Warm Handoff
Lorain County, Ohio
This dashboard contains data through 4/12/2022
This data dashboard is updated on a monthly basis.
History Of The Warm Handoff
The Warm Handoff is modeled after AnchorED in Rhode Island. AnchorED connects individuals who have presented at Rhode Island emergency rooms with an opioid overdose with recovery services delivered by certified peer recovery coaches. Prior to being released, a peer recovery coach from Anchor Recovery Community Center meets with the patient to introduce them to recovery supports and resources that will help keep them on the road to recovery. Recovery coaches play an important role in helping individuals avoid another overdose and encouraging them to stay engaged in treatment.
AnchorED was created by The Providence Center, the Rhode Island Department of Health, the Rhode Island Department of Behavioral Health, Development Disabilities and Hospitals and Anchor Recovery Community Centers in response to Rhode Island's increasing number of opioid overdose deaths (1).
Outreach Includes:
• Linking individuals to treatment and recovery resources
• Providing education on overdose, prevention and on obtaining Naloxone, a drug that reverses the effects of an opioid overdose when administered
• Providing additional resources to individuals and family members
• Contacting the individual after they are released from the ED with a follow-up phone call
• Recovery coaches are on call 24/7 at Kent, Memorial, Women and Infants, Rhode Island, Miriam, Hasbro Children's Hospital, Newport, Hasbro, Landmark, Fatima, Roger Williams, and Westerly hospitals.
Function And Purpose
The Warm Handoff is a project that pairs trained peer recovery supporters from Let’s Get Real, a Recovery Community Organization, with individuals in the emergency room who have been revived from an opioid overdose or are experiencing health issues related to their opioid use. Peer supporters are on call 24 hours a day to meet with patients and connect them with treatment and recovery supports. Currently, Mercy Regional Medical Center, Mercy Allen Hospital, University Hospitals-Elyria and Amherst and Cleveland Clinic, Avon (Richard E. Jacobs Health Center) are active in the project.
Opioid Related Encounters
Use the filter below to filter Opioid related encounters by year (January-December) , FR Cara grant reporting period (October- September)and age-group and hospital.
The figure above shows the number of opioid related Warm Handoff encounters to date by year.
The figure above shows encounters excluded due to unforeseen barriers (ex. incarcerated, court sentencing, or child services issue).
Patients' Response
Average response time for a peer supporter to arrive at the emergency department to opioid-related encounters is 1 hour and 15 minutes.
The figure below shows the number and percentage of opioid patients that were present upon arrival of the peer supporter.
The figures above shows the percentage of opioid patients that were receptive to the peer supporters.
The figure above shows percentage of opioid patients that gave a verbal commitment to take the necessary steps to engage in treatment or recovery support.
Demographics
Individuals in the age group of 25 to 44 years of age represents over 59 percent of the Warm Handoff encounters.
Where Do Encounters Happen?
Outcomes
Over 65 percent of the patients that were involved in an opioid related Warm Handoff encounter are either engaged in or are working towards entering treatment, recovery support, or other supports.
The figure to the left (above) is the percentage of patients 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.
Non-Opioid Related Encounters
Use the filter below to filter Non-Opioid related encounters by year (January-December) , FR Cara grant reporting period (October- September)and age-group and hospital.
The figure above shows the number on non-opioid related Warm Handoff encounters to date by year.
The figure above shows the number of non-opioid related encounters excluded from total encounters due to unforeseen barriers (ex. incarcerated, court sentencing, or child services issue).
Patients' Response
Average response time for a peer supporter to arrive at the emergency department to non-opioid related encounters 1 hour and 30 minutes.
The figure below shows the number and percentage of non-Opioid patients that were present upon arrival of the peer supporter.
The figures above shows the percentage of non-Opioid patients that were receptive to the peer supporters.
The figure above shows percentage of non-Opioid patients that gave a verbal commitment to take the necessary steps to engage in treatment or recovery support.
Demographic Breakdown
Individuals in the age group of 45 to 64 years of age represents over 45 percent of the non-opioid related Warm Handoff encounters.
Where Do These Encounters Happen?
Outcomes
Over 62 percent of the patients that were involved in a non-opioid related Warm Handoff encounter are either engaged in or are working towards entering treatment, recovery support, or other supports.
The figure to the left (above) is the percentage of patients 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 | Continuous Quality Improvement Officer
Mental Health, Addiction & Recovery Services Board of Lorain County
sreinhold@lmharslc.org | 440-233-2020
Supported By
The data dashboards and Warm Hand-Off Program are supported through the Mental Health, Addiction & Recovery Services Board of Lorain County via State Opioid Response (SOR) Grant.
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' dose dose not imply death, but rather overdose survivor or symptoms on opioid withdraw. Data in this report includes limitations; (1) the term "treatment" refers to medicated-assisted treatment (MAT), detox, inpatient and outpatient; (2) the term "recovery support" refers to AA, peer support, faith-based programs (church), recovery housing, sponsor, and 12-step programs; (3) the classification "connected to other support" refers to behavioral/mental health services: (4) the classification of "working towards" refers to a patient currently engaged with LGR and taking steps towards entering into treatment and/or engaging with recovery support; (5) response time of peer supporters to the emergency department are rounded to the nearest quarter of an hour; also patients admitted to the behavioral unit are excluded due to uncertainty when peer supporter can engage with patients; and (6) unforeseen barriers are excluded due to being issues that prevents the ability of peer supporters to complete a Warm Handoff encounter, which includes arrest, court sentencing, or child services issue.
The Fiscal Year filter will examine the report from July 1-June 30 of the following year. For example, for fiscal year 2020, it will filter the report from July 1, 2019 to June 30, 2020.