Warm Handoff
Lorain County, Ohio

This dashboard was last updated on 5/10/2019
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 and Cleveland Clinic, Avon (Richard E. Jacobs Health Center) are active in the project.

Opioid Related Encounters

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 45 minutes.

The figure below shows the number and percentage of patients that were present upon arrival of the peer supporter.

The figures above shows the percentage of patients that were receptive to the peer supporters.

The figure above shows percentage of 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 56 percent of the Warm Handoff encounters.

Where Do Encounters Happen?

Outcomes

Over 62 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.

Non-Opioid Related Encounters

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 is less than 45 minutes.

The figure below shows the number and percentage of patients that were present upon arrival of the peer supporter.

The figures above shows the percentage of patients that were receptive to the peer supporters.

The figure above shows percentage of 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 42 percent of the non-opioid related Warm Handoff encounters.

Where Do These Encounters Happen?

Outcomes

 Over 54 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.

For Any Questions Or Comments Related To This Report

Hamzah Najar, MPH | Project Manager
Alcohol and Drug Addiction Services Board of Lorain County
hnajar@lorainadas.org | 440-282-9920

Christine Robinson, LISW-S | Director of Program Services
Alcohol and Drug Addiction Services Board of Lorain County
crobinson@lorainadas.org | 440-282-9920

Supported By

The data dashboards are supported through the Alcohol and Drug Addiction Services Board of Lorain County via Substance Abuse and Mental Health Services Administration: Award #SP 080284 First Response - Comprehensive Addiction and Recovery Act Cooperation Agreement.

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, 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.