advisors on Drug Use, University of Washington, Seattle, WA, USA.
Callan Elswick FockeleDepartment of Emergency Medicine, University of Washington, Seattle, WA, USA.
Tessa FroheDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Will WilliamsResearch with Expert Advisors on Drug Use, University of Washington, Seattle, WA, USA.
Nathan HollandResearch with Expert Advisors on Drug Use, University of Washington, Seattle, WA, USA.
Thea Oliphant-WellsPublic Health - Seattle & King County, Seattle, WA, USA.
Hendrika MeischkeDepartment of Health Systems and Population Health, School of Public Health, University of Washington, 3980 15th Ave NE, Fourth Floor, 98195 Seattle, WA, USA.
Jenna van DraanenDepartment of Health Systems and Population Health, School of Public Health, University of Washington, 3980 15th Ave NE, Fourth Floor, 98195 Seattle, WA, USA; Department of Child, Family, and Population Health Nursing, School of Nursing, University of Washington, USA. Electronic address: jvandraa@uw.edu.
University of Washington · USPublic Health – Seattle & King County · US

Funding

Psychology Training in Alcohol Research (PTAR)T32AA007455 · NIAAA · UNIVERSITY OF WASHINGTON · PI MARY E. LARIMER · 1985 to 2026
$11.4M
eHaRT-A: Adapting an evidence-based, in-person harm reduction treatment into a virtual care telehealth intervention for people with lived experience of homelessness and alcohol use disorderK01AA030053 · NIAAA · UNIVERSITY OF WASHINGTON · PI Tessa Marie Frohe · 2022 to 2026
$861k
NIAAA NIH HHS K01 AA030053NIAAA NIH HHS T32 AA007455
6 · The paper itself

Abstract

backgroundAs Supervised Consumption Sites (SCS) are implemented in the United States, it is important to consider the needs and perceptions of impacted stakeholders. Emergency service providers (ESP) have a central role in responding to the overdose epidemic. This study intended to assess the how ESP perceive the potential implementation of an SCS in their community, as well as solicit program design and implementation-related concerns and suggestions.

methodsIn-depth interviews were conducted by videoconference with 22 ESP, including firefighters, paramedics, police, and social workers in King County, Washington, USA. Data were analyzed using a thematic analysis approach.

resultsParticipants expressed the importance of feeling safe while responding to calls where drug use is involved and highlighted how this perception would be linked to ESP response times to calls from an SCS. Suggestions for improving the perceived safety of an SCS included training program staff in de-escalation as well as planning the layout of the SCS to accommodate ESP. The inadequacy of the emergency department as a point of care for PWUD was also identified as a theme, and some participants expressed enthusiasm regarding the prospect of the SCS as an alternative destination for transport. Finally, support for the SCS model was conditional on the appropriate utilization of emergency services and a reduction in call volume. Participants listed clarifying roles and pursuing opportunities for collaboration as ways to ensure appropriate utilization and maintain positive working relationships.

conclusionThis study builds on literature regarding stakeholder perceptions of SCS by focusing on the perceptions of a critically important stakeholder group. Results enhance understanding of what motivates ESP to support SCS implementation in their community. Other novel insights pertain to ESP thoughts about alternative care delivery models and strategies for emergency department visit diversion.

Indexed as

Drug OverdoseEmergency Medical ServicesSubstance-Related DisordersDelivery of Health CareHumansPoliceDrug useEmergency servicesFirst responderHarm reductionOverdoseSupervised consumption site

Identifiers

PMID36972652
PMCPMC10164065
OpenAlexW4360966328

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.