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© 2019 Lehigh Valley Health Network LVHN.org How hopeful are you that a patient with Opioid Use Disorder could enter into long-term recovery? How hopeful are you that you could have a positive impact on the Opioid Use Disorder epidemic? ■ Pre-immersion ■ Post-immersion Very Hopeful Hopeful Neutral Somewhat Hopeless Very Hopeful Hopeful Neutral Somewhat Hopeless 21% increase 22% increase Opioid Use Overdose Simulation for Preprofessional Health Care Students Kerri Green, MS, MEd, 1 Joseph Napolitano, PhD, MPH, RN, CRNP, 2 J. Layne Turner, MPA 3 and Joe Martellucci, MS 3 1 Lehigh Valley Health Network, Allentown, PA, 2 The Dorothy Rider Pool Health Care Trust, Allentown, PA, 3 Lehigh County Drug and Alcohol, Allentown, PA Background Recent Lehigh County, Pennsylvania Data Naloxone is used by emergency medical services (EMS) 2.5-3 times per day City of Allentown EMS averages 39 opioid overdose hospital transports per month Opioid Use Disorder (OUD) “warm handoffs” to treatment centers increased 44% Drug related overdose deaths decreased 14% While the drug related overdose death decrease is encouraging, PA continues to have the third-highest rate of drug overdose deaths in the U.S. (CDC). One of the key barriers to addressing the opioid crisis is the lack of access to appropriate treatment due to stigma. As such, Lehigh Valley Health Network (LVHN) designed an educational intervention for future health care providers aimed at avoiding stigmatizing behaviors and promoting hopeful language. Methods LVHN created an opioid overdose simulation as a partnership of a larger Collective Impact Fellowship project funded by The Rider-Pool Foundation. Community partners included law enforcement, Lehigh County Drug & Alcohol Department and a prevention provider. The LVHN Department of Education worked collaboratively with these entities to create, implement and sustain the program. The program exposes high school and college students to the interprofessional health care team that would care for the overdose patient from EMS to the staff of the Emergency Department to the care team handling the “warm handoff” to a treatment center. Students observe, listen and reflect upon the compassionate attitudes, non- stigmatizing behaviors and hopeful communication among members of the health care team, the patient and family. Program Design This immersive education experience includes: • Heroin and Opioid Prevention Education (HOPE) programming provided by The Center for Humanistic Change • LVHN created video (cost $7,500 and funded by The Dorothy Rider Pool Health Care Trust) • Live simulation in a realistic hospital setting utilizing standardized patients and “real” medical professionals • Facilitator’s guide with pre-brief, debrief and simulation scripts • Electronic pre/post testing Results Initial data analysis of 153 pre/post surveys found: • Increased hopefulness that overdose survivors can enter into long-term recovery • Increased sense of future self-efficacy as a positive influence on the OUD epidemic • Changes in messaging from the use of individual recovery appeals to social recovery appeals Special Thanks • The faculty and staff of LVHN’s Department of Education and Interdisciplinary Simulation Center • Paige Roth, Addictions Recovery Specialist and Gillian Beauchamps, MD • Lehigh Career & Technical Institute • The Center for Humanistic Change • Lehigh County Drug and Alcohol • Cetronia Ambulance Corps and South Whitehall Township Police Department • The Dorothy Rider Pool Health Care Trust • The Rider-Pool Foundation References Scholl L, Seth P, Kariisa M, Wilson N, Baldwin G. Drug and Opioid-Involved Overdose Deaths – United States, 2013-2017. Morb Mortal Wkly Rep. ePub: 21 December 2018. Multiple Cause of Death 1999–2017 on CDC Wide-ranging Online Data for Epidemiologic Research (CDC WONDER). Atlanta, GA: CDC, National Center for Health Statistics. 2018. Available at http://wonder.cdc.gov. Scan here to view poster in LVHN Scholarly Works Repository. Conclusions/Next Steps By educating preprofessional health care students about the disease of addiction and the hope for recovery, stigma may be reduced as learners discover how compassion and hopeful language are used in encouraging patients to access treatment. Future work includes expansion of this programming to a larger professional health care community and conducting qualitative research to better determine which aspects of the immersive education impact participants’ hope and hopeful language. Pre-Survey Messages of Hope and Motivation Post-Survey Messages of Hope and Motivation “You will get through this.” “You can make it happen.” “You are in charge.” “You will make it through.” “You have the power.” “You can overcome.” “I can help you.” “We’ll figure this out.” “I will be here for you.” “I believe in you.” “I am here for you.” “I have hope for you.” “I understand this is difficult.”
Transcript of Opioid Use Overdose Simulation for Preprofessional Health ... › wp-content › uploads › ...Scan...
