Quick Response Teams
Lorain County, Ohio

This data dashboard was updated 9/30/2020.
This data dashboard is updated on a monthly basis

History Of Quick 
Response Teams

The Quick Response Team (QRT) started in Colerain Township, Ohio; the QRT Unit (General Response Model) has been operational since July of 2015. The QRT in Colerain Township has nearly 250 "Overdose Follow-up" investigations to date with an 85% rate of follow-ups resulting in access to treatment services for opioid addiction. The QRT responded to more than 1,050 incidents, that include medic and fire incidents over a year period. 

Function And Purpose

The function of the QRT is within a short time (less than a week) a police officer and a clinician (QRT members) will go to the home of an overdose survivor to meet with the person as a "wellness check" - who is a resident of the jurisdiction of the Police Department. The role of the police personnel is to secure for safety and connect with survivor via community policing. The role of the clinician is to provide a screening to engage the overdose survivor to access treatment and recovery support for opioid addiction. 

Quick Response Teams In Lorain County

A Quick Response Team is made up of personnel from local Police Department and a state-certified clinician from a local treatment provider. The clinicians are contracted through the Mental Health, Addiction & Recovery Services (MHARS) Board of Lorain County from one of two state-certified treatment agencies: The LCADA Way and Firelands Counseling and Recovery Services - clinicians join a QRT. 

Currently, the following are in place: active QRTs in Avon, Avon Lake, Elyria, Lorain, and Lorain County Sheriff Office (LCSO) (LCSO's jurisdiction includes Lorain County's townships). 

The Mental Health, Addiction & Recovery Services Board of Lorain County facilitates QRT's team meetings and provides support to teams. Police Chiefs in Lorain County agreed to also engage family members for basic needs and family supports for their loved one's addiction within their QRT. Clinical team members wear a "quick response" team shirt and some police departments also have these shirts; other departments have their personnel wear their uniform. Each QRT receives a Community Resource Packet to share with residents (including overdose survivors and family members) inclusive of treatment and recovery services, family support, food pantries, veteran services and basic needs. The role of the clinician is to complete a screening and post response tool for the overdose survivor, obtain release of information and facilitate follow-up services within 30 days of the QRT encounter to engage the survivor into treatment and recovery supports. Funding support is via MHARS (21st Century Cures and First Response Grant - Substance Abuse and Mental Health Services Administration). MHARS will also design community engagement strategies for overdose prevention and accessing treatment and recovery supports in QRT areas. 

Use the filter below to see the QRT attempt rate and who participated in QRTs' by year. 

The figure above shows the total number of QRT outreach attempted from January 2018, to date. The attempts are also separated by Corona-virus cases (Yes/No). If Corona-virus case was marked as "Yes", this means the QRT visit was done/attempted over the phone. An attempt would count if it was known that this is the correct phone number for the survivor. 

The figure above shows the number of outreach attempts excluded from the total count to date due to unforeseen barriers; barriers include: legal issues (ex. active warrants and incarcerated), non-resident (overdose survivor not a resident in QRT jurisdiction and non-county resident), unable to locate (ex. false address or homeless), overdose survivor deceased, suspected overdose due to unrelated issue (ex. residential gas leak), and unable to contact due to hospitalization. The figure below shows the type of barrier for all cases that occurred with a barrier during the corona-virus pandemic. Most barrier types were due to not being able to connect via phone since no in-person visits occurred. 

Who Participated In QRT Outreaches? 

The figure above shows the percentage of QRT outreach attempts, in which contact was made with the survivor and/or family member(s).

The figures above shows the percentage of overdose survivors and/or family member(s) that were present at the time of outreach.

Demographic Breakdown

The figures below shows the demographic breakdown of overdose survivors, in which contact was made during a QRT outreach. Use the filter below to filter the demographic breakdown, naloxone distribution and outcome data by year. 

Naloxone Distribution

The figures below detail Naloxone distribution during QRT outreach visits when contact is made to the overdose survivor and/or the survivor's family member(s).

