Treating addiction from the emergency room

*Medical research has done wonders to rid populations of diseases; however, the U.S. health care system has failed to appropriate the right resources to Medicare patients with one or more chronic conditions. Health Quality Partners in Doylstown, PA enrolls Medicare patients with at least one chronic illness and hospitalization and sends a trained nurse to see them on a routine basis, whether they are healthy or sick. As a result, the HQP program has reduced hospitalizations and cut Medicare costs.

Across the country, hospitals are embracing intensive intervention programs to help victims of violence — including those who have criminal histories — after they have been brought in for treatment of injuries. Such programs can help prevent retaliation, reduce the chance a patient will be violently injured again, and put people on track for success.

A New York City opioid treatment startup called Groups is a solution for small towns with limited access to care for people struggling with opioid addiction. They overcome the hurdles of high cost, proximity to care, and stigma that stymy government response by offering simple, one-size-fits-all, medically assisted group recovery.

The heroin and opioid epidemic in America has raised questions about how to effectively treat addiction. Many now say medication should be offered alongside counseling.

Harm reduction is a quickly growing practices that aims to reduce drug-related deaths and the spread of disease often caused by dirty needles. Although public perception is still widely negative, the industry has seen success by using the act of offering clean needles as a first point of contact to offer other health and medical services.

Vermont's hub and spoke model of care has gained notoriety as being a system that has successfully played a positive role in creating better access to health care, especially as it relates to the opioid crisis. Now, officials in New Hampshire are looking to scale and adapt the program to work in their state.

The Wraparound Project at Zuckerman San Francisco General Hospital and Trauma Center turns gunshot victims' hospital stays into "a teachable moment," by providing them with services aimed at helping them avoid a repeat injury. Getting shot once is a key risk factor for a second injury, particularly for gun violence's most common victims, young Black men. Wraparound is one of the nation's oldest hospital-based violence intervention programs. It has helped about 850 clients, mostly with mental health counseling, housing, and jobs. The program is associated with a decreased reinjury rate in San Francisco.

Fifty years on, America's war on drugs has failed at its principal goals: to eradicate illicit drug use and sales, to repair communities damaged by the drug trade, and to prevent drug-related deaths. Despite massive amounts spent on law enforcement, which has created great social harms and fueled incarceration, drug use has rebounded to 40-year highs, drug overdose deaths are peaking, and supply of illegal drugs is abundant. Policy advocates say a combination of legalization and public-health approaches to the problems would accomplish more than the wasteful, ineffective "war" mentality used to date.

Great Circle Recovery is the first tribally run opioid treatment clinic in the state and is opening up its second location. Approximately 250 people visit the clinic on a daily basis to access medications that help those suffering from addiction. The centers also provide access to counselors, case management and other medical services to support patients on their recovery journey.

The Cowichan Wellness and Recovery Centre works to combat the ongoing overdose crisis. The Centre offers services like mental health support and a community hub where people can access, test and use drugs safely, as well as connect with healthcare, detox, and treatment services. Not only have these services benefited people, and connected them with others in the community, but they’ve also led to decreased criminal activity like theft.