Abstract
BackgroundSubstance use disorders (SUD) have steadily increased over the last two decades. Seeking SUD treatment involves searching SUD treatment facility types (inpatient, outpatient and intensive outpatient, residential and family residential, and detoxification facilities) that offer specialized SUD treatment depending on individual needs and preferences. Referrals to SUD treatment require innovative strategies that rapidly link individuals to SUD treatment when they are at the critical stage of readiness. The aim of this study was to develop, implement, and evaluate a user-friendly SUD treatment facility opening availability website called FindHelpNowKY.org. The objectives of the study were to 1) recruit SUD treatment facility and partner participation; 2) develop platform, content, and analytics for the FindHelpNowKY.org website intervention with an information repository; 3) assess barriers and facilitators to implementation; and 4) evaluate the development and implementation of FindHelpNowKY.org.MethodsWebsite development stakeholders were identified and the website concept was developed. The logic model for FindHelpNowKY.org outlined resources, activities, and outputs as well as the associated short-term, medium-term, and long-term objectives, along with a website evaluation plan. Website usability and focus group testing was conducted. Information repository resource documents were compiled and categorized. An inventory of Kentucky-based SUD treatment facilities was compiled using various state and federal resources.ResultsDevelopment/implementation barriers were addressed, facilitators were identified, and the website was implemented; 83% of SUD treatment facilities were indexed on the website, and average website user time was 7 min. From February to October 2018, there were 29,000 visitors, and 30,000 unique searches. The most common website query was a friend or family member seeking long-term residential or outpatient treatment facilities accepting Medicaid or Medicare.ConclusionsFindHelpNowKY.org has the potential to fill a critical need for timely access to available SUD treatment in the state. The website may be a valuable resource for health professionals that can enhance clinical workflow and reduce staff time conducting phone and website searches for available SUD treatment. The website is a promising tool for assessing current SUD treatment capacity vs. SUD treatment need. The FindHelpNow model can be used by other states to increase timely access to SUD treatment.
Highlights
Program staff members were uncertain of the appropriate persuasive technique that would resonate well with substance use disorders (SUD) treatment facilities to obtain consent for participation in the website and at times had difficulty identifying the appropriate individual within the provider network with the authority to agree to participate in FindHelpNowKY.org
There was a lack of an onboarding strategy for SUD treatment facility information to be published on the FindHelpNowKY.org website
The Ky ODCP wrote a letter to Alcohol and Other Drug Entity (AODE)/ Behavioral Health Service Organization (BSHO) licensed treatment facilities throughout the state, including all 14 region community mental health centers and to all medication- assisted treatment (MAT) data waivered physicians (8 h of MAT training is required to apply for a Drug Enforcement Agency waiver in order for physicians to prescribe buprenorphine)
Summary
Introduction of website toSUD treatment facilities by ODCP at Kentucky School of Alcohol and Other Drug Studies- Use of REDCap and adapted SAMHSA SUD treatment facility application to onboard SUD treatment facilities- Strategic recruitment of SUD treatment facilities in conferencesFindHelpNowKY.org Website Development and Implementation Partners- Partner lack of understanding of FindHelpNowKY.org and their role- Partner processes and priorities did not always align with FindHelpNowKY.org- Varying levels of partner website support - Lack of agreement on naming of website- Having a partner(s) as a champion to explain website benefit to other partners- Repetitive justification of website benefit to partnersFindHelpNowKY.org Information Repository- Plethora of information on SUD prevention and treatment - Lack of clear guidance on development of repository information topics and content - Availability of accessible, current, and common reading level appropriate SUD resources. The aim of this study was to develop, implement, and evaluate a userfriendly SUD treatment facility opening availability website called FindHelpNowKY.org. Kentucky had the 6th highest drug overdose fatality rate in the nation in 2016 according to National Center for Health Statistics website statistics, and had the 3rd highest rate of opioid use disorder among females who gave birth at hospital [4]. These staggering international, national, and state morbidity and mortality numbers and rates of individuals with substance use disorders require available substance use disorder treatment
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