DHCS 宣布阿片藥物使用障礙治療獎
三月 25, 2025
獎金將用於支持Stanislaus縣和文Ventura縣的當地緊急醫療服務機構。
SACRAMENTO — The Department of Health Care Services (DHCS) awarded $800,000 to two Local Emergency Medical Service Agencies to foster low-barrier access to clinically proven opioid use disorder (OUD) treatment for patients in an emergency medical services (EMS) setting who are at risk of overdose and often do not have access to services in other settings.
“This is an innovative and lifesaving approach to address the opioid crisis. By equipping emergency medical service providers to render treatment in the field, we are meeting patients where they are and connecting them with ongoing care. This program has the potential to reduce opioid-related deaths and improve long-term health outcomes for some of California’s most vulnerable people,” said DHCS Director Michelle Baass.
The grants—awarded through the Emergency Medical Services Buprenorphine Use Pilot Program (EMSBUP) to the Stanislaus County EMS Agency and Ventura County EMS Agency—will enable these two agencies to address substance use disorder as a treatable emergency condition, utilizing paramedics to identify and treat patients who would benefit from medications for addiction treatment (MAT). MAT is the use of medications in combination with counseling and behavioral therapies, which is effective in treating OUDs and helping some people sustain recovery.
WHY THIS IS IMPORTANT: The EMSBUP has pioneered a cutting-edge approach for delivering MAT through EMS. The population served by EMS has a high risk of death from overdose. In a study of 12,000 patients who received naloxone from EMS, 10 percent died within the following year. Another study found that one-third of all patients who died from unintentional overdose had contact with EMS in the year preceding their death. With an estimated 26,000 911 calls for overdose in California, EMS is a critical and underutilized intervention point for expanding access to MAT, delivering harm reduction, and connecting patients with care.
GRANT AWARDS: This program will assist EMS providers in coordinating with navigators to provide linkages to care options for EMS patients with an OUD and provide a system for patients who sign out against medical advice to have access to outpatient treatment options. The project will run from April 1, 2025, through March 31, 2027. It will also collect de-identified data for research and monthly performance metrics to evaluate the effectiveness of this treatment model.
Additionally, resources will be provided to Local Emergency Medicine Service Agencies to support the initiation and sustainability of this treatment model, which includes a naloxone distribution program, EMS-initiated first dose of buprenorphine, and substance use navigation.
GRANTS MAKING A DIFFERENCE: Through State Opioid Response (SOR) grant funding, EMSBUP builds upon an initial SOR-funded project in Contra Costa County in 2020 in which 260 paramedics were trained to identify and treat OUD from an ambulance, more than 2,000 patients were screened for OUD, 120 received buprenorphine in the field, and 55 were connected to ongoing MAT. The results of this work encouraged other counties to adopt the model. To date, this model has been extended to 11 LEMSAs covering 13 counties to train 1,300 paramedics.
「透過急救醫療服務 (EMS) 為高風險族群提供丁丙諾啡,使他們能夠在關鍵且理想的時間獲得丁丙諾啡——在過量用藥後,患者處於戒斷狀態,可能更傾向於接受治療。由急救人員提供的丁丙諾啡治療可以將治療送到患者身邊,而不是讓患者自行尋求治療,這有可能減少致命的過量用藥,降低犯罪率,挽救生命。有了合適的團隊,患者可以在現場開始使用丁丙諾啡,聯繫到緊急服務,並在幾個小時內開始感覺好轉。「從急診室出院後,患者將繼續透過藥物輔助治療Program接受丁丙諾啡治療,」 Contra Costa地區醫療中心和選擇改變診所的公共衛生護理師Program經理、註冊護理師、公共衛生護理師、護理學士菲比·布拉沙克·奧利維拉說。
宏觀視角: 2023年,紐森州長啟動了應對芬太尼和阿片類藥物危機總體規劃,該規劃提供了一個全面的框架來應對阿片類藥物和芬太尼危機,其中包括採取積極措施支持過量用藥預防工作、追究阿片類藥物製藥行業的責任、打擊毒品販運以及提高公眾對包括毒品太
在內的危害
EMSBUP 由藥物濫用和精神健康服務管理局資助,是DHCS為解決藥物濫用障礙而開展的更廣泛努力的一部分,這些努力統稱為California DHCS阿片類藥物應對計劃,旨在通過提供預防、治療和康復活動,增加獲得藥物輔助治療的機會,減少未滿足的治療需求,並減少與阿片類藥物過量相關的死亡。 California DHCS阿片類藥物應對措施重點關注藥物輔助治療 (MAT) 機會有限的人群,包括青少年、農村地區的人們以及美國印第安人和Alaska原住民部落社區。 欲了解更多信息,請訪問DHCS網站。
DHCS also created the Naloxone Distribution Project (NDP) to combat opioid overdose-related deaths throughout California. The NDP aims to reduce opioid overdose deaths through the provision of free naloxone. For more information about the state’s opioid response, visit opioids.ca.gov.
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通訊辦公室
(916) 440-7660
DHCSPress@dhcs.ca.gov