Academic Journal
Implementation and Outcomes of 9 Deflection Teams in Ohio.
| Τίτλος: | Implementation and Outcomes of 9 Deflection Teams in Ohio. |
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| Συγγραφείς: | Bledsoe BN; Author Affiliations: School of Criminal Justice, University of Cincinnati, Cincinnati, Ohio (Drs Manchak, Haberman, O'Guinn, Ms Light, and Mr Bledsoe); and Center for Health and Human Services Research, Talbert House, Cincinnati, Ohio (Drs Sperber, Vissman, and Chen)., Light S, Manchak SM, O'Guinn BJ, Haberman CP, Sperber KG, Vissman AT, Chen FX |
| Πηγή: | Journal of public health management and practice : JPHMP [J Public Health Manag Pract] 2026 Sep-Oct 01; Vol. 32 (5), pp. 731-738. Date of Electronic Publication: 2026 Jun 29. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9505213 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-5022 (Electronic) Linking ISSN: 10784659 NLM ISO Abbreviation: J Public Health Manag Pract Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: Frederick, MD : Aspen Publishers, c1995- |
| Ιατρικοί όροι (MeSH): | Substance-Related Disorders*/therapy , Substance-Related Disorders*/epidemiology, Ohio/epidemiology ; Drug Overdose/prevention & control ; Program Evaluation/methods ; Opioid-Related Disorders/epidemiology ; Humans |
| Περίληψη: | Context: Ohio has been severely affected by the opioid epidemic for more than a decade, leading to the development of diversion and deflection programs that seek to intervene with individuals experiencing substance use disorder in the community. Program: The Comprehensive Opioid, Stimulant, and Substance Use Program provided funding to develop or enhance 9 first responder-led diversion/deflection efforts across the state of Ohio and examine their operations and impact on client outcomes from 2021 to 2024. Implementation: Although heterogeneously implemented, each of the 9 funded deflection teams engaged in overdose response or proactive outreach, targeting people with substance use disorder to connect them to community-based treatment resources, overdose prevention materials, and other supports based on the needs of the individual. Evaluation: Demographics for referrals across the sites, number of referrals/unique individuals recorded per team, deflection team activities (ie, contact attempts, successful contact rates, overdose prevention material distribution), and clients' proximal outcomes of connection to treatment are reported. In addition, successful rates of contact and connection to treatment were examined across demographic groups. Less than 25% of all teams had any significant differences in rates of contact or connections to treatment between demographic groups. Nearly 80% of the teams showed significant differences in mean number of contact attempts between successful and nonsuccessful contacts. Discussion: This multisite evaluation contributes to a small but growing body of research on deflection programs. It emphasizes 2 proximal outcomes that are directly tied to team activities. It also builds on past research by examining how client demographics and team activities (ie, contact attempts) may influence client outcomes. (Copyright © 2026 Wolters Kluwer Health, LLC. All rights reserved.) |
| Competing Interests: | The authors declare no conflicts of interest. |
| References: | Centers for Disease Control and Prevention. Drug Overdose Mortality by State. https://www.cdc.gov/nchs/pressroom/sosmap/drug_poisoning_mortality/drug_poisoning.htm . Accessed July 17, 2024. Ohio Department of Health. 2022 Ohio Unintentional Drug Overdose Report. Published December 2023. https://odh.ohio.gov/wps/wcm/connect/gov/dea64cca-767c-4495-a75c-61b6f9d0f8fa/2022+Unintentional+Drug+Overdose+Annual+Report.pdf?MOD=AJPERES&CONVERT_TO=url&CACHEID=ROOTWORKSPACE.Z18_M1HGGIK0N0JO00QO9DDDDM3000-dea64cca-767c-4495-a75c-61b6f9d0f8fa-oNOoofn . Accessed July 17, 2024. Interact for Health. Substance use in Ohio and Kentucky. Published January 2020. https://interactforhealth.org/news/263/substance-use-in-ohio-and-kentucky/ . Accessed February 27, 2026. Nguyen T, Buxton JA. Pathways between COVID-19 public health responses and increasing overdose risks: a rapid review and conceptual framework. Int J Drug Policy. 2021;93:103236. doi: 10.1016/j.drugpo.2021.103236. (PMID: 10.1016/j.drugpo.2021.103236) Police, Treatment, and Community Collaborative. Who is PTACC?. Published 2023. https://ptaccollaborative.org/wp-content/uploads/2022/08/BJA_CHJ-First_Responder_Deflection_Infographic-2021.pdf#:∼:text=IN%20RESPONSE%20TO%20THE%20OPIOID%20CRISIS%20Deflection,responder%20agencies%20and%20their%20use%20of%20deflection . Accessed March 3, 2026. Ross J, Taylor B. Designed to do good: key findings on the development and operation of first responder deflection programs. J Public Health Manag Pract. 2022;28(suppl 6):S295-S301. doi: 10.1097/PHH.0000000000001578. (PMID: 10.1097/PHH.0000000000001578) Firesheets K, Juarez S, Kopak A, Ross J, Sperber K, Reichert J. Naloxone plus, plus some: examining Ohio’s quick response teams through the lens of deflection. J Public Health Manag Pract. 2022;28(suppl 6):S330-S338. doi: 10.1097/PHH.0000000000001570. (PMID: 10.1097/PHH.0000000000001570) Dennis M, Scott CK. Managing addiction as a chronic condition. Addict Sci Clin Pract. 2007;4(1):45-55. doi: 10.1151/ascp074145. (PMID: 10.1151/ascp074145) Diriba K, Whitlock E. Deflection to harm reduction: public health and public safety collaborative responses to the overdose epidemic in the United States. J Public Health Manag Pract. 2022;28(3):321-323. doi: 10.1097/PHH.0000000000001531. (PMID: 10.1097/PHH.0000000000001531) Chatterjee A, Baker T, Rudorf M, et al. Mobile treatment for opioid use disorder: implementation of community-based, same-day medication access interventions. J Subst Use Addict Treat. 2024;159(1):209272. doi: 10.1016/j.josat.2023.209272. (PMID: 10.1016/j.josat.2023.209272) Northeast Ohio Medical University. Deflection Data Collection and Definitions Guide. Published 2025. https://www.neomed.edu/wp-content/uploads/Deflection-Data-Collection-and-Definitions-Guide.pdf . Accessed March 17, 2026. Wood CA, Duello A, Horn P, et al. Overdose response training and naloxone distribution among rural first responders. J Rural Ment Health. 2021;45(3):207-218. doi: 10.1037/rmh0000166. (PMID: 10.1037/rmh0000166) Office of National Drug Control Policy. National Drug Control Strategy. Published February 2020. https://legislativeanalysis.org/wp-content/uploads/2020/02/2020-ONDCP-National-Drug-Control-Strategy.pdf . Accessed December 8, 2025. |
| Grant Information: | 2020-AR-BX-0041 Bureau of Justice Assistance |
| Contributed Indexing: | Keywords: deflection; diversion; quick response teams; substance use |
| Entry Date(s): | Date Created: 20260630 Date Completed: 20260721 Latest Revision: 20260907 |
| Update Code: | 20260907 |
| DOI: | 10.1097/PHH.0000000000002405 |
| PMID: | 42377931 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1550-5022 |
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| DOI: | 10.1097/PHH.0000000000002405 |