The Massachusetts Department of Public Health Post Overdose Support Team Initiative: A Public Health-Centered Co-Response Model for Post-Overdose Outreach
Background: Many post–overdose outreach programs that have emerged in response to surging overdose deaths have been centered in police departments in collaboration with public health providers. These programs conduct home-based outreach with survivors and their social networks following an overdose. This paper describes implementation of the Post Overdose Support Team (POST) initiative, a public health funded and centered approach.
Results: Post Overdose Support Team is a person-centered model led by harm reductionists in health and human services agencies in collaboration with municipal first responders. Nine agencies participating in the state’s overdose education and naloxone distribution network implemented POST programs, covering 28 municipalities. Services included naloxone rescue kits, overdose response and risk reduction planning, referral to treatment for substance use disorders, including medication for opioid use disorder, and referral to recovery and family supports.
From October 2017 to October 2021, the POST teams attempted to reach 5634 overdose survivors via 10 536 outreach visits. Teams successfully engaged 3014 survivors, either directly or through contact with their social network (53.5% success rate).
Summary: Early evidence suggests that public health funded and centered outreach programs can engage overdose survivors. Future evaluations should examine long-term outcomes among participants, including service linkages and behavior change.