Publications by authors named "Callan Elswick Fockele"

Introduction: Emergency medical services (EMS) systems are piloting interventions to respond to overdoses with additional services such as leave-behind naloxone and medication for opioid use disorder, but little is known about the perspectives of people who use drugs (PWUD) on these interventions being delivered by EMS during an overdose response.

Methods: The Consolidated Framework for Implementation Research guided the development of data collection tools, the analytic strategy and the organisation of results. A community engaged method was used which included both academically trained researchers and community trained researchers who are also PWUD.

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Article Synopsis
  • Recent policy changes in Washington State aim to integrate evidence-based interventions, like naloxone distribution and buprenorphine initiation, into first responder services to address rising opioid overdoses.
  • A research team conducted qualitative interviews with 32 first responders and EMS leaders in King County to identify facilitators and barriers to implementing these interventions.
  • The analysis found that while there was strong support for naloxone distribution, funding issues and concerns about the effectiveness of buprenorphine treatment posed significant challenges to these initiatives.
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  • There's currently no standardized or evidence-based method for screening social risks and needs in emergency departments (ED), which makes implementation inconsistent and challenging.
  • A comprehensive literature review and expert consensus highlighted three main knowledge gaps: the mechanics of screening implementation, outreach to communities, and addressing barriers in the process.
  • The consensus found that while screening is generally acceptable to both patients and clinicians, more collaborative efforts and innovative research methods are needed to improve its implementation in ED settings.
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Introduction: Methamphetamine use is on the rise with increasing emergency department (ED) visits, behavioral health crises, and deaths associated with use and overdose. Emergency clinicians describe methamphetamine use as a significant problem with high resource utilization and violence against staff, but little is known about the patient's perspective. In this study our objective was to identify the motivations for initiation and continued methamphetamine use among people who use methamphetamine and their experiences in the ED to guide future ED-based approaches.

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Background: As 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.

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Study Objective: Opioid use disorder (OUD) is on the rise nationwide with increasing emergency department (ED) visits and deaths secondary to overdose. Although previous research has shown that patients who are started on buprenorphine in the ED have increased engagement in addiction treatment, access to on-demand medications for OUD is still limited, in part because of the need for linkages to outpatient care. The objective of this study is to describe emergency and outpatient providers' perception of local barriers to transitions of care for ED-initiated buprenorphine patients.

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