约翰霍普金斯同行康复专家帮助阿片类药物过量幸存者

阿片类药物过量的幸存者在过量服用后的一年内死亡的风险很高. Patrice Brown is there to keep them alive.

Photo by Keith Weller

Published in Community Health - Community Health Stories and Dome - Dome January/February 2020

上图:同伴康复专家帕特里斯·布朗(Patrice Brown)支持社区中的患者,这是马里兰州吸毒过量幸存者外展计划的一部分.

Update to Readers:

帕特里斯·布朗现在是一名同伴康复教练,也是约翰·霍普金斯综合物质使用障碍咨询服务的一员. This service is composed of addiction psychiatrists, medical addiction specialists, clinical pharmacy specialists with specialization in pain, advanced practice providers and peer recovery coaches. 他们作为一个单位与人们接触,帮助他们接受药物使用治疗. The service started in July 2020. Between July 1, 2020, and Feb. 2023年6月26日,该团队首次接触了6242名有药物使用问题的患者.

“The work you do here is forming a model for the nation,” said Rahul Gupta, director of the White House Office of National Drug Control Policy, during a recent visit to The Johns Hopkins Hospital.

After Calvin Cummings overdosed on heroin in May 2019, 他通过急诊科被送往约翰霍普金斯医院. There he was referred to Patrice Brown, 谁支持社区中的患者作为马里兰州过量幸存者外展计划的组成部分. 布朗帮助最近吸毒过量的幸存者根据他们的需要找到支持性治疗服务. 在整个治疗过程中,她一直是他们的联络点.

“我非常感谢帕特里斯那天来到我的床边,”卡明斯说. “She gave me strength.”

Drug overdose is the leading cause of death for Americans under 50, according to the National Safety Council. 药物过量致死人数现已超过枪支、车祸、凶杀或艾滋病毒/艾滋病致死人数. According to a JAMA Psychiatry 研究表明,阿片类药物过量的幸存者在过量服用后的一年内死亡的风险增加.

Brown is part of Johns Hopkins’ inpatient substance abuse team, 由护理协调和临床资源管理部门监管. She, 谁庆祝自己从可卡因成瘾中康复了20年, 她每天都在急诊科登记,与新推荐十大正规网赌平台见面,并在他们出院后前往治疗中心和家中看望他们. 在最初的90天里,她每周至少拜访他们三次. 她还找时间与卫生部门协商,以确保她的康复资源清单尽可能健全.

当卡明斯从ED被释放出来时,他最初选择“找到自己的路”.” He realized he needed help. He called Brown, 他一直住在一辆卡车里,是谁在东巴尔的摩的一个街角把他接走,然后把他送到一个提供住房和每天小组讨论的强化门诊治疗项目, one-on-one counseling and medication-assisted treatment support.

“Patrice made sure there was a bed for me when I got there. 她确保当我到那里时,无论迟到与否,他们都不会把我拒之门外,”卡明斯说. “帕特里斯会来报到,确保我有办法参加(匿名戒毒会)的会议. 我听她讲述她如何克服挑战的故事,她激励我做得更好. 帕特里斯向我保证我们只需要担心今天,她让我保持乐观.”

卡明斯现在已经成功康复,住在支持性住房里.

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Providing Vital Support during Early Recovery

布朗于2019年3月受聘,迄今已治疗了近100名患者. She says she has as many as 17 active cases at one time, mostly receiving treatment outside the hospital. 因为身体戒毒后,对海洛因的渴望可能会在几个月内周期性地复发, 建议进行至少三个月的每日治疗随访,为患者无药生活做好准备. 布朗说,在这个脆弱的时期获得支持是大多数复苏成功故事的关键因素.

“From my own journey, I know recovery is possible,” she says. “这与物质关系不大,更多的是与其他问题有关,这些问题导致人们退缩,逃避现实生活。.”

Brown says it’s important to really listen to her patients. 她总是让他们告诉她他们的生活,这样她就能更好地了解他们的需求.

“对于他们的帮助应该是什么样的,他们有自己的想法和想法,”布朗说. “也许他们不喜欢一个特定的恢复计划的结构, 所以我知道我需要给他们找一些更符合他们需求的东西. 他们变得更有力量,并开始相信自己确实有价值.”

Lafaun Davis, 是谁在2019年4月吸毒过量后在急诊室见到了布朗, says her assistance is helping him to stay clean. 从急诊室出来后,布朗帮助他参加了一个为期10天的排毒计划. Then, when he relapsed in November 2019, 她帮助戴维斯在黑格斯敦接受了为期28天的住院治疗.

“She was professional and empathetic to my situation,” Davis says. “You could tell she wanted to help in any way that she could.”

Davis now calls Brown at least three times a week to check in. He says she picks up the phone every time.

“我知道她关心我,希望我过得最好,”他说. “她告诉我,我是一个人,我有价值,生活是值得过的.”

戴维斯最近接受了约翰霍普金斯医院推荐十大正规网赌平台运输部门的职位.

For more information about substance abuse resources, visit benhillfarms.com/substance_abuse_center/treatment/quick_phone_list.html.

欲了解更多关于过量幸存者外展计划的信息,请访问 bha.health.maryland.gov/OVERDOSE_PREVENTION/Pages/OSOP.aspx.

Finding Joy

Using lessons from their own experiences, 约翰霍普金斯湾景医疗中心的同伴康复教练为接受药物使用障碍治疗的患者提供鼓励.

Joy Haywood

Treating Addiction Without Judgment in East Baltimore

《推荐十大正规网赌平台》标志着为物质使用障碍患者提供了25年的一流初级保健. 创始人Michael Fingerhood是东巴尔的摩对抗毒瘾的领导者.

Dr. Michael Fingerhood