{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:47:47Z","timestamp":1787014067510,"version":"build-2736575974"},"reference-count":56,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T00:00:00Z","timestamp":1724803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Emergency medical services (EMS) systems are piloting interventions to respond to overdoses with additional services such as leave\u2010behind 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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. This study used semi\u2010structured interviews to gather data from 13 PWUD in King County, Washington in June 2022. Data were analysed using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The people interviewed for this study viewed EMS distribution of leave\u2010behind naloxone and field\u2010based buprenorphine favourably. They viewed EMS facilitation of hepatitis C virus and HIV testing in the field less favourably and were concerned about stigmas associated with those results. Additional themes emerged regarding: the need for different approaches to post\u2010overdose care; the need for new services, including post\u2010overdose trauma counselling and an alternative destination to the emergency department; and the harms of law enforcement presence at overdose responses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusions<\/jats:title>\n                    <jats:p>This study found strong support for leave\u2010behind naloxone and field\u2010initiated buprenorphine. Further training for EMS should include trauma\u2010informed care and strategies to address burnout and increase compassion. Alternatives to the emergency department as a post\u2010overdose destination are needed. These strategies should be considered by jurisdictions revising overdose response protocols.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dar.13926","type":"journal-article","created":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T01:44:40Z","timestamp":1724895880000},"page":"1865-1879","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["\u201cYou might be nice, but where you take me, they're not gonna be\u201d: Preferences for field\u2010based post\u2010overdose interventions"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0486-6525","authenticated-orcid":false,"given":"Jenna","family":"van Draanen","sequence":"first","affiliation":[{"name":"Department of Child, Family, and Population Health Nursing University of Washington  Seattle USA"},{"name":"Department of Health Systems and Population Health University of Washington  Seattle USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Addy","family":"Adwell","sequence":"additional","affiliation":[{"name":"Department of Child, Family, and Population Health Nursing University of Washington  Seattle USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courteney","family":"Wettemann","sequence":"additional","affiliation":[{"name":"Department of Child, Family, and Population Health Nursing University of Washington  Seattle USA"},{"name":"Research with Expert Advisors on Drug Use  Seattle USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Callan Elswick","family":"Fockele","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Washington  Seattle USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda","family":"Goh","sequence":"additional","affiliation":[{"name":"Department of Health Systems and Population Health University of Washington  Seattle USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5061-6209","authenticated-orcid":false,"given":"David L.","family":"Perlmutter","sequence":"additional","affiliation":[{"name":"Department of Health Systems and Population Health University of Washington  Seattle USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grover \u201cWill\u201d","family":"Williams","sequence":"additional","affiliation":[{"name":"Research with Expert Advisors on Drug Use  Seattle USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Holland","sequence":"additional","affiliation":[{"name":"Research with Expert Advisors on Drug Use  Seattle USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tessa","family":"Frohe","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Washington  Seattle USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/10903127.2020.1740363"},{"key":"e_1_2_9_3_1","unstructured":"ContactSA CtvnCJF ArangioS.Northern Ont. 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