© 2019 Lehigh Valley Health NetworkLVHN.org
How hopeful are you that a patient with Opioid Use Disorder could enter into long-term recovery?
How hopeful are you that you could have a positive impact on the Opioid Use Disorder epidemic?
■Pre-immersion ■Post-immersion
Very Hopeful Hopeful NeutralSomewhat Hopeless
Very Hopeful Hopeful NeutralSomewhat Hopeless
21% increase
22% increase
Opioid Use Overdose Simulation for Preprofessional Health Care StudentsKerri Green, MS, MEd,1 Joseph Napolitano, PhD, MPH, RN, CRNP,2 J. Layne Turner, MPA3 and Joe Martellucci, MS3
1Lehigh Valley Health Network, Allentown, PA, 2The Dorothy Rider Pool Health Care Trust, Allentown, PA, 3Lehigh County Drug and Alcohol, Allentown, PA
Background Recent Lehigh County, Pennsylvania Data
Naloxone is used by emergency medical services (EMS) 2.5-3 times per day
City of Allentown EMS averages 39 opioid overdose hospital transports per month
Opioid Use Disorder (OUD) “warm handoffs” to treatment centers increased 44%
Drug related overdose deaths decreased 14%
While the drug related overdose death decrease is encouraging, PA continues to have the third-highest rate of drug overdose deaths in the U.S. (CDC). One of the key barriers to addressing the opioid crisis is the lack of access to appropriate treatment due to stigma. As such, Lehigh Valley Health Network (LVHN) designed an educational intervention for future health care providers aimed at avoiding stigmatizing behaviors and promoting hopeful language.
MethodsLVHN created an opioid overdose simulation as a partnership of a larger Collective Impact Fellowship project funded by The Rider-Pool Foundation. Community partners included law enforcement, Lehigh County Drug & Alcohol Department and a prevention provider. The LVHN Department of Education worked collaboratively with these entities to create, implement and sustain the program.The program exposes high school and college students to the interprofessional health care team that would care for the overdose patient from EMS to the staff of the Emergency Department to the care team handling the “warm handoff” to a treatment center. Students observe, listen and reflect upon the compassionate attitudes, non-stigmatizing behaviors and hopeful communication among members of the health care team, the patient and family.
Program DesignThis immersive education experience includes:• Heroin and Opioid Prevention Education (HOPE)
programming provided by The Center for Humanistic Change
• LVHN created video (cost $7,500 and funded by The Dorothy Rider Pool Health Care Trust)
• Live simulation in a realistic hospital setting utilizing standardized patients and “real” medical professionals
• Facilitator’s guide with pre-brief, debrief and simulation scripts
• Electronic pre/post testing
ResultsInitial data analysis of 153 pre/post surveys found:• Increased hopefulness that overdose survivors
can enter into long-term recovery• Increased sense of future self-efficacy as a
positive influence on the OUD epidemic• Changes in messaging from the use of individual
recovery appeals to social recovery appeals
Special Thanks• The faculty and staff of LVHN’s Department of Education and
Interdisciplinary Simulation Center• Paige Roth, Addictions Recovery Specialist and Gillian Beauchamps, MD• Lehigh Career & Technical Institute• The Center for Humanistic Change• Lehigh County Drug and Alcohol• Cetronia Ambulance Corps and South Whitehall Township Police
Department• The Dorothy Rider Pool Health Care Trust• The Rider-Pool Foundation
ReferencesScholl L, Seth P, Kariisa M, Wilson N, Baldwin G. Drug and Opioid-Involved Overdose Deaths – United States, 2013-2017. Morb Mortal Wkly Rep. ePub: 21 December 2018.
Multiple Cause of Death 1999–2017 on CDC Wide-ranging Online Data for Epidemiologic Research (CDC WONDER). Atlanta, GA: CDC, National Center for Health Statistics. 2018. Available at http://wonder.cdc.gov.
Scan here to view poster in LVHN Scholarly Works Repository.
Conclusions/Next StepsBy educating preprofessional health care students about the disease of addiction and the hope for recovery, stigma may be reduced as learners discover how compassion and hopeful language are used in encouraging patients to access treatment. Future work includes expansion of this programming to a larger professional health care community and conducting qualitative research to better determine which aspects of the immersive education impact participants’ hope and hopeful language.
Pre-Survey Messages of Hope and Motivation
Post-Survey Messages of Hope and Motivation
“You will get through this.” “You can make it happen.”
“You are in charge.” “You will make it through.”
“You have the power.” “You can overcome.”
“I can help you.” “We’ll figure this out.” “I will be here for you.”
“I believe in you.” “I am here for you.” “I have hope for you.”
“I understand this is difficult.”
