{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:47:42Z","timestamp":1792792062488,"version":"4.5.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Michigan Department of Health and Human Services, Office of Recovery Oriented Systems of Care through the Substance Abuse Prevention and Treatment Block Grant","id":[{"id":"https:\/\/ror.org\/03tpyg842","id-type":"ROR","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01DA031160"],"award-info":[{"award-number":["R01DA031160"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Abuse"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Effective interventions for overdose survivors are needed in the emergency departments (EDs). One promising model is the use of peer recovery coaches to engage with survivors in EDs, followed by partnering with community case management navigators to connect survivors to recovery support and treatment services. This paper describes the evaluation of a pilot program, the Recovery Opioid Overdose Team (ROOT), a warm hand-off system that links survivors to treatment services post-ED discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The ROOT program is composed of a peer recovery coach who is in long-term recovery, and a case management navigator who specializes in mental health care and provides guidance for accessing community services. After an overdose reversal, law enforcement contacts a county 24\/7 Crisis Team, who then notifies ROOT. The peer recovery coach engages with the survivor in the ED, and then follow up continues with the case management navigator and the peer recovery coach for up to 90\u2009days post-ED discharge. Retrospective chart reviews were conducted to evaluate ROOT in two Midwest EDs from September 2017 through March 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 122 referrals, 77.0% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200994) of the survivors initially engaged with ROOT in the ED or in the community. The remaining 23.0% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200928) left the ED against medical advice or were unengaged. The majority of overdose survivors were male (63.9%;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200978), White (43.4%;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200953), had housing (80.2%;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200948), and access to transportation (48.4%;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200959). From the 122 referrals, 33.6% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200941) received ongoing treatment services (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200920 outpatient,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200917 residential,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20092 detoxification facility,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091 recovery housing,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091 medication treatment for opioid use disorder), 2.5% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20093) were incarcerated, 2.5% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20093) died, and 61.5% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200975) declined services.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The ROOT, a community-wide coordinated program in the EDs, shows promise in linking overdose survivors to recovery support and treatment services post-overdose.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1080\/08897077.2020.1847239","type":"journal-article","created":{"date-parts":[[2020,12,7]],"date-time":"2020-12-07T23:19:51Z","timestamp":1607383191000},"page":"423-427","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Recovery opioid overdose team (ROOT) pilot program evaluation: A community-wide post-overdose response strategy"],"prefix":"10.1177","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7598-0427","authenticated-orcid":false,"given":"Chin Hwa (Gina)","family":"Dahlem","sequence":"first","affiliation":[{"name":"Center for the Study of Drugs, Alcohol, Smoking and Health, University of Michigan School of Nursing, Ann Arbor, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marci","family":"Scalera","sequence":"additional","affiliation":[{"name":"Home of New Vision, Ann Arbor, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glynis","family":"Anderson","sequence":"additional","affiliation":[{"name":"Home of New Vision, Ann Arbor, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melisa","family":"Tasker","sequence":"additional","affiliation":[{"name":"Washtenaw County Community Mental Health, Ypsilanti, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8503-2073","authenticated-orcid":false,"given":"Robert","family":"Ploutz-Snyder","sequence":"additional","affiliation":[{"name":"Center for the Study of Drugs, Alcohol, Smoking and Health, University of Michigan School of Nursing, Ann Arbor, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9622-4652","authenticated-orcid":false,"given":"Sean Esteban","family":"McCabe","sequence":"additional","affiliation":[{"name":"Center for the Study of Drugs, Alcohol, Smoking and Health, University of Michigan School of Nursing, Ann Arbor, Michigan, USA"},{"name":"Institute for Research on Women and Gender, University of Michigan, Ann Arbor, Michigan, USA"},{"name":"Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2651-6614","authenticated-orcid":false,"given":"Carol J.","family":"Boyd","sequence":"additional","affiliation":[{"name":"Center for the Study of Drugs, Alcohol, Smoking and Health, University of Michigan School of Nursing, Ann Arbor, Michigan, USA"},{"name":"Institute for Research on Women and Gender, University of Michigan, Ann Arbor, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,10,1]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"Hedegaard H Mini\u00f1o AM Warner M. 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