The figure above shows the number of survivors that were trained on administering Naloxone and received a Project DAWN Naloxone kit.

The figure above shows the number of family member(s) that were trained on administering Naloxone and received a Project DAWN Naloxone kit.

The figure above shows the number of Project DAWN Naloxone kits distributed during QRT outreach.

Outcomes

Outcome data includes only QRT outreach, in which contact was made with the overdose survivor and/or survivors' family member(s).

Over 44.2 percent of survivors, in which contact was made during QRT outreach have engaged in or working towards engaging in treatment, recovery support, or other services.

The figure to the left (above) is the percentage of QRT Clients who are working toward OR are engaged in detox/treatment, recovery support or other medical resources, this would be referred to as a POSITIVE outcome. The figure to the right (above) is the percentage of patients who are actively engaged in detox/treatment, recovery supports or other medical resources, the patients who are working towards being actively engaged have been filtered out. 

For Any Questions Or Comments Related To This Report

Sarah Reinhold, MPH | Project Manager
Mental Health, Addiction & Recovery Services Board of Lorain County
sreinhold@lmharslc.org | 440-282-9920

Supported By

The data dashboards and Quick Response Teams are supported through the Mental Health, Addiction & Recovery Services Board of Lorain County via Substance Abuse and Mental Health Services Administration (SAMHSA) : Award #SP 080284 First Response - Comprehensive Addiction and Recovery Act Cooperation Agreement (FR-CARA).

About the Data

'Overdose' on this report refers to unintentional overdose of drug and/or abuse, in which an opioid is involved. The term 'overdose' does not imply death.

Coronavirus case refers to any QRT outreach that was completed during the Covid-19 pandemic and was altered based on not being able to have face to face contact with the survivor of the overdose.  Additionally, barriers versus non-barriers for cases during the corona-virus pandemic are denoted as the following. Barrier=unable to determine if phone number is correct, phone is disconnected, unable to leave voicemail. Non-Barrier=able to leave voicemail/talk to survivor/family directly and/or it is clear that this is the survivors phone number. 

Quick Response Team's (QRT) data are collected through the use of the Lorain County QRT Treatment and Recovery Screening form during an outreach attempt. Data gathered will be used in the evaluation of the QRT program, in order to ensure the program meets requirements and intended goals. In addition, data collected and analyzed will provide information for continuous program improvement.

Data in this report includes limitations: (1) the classification of type of outreach visit  includes initial and reattempt; initial outreach indicates that first QRT outreach attempted to overdose survivor, while reattempt in any QRT outreach attempt to an overdose survivor after the initial or first attempt; (2)the classification of the term treatment includes in/outpatient, medication assisted treatment (MAT), and detox; (3) the classification of the term recovery support includes AA, peer support, sponsors, recovery housing, faith-based programs (church), and 12-step program; (4) duplicate demographic information may occur when an initial outreach and a reattempt outreach visits are targeted at the same individual; (5) QRT outreach visits are currently only attempted to individuals identified in the police report database system (New World), so not all residents can receive a QRT outreach at the moment; (6)  QRTs are limited to attempt an outreach visit to only residents that live in the QRT's jurisdiction (ex. if an individual overdosed in the City of Elyria, but lives in the City of Oberlin Elyria's, the QRT cannot cross jurisdiction to attempt an outreach visit); (7) excluded QRT outreach attempts are categorized as unforeseen barriers that prevents QRT's ability to complete an outreach, these unforeseen barriers include: legal issues (ex. active warrants and incarcerated), non-resident (overdose survivor not a resident in QRT jurisdiction and non-county resident), unable to locate (ex. false address or homeless), overdose survivor deceased, suspected overdose due to unrelated issue (ex. residential gas leak), and unable to contact due to hospitalization; and (8) the Naloxone distribution's classification of the term N/A includes outreach attempts that occurred before the implementation of Naloxone distribution in QRT policies.