Spotlight
Post-overdose response teams (PORTs), also sometimes referred to as quick response or post-overdose outreach programs, offer services and targeted outreach to individuals who have recently experienced an overdose. Typically, PORTs respond within 24-72 hours of the overdose and are comprised of health professionals such as harm reduction and peer recovery specialists, healthcare and Emergency Medical Services (EMS) professionals, and outreach staff. PORTs can be run by county agencies or community-based organizations, but always focus on overdose prevention and harm reduction. PORTS often provide overdose prevention services such as fentanyl test strips and naloxone, training, and assistance in directing individuals to treatment and/or social services as needed.
Using funding from the North Carolina opioid settlements, the North Carolina Department of Health and Human Services created a short overview of PORTs as well as a detailed toolkit, which outlines how to create a PORT program, including what to think about and who to engage during the process. Importantly, PORTs create connections between system and community partners and active drug users in the community, which allows for more tailored supportive services based on needs seen through PORT programs.
In 2017, North Carolina’s Guilford County, through the Guilford County Solution to the Opioid Problem (GCSTOP), created a PORT (p.20). When responding to overdoses, EMS asks if the individual would like to have a peer with lived experience help them find care, treatment and/or harm reduction services. For those who decline, EMS provides naloxone and information regarding community resources. If the individual who overdosed wanted help but cannot be contacted after several phone attempts, a peer support staff from GCSTOP and an off-duty sheriff respond in person—the peer support specialist takes the lead to build trust, while the deputy remains in their vehicle to minimize feelings of anxiety or fear related to the deputy’s presence.
Key Takeaway: PORTs can be a life-saving intervention for some individuals. Explore whether your state has any PORTs or consider funding one (or multiple) through Byrne JAG and/or Byrne SCIP funds!
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