Evidence map›Paper›PMID 38504244›Full record

ArticleHarm reduction journal2024

"Wanna cry this out real quick?": an examination of secondary traumatic stress risk and resilience among post-overdose outreach staff in Massachusetts.

Samantha F Schoenberger, Emily R Cummins, Jennifer J Carroll, Shapei Yan, Audrey Lambert, Sarah M Bagley, Ziming Xuan, Traci C Green, Franklin Cook, Amy M Yule and 2 more

Open access · goldAbstract read
In one paragraph

Article in Harm reduction journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.5field-weighted citation impact, top 12% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

12 authors at 7 institutions in 1 country.

Samantha F SchoenbergerBoston Medical Center, Grayken Center for Addiction, Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, 801 Massachusetts Ave, 2nd Floor, Boston, MA, 02118, USA.
Emily R CumminsBoston Medical Center, Grayken Center for Addiction, Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, 801 Massachusetts Ave, 2nd Floor, Boston, MA, 02118, USA.
Jennifer J CarrollDepartment of Sociology & Anthropology, North Carolina State University, 10 Current Drive, Raleigh, NC, 27605, USA.
Shapei YanBoston Medical Center, Grayken Center for Addiction, Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, 801 Massachusetts Ave, 2nd Floor, Boston, MA, 02118, USA.
Audrey LambertAccess, Harm Reduction, Overdose Prevention and Education (AHOPE), Boston Public Health Commission, 774 Albany Street, Access, Boston, MA, 02118, USA.
Sarah M BagleyBoston Medical Center, Grayken Center for Addiction, Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, 801 Massachusetts Ave, 2nd Floor, Boston, MA, 02118, USA.
Ziming XuanDepartment of Community Health Sciences, Boston University School of Public Health, 801 Massachusetts Avenue, Boston, MA, 02118, USA.
Traci C GreenThe Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA, 02453, USA.
Franklin CookPeer Support Community Partners, 30 Brimmer Street, Watertown, MA, 02472, USA.
Amy M YuleDepartment of Psychiatry, Boston Medical Center, Boston University School of Medicine, Boston, MA, 02118, USA.
Alexander Y WalleyBoston Medical Center, Grayken Center for Addiction, Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, 801 Massachusetts Ave, 2nd Floor, Boston, MA, 02118, USA.
Scott W FormicaSocial Science Research and Evaluation, Inc, 84 Mill Street, Lincoln, MA, 01773, USA. sformica@ssre.org.
Boston Medical Center · USBoston Public Health Commission · USBoston University · USBrandeis University · USCommunity Partners · USLincoln Electric (United States) · USNorth Carolina State University · US

Funding

Knock and Talk: Public Health-Public Safety Partnerships for Post-Overdose Outreach and PreventionR01CE003052 · CE · BOSTON MEDICAL CENTER · PI WALLEY, ALEXANDER YALE · 2018 to 2020
$2.2M
A Behavioral Intervention to Engage Emerging Adults in Addiction Treatment after a Non-fatal Opioid OverdoseK23DA044324 · NIDA · BOSTON MEDICAL CENTER · PI BAGLEY, SARAH M · 2017 to 2021
$938k
CDC HHS R01CE003052NCIPC CDC HHS R01 CE003052NIDA NIH HHS K23 DA044324NIH HHS 1K23DA044324-01
6 · The paper itself

Abstract

backgroundPost-overdose outreach programs engage overdose survivors and their families soon after an overdose event. Staff implementing these programs are routinely exposed to others' trauma, which makes them vulnerable to secondary traumatic stress (STS) and compassion fatigue. The purpose of this study was to explore experiences of STS and associated upstream and downstream risk and protective factors among program staff.

methodsWe conducted a post-hoc analysis of semi-structured interviews with post-overdose outreach program staff in Massachusetts. Transcripts were analyzed using a multi-step hybrid inductive-deductive approach to explore approaches and responses to outreach work, factors that might give rise to STS, and compassion fatigue resilience. Findings were organized according to the three main constructs within Ludick and Figley's compassion fatigue resilience model (empathy, secondary traumatic stress, and compassion fatigue resilience).

resultsThirty-eight interviews were conducted with staff from 11 post-overdose outreach programs in Massachusetts. Within the empathy construct, concern for others' well-being emerged as a motivator to engage in post-overdose outreach work - with staff trying to understand others' perspectives and using this connection to deliver respectful and compassionate services. Within the secondary traumatic stress construct, interviewees described regular and repeated exposure to others' trauma - made more difficult when exposures overlapped with staff members' personal social spheres. Within the compassion fatigue resilience construct, interviewees described the presence and absence of self-care practices and routines, social supports, and workplace supports. Job satisfaction and emotional detachment from work experiences also arose as potential protective factors. Interviewees reported inconsistent presence and utilization of formal support for STS and compassion fatigue within their post-overdose outreach teams.

conclusionPost-overdose outreach program staff may experience secondary traumatic stress and may develop compassion fatigue, particularly in the absence of resilience and coping strategies and support. Compassion fatigue resilience approaches for post-overdose outreach staff warrant further development and study.

Indexed as

Compassion FatigueDrug OverdoseNursing Staff, HospitalResilience, PsychologicalEmpathyHumansMassachusettsQuality of LifeSurveys and QuestionnairesCompassion fatigueOccupational stressOverdosePost-overdose outreachPublic health

Identifiers

PMID38504244
PMCPMC10949647
OpenAlexW4392958999

What OpenQuestion 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 OpenQuestion graph.