Santhosh Pillai, Devi and Dickie, Elinor and Shivaji, Tara (2023) Rapid evidence review on interventions to reduce drug-related harm during transitions of care. Edinburgh: Public Health Scotland.
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This review describes the types of interventions used to reduce risk of drug harms, including death, among adults during transition of care and between services.
Findings
• Very limited evidence base, with most studies from USA. Outcomes excluded perceptions of service providers and no studies looked at patient survival or other individual outcome measures.
• Evidence of effectiveness of in-person and digital methods for establishing trust and contact.
• Stable housing and employment, practical assistance and funding to address basic needs, can decrease gaps in care and address support needs.
• Including a variety of these models and having more than one model in operation appears to improve service delivery.
• The unmet needs of the population group are substantial and, in some studies, acted as a barrier to engagement of the intervention being offered.
Recommendations
• Design in-staff autonomy and devolved budget responsibilities to allow staff to understand and address individual needs of people at risk of harm.
• Given the scale of unmet need, assess the outcome of ‘referral’ to other services.
• Evaluation of interventions for acceptability and effectiveness
J Health care, prevention, harm reduction and rehabilitation > Harm reduction > Substance use harm reduction
J Health care, prevention, harm reduction and rehabilitation > Type of care > Mental health care
J Health care, prevention, harm reduction and rehabilitation > Health care delivery
J Health care, prevention, harm reduction and rehabilitation > Health care programme, service or facility
L Social psychology and related concepts > Physical context, location or place > Housing
MP-MR Policy, planning, economics, work and social services > Policy > Policy on substance use > Harm reduction policy
MP-MR Policy, planning, economics, work and social services > Organisational development / co-operation > Workforce / staff skills and training
P Demography, epidemiology, and history > Population dynamics > Substance related mortality / death
VA Geographic area > International
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