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35th AM (2025) - Poster Session
Evaluating the Western Region Engaging Patients in ...
Evaluating the Western Region Engaging Patients in Care Coordination (EPICC) Program
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Pdf Summary
The Western Region Engaging Patients in Care Coordination (EPICC) program, established by the Missouri Hospital Association, aims to connect opioid overdose survivors to substance use treatment by deploying Peer Recovery Coaches (PRCs) in emergency departments (EDs) across four hospitals. This peer-led recovery support initiative follows a risk-reduction and recovery-oriented care model that facilitates immediate linkage to recovery services through onsite PRC engagement. The program evaluation combined qualitative and quantitative methods, including interviews with 34 participants: program leaders, ED staff, PRCs, and clients.<br /><br />Key findings highlighted both facilitators and barriers to program implementation, encompassing structural challenges such as regulatory issues and attitudinal factors within healthcare settings. Data showed that nearly half of referrals (49.5%) originated from hospitals, with the remaining from other sources, and the client demographic was predominantly male (53.7%) and White (80.8%), with representation from Black (13.2%) and other racial groups.<br /><br />Interview responses revealed important psychosocial needs among EPICC patients and underscored facilitators for medications for opioid use disorder (MOUD), though specific themes from these interviews were detailed in the program exhibits. The evaluation yielded actionable refinement suggestions to improve reach and program effectiveness among opioid overdose survivors. Overall, the EPICC program demonstrates potential for enhancing care coordination and treatment engagement by leveraging peer recovery support within emergency settings.<br /><br />The study authors included experts from addiction psychiatry, healthcare innovation, sociology, and cardiovascular outcomes research affiliated with institutions such as the American Academy of Addiction Psychiatry and the University of Missouri–Kansas City. This evaluation provides valuable insights into optimizing peer-led interventions to better support substance use recovery in clinical settings.
Keywords
EPICC program
opioid overdose survivors
Peer Recovery Coaches
emergency departments
substance use treatment
care coordination
medications for opioid use disorder
program evaluation
Missouri Hospital Association
peer-led recovery support
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