Evidence map›Paper›PMID 39265208›Full record

ArticleDrug and alcohol dependence2024

Descriptive analysis of recommendations made by county-level overdose fatality review teams in indiana to combat the opioid epidemic.

Allyson L Dir, Logan Gillenwater, Melvin Wao, Jamie Smith, Caitlyn Short, Katherine Schwartz, Khairi Reda, Matthew C Aalsma, Bradley Ray

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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.

Allyson L DirDepartment of Psychiatry, Indiana Univeristy School of Medicine, Indianapolis, IN, USA; Adolescent Behavioral Health Research Program, Indiana University School of Medicine, Indianapolis, IN, USA. Electronic address: adir@iu.edu.
Logan GillenwaterAdolescent Behavioral Health Research Program, Indiana University School of Medicine, Indianapolis, IN, USA; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
Melvin WaoAdolescent Behavioral Health Research Program, Indiana University School of Medicine, Indianapolis, IN, USA; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
Jamie SmithIndiana Department of Health, Indianapolis, IN, USA.
Caitlyn ShortIndiana Department of Health, Indianapolis, IN, USA.
Katherine SchwartzAdolescent Behavioral Health Research Program, Indiana University School of Medicine, Indianapolis, IN, USA; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
Khairi RedaLuddy School of Informatics, Computing, and Engineering, Indiana University Purdue University - Indianapolis, Indianapolis, IN, USA.
Matthew C AalsmaAdolescent Behavioral Health Research Program, Indiana University School of Medicine, Indianapolis, IN, USA; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
Bradley RayRTI International, Research Triangle Park, NC, USA.

Funding

Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.UG1DA050070 · NIDA · INDIANA UNIVERSITY INDIANAPOLIS · PI AALSMA, MATTHEW · 2019 to 2023
$5.7M
Fatal Overdose Review Teams - Research to Enhance Surveillance Systems (FORTRESS)R61DA057660 · NIDA · INDIANA UNIVERSITY INDIANAPOLIS · PI AALSMA, MATTHEW, RAY, BRADLEY · 2022 to 2022
$1.6M
The role of cross-system collaboration in implementation of evidence-based substance use practices in child welfareK23DA055210 · NIDA · INDIANA UNIVERSITY INDIANAPOLIS · PI Allyson Lindsae Dir · 2023 to 2026
$661k
NIDA NIH HHS K23 DA055210NIDA NIH HHS R61 DA057660NIDA NIH HHS UG1 DA050070
6 · The paper itself

Abstract

Overdose fatality review teams (OFRTs) are becoming more common across U.S. communities as a means of addressing the overdose epidemic and improving local overdose prevention strategies; however, empirical examinations of the work of OFRTs are lacking. The current study seeks to characterize recommendations for local overdose prevention strategies made by county-level OFRTs across Indiana in order to understand their practices.

methodsA qualitative descriptive content analysis was conducted on recommendations made by 19 county-level OFRTs across Indiana in 2022.

resultsOFRTs generated 1512 recommendations during 2022 based on case reviews of 291 overdose deaths occurring across 19 Indiana counties; of those, 26.8 % (n=405) were specific to the case reviewed, rather than relevant to the broader community, and were not further coded. The remaining 1109 recommendations were coded according to their overall scope, recommendation strategy, and target agency. The most common recommendations addressed substance use more broadly (e.g., improving substance use screening/assessment in healthcare settings), followed by recommendations directly addressing overdose risk (e.g., naloxone distribution, increasing harm reduction programs). Other common recommendations related to mental health, OFRT practices, and addressing social determinants of health. Common recommendation strategies were to implement new services or service improvements.

conclusionResults highlight the extent of further efforts needed to improve overdose prevention and the need for further research and support of OFRTs across the United States.

Indexed as

Drug OverdoseOpioid EpidemicHumansIndianaNaloxoneOpiate OverdoseOpioid-Related DisordersNaloxone

Identifiers

PMID39265208
PMCPMC12685128

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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.