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Substance Abuse Volume 42, 2021 - Issue 4
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Original Research

Substance consumption and intoxication patterns in a medically supervised overdose prevention program for people experiencing homelessness

Gabriel Wishika Institute for Research, Quality, and Policy in Homeless Health Care, Boston Health Care for the Homeless Program, Boston, Massachusetts, USA
, MD, MPH,
Jessie M. Gaetaa Institute for Research, Quality, and Policy in Homeless Health Care, Boston Health Care for the Homeless Program, Boston, Massachusetts, USA;b Section of General Internal Medicine, Boston University School of Medicine, Boston, Massachusetts, USA
, MD,
Melanie W. Racinea Institute for Research, Quality, and Policy in Homeless Health Care, Boston Health Care for the Homeless Program, Boston, Massachusetts, USA
, MPH,
James J. O’Connella Institute for Research, Quality, and Policy in Homeless Health Care, Boston Health Care for the Homeless Program, Boston, Massachusetts, USA;c Division of General Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA;d Harvard Medical School, Boston, Massachusetts, USA
, MD &
Travis P. Baggetta Institute for Research, Quality, and Policy in Homeless Health Care, Boston Health Care for the Homeless Program, Boston, Massachusetts, USA;c Division of General Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA;d Harvard Medical School, Boston, Massachusetts, USACorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0002-7032-2625
, MD, MPHORCID Icon
Pages 851-857 | Published online: 22 Feb 2021

References

  • Scholl L, Seth P, Kariisa M, Wilson N, Baldwin G. Drug and opioid-involved overdose deaths — United States, 2013. Morb Mortal Wkly Rep. 2019;67(2017):1419–1427.
  • Ho JY. The contribution of drug overdose to educational gradients in life expectancy in the United States, 1992–2011. Demography. 2017;54(3):1175–1202.
  • Singh GK, Kogan MD, Slifkin RT. Widening disparities in infant mortality and life expectancy between Appalachia and the rest of the United States, 1990–2013. Health Aff. 2017;36(8):1423–1432.
  • Calcaterra SL, Severtson SG, Bau GE, et al. Trends in intentional abuse or misuse of benzodiazepines and opioid analgesics and the associated mortality reported to poison centers across the United States from 2000 to 2014. Clin Toxicol. 2018;56(11):1107–1114.
  • Massachusetts Department of Public Health. Data brief: stimulants, health disparities, and the impact of the opioid epidemic on maternal health and high risk populations. Massachusetts Department of Public Health. Public Health Data Warehouse website. https://www.mass.gov/files/documents/2019/03/13/PHD-1.0-Combined-Data-Brief.pdf. Published 2019. Accessed April 24, 2019.
  • Bauer LK, Brody JK, León C, Baggett TP. Characteristics of homeless adults who died of drug overdose: a retrospective record review. J Health Care Poor Underserved. 2016;27(2):846–859.
  • Walton GR, Hayashi K, Bach P, et al. The impact of benzodiazepine use on mortality among polysubstance users in Vancouver, Canada. Public Health Rep. 2016;131(3):491–499.
  • Barocas JA, Wang J, Marshall BDL, et al. Sociodemographic factors and social determinants associated with toxicology confirmed polysubstance opioid-related deaths. Drug Alcohol Depend. 2019;200:59–63.
  • Baggett TP, Hwang SW, O'Connell JJ, et al. Mortality among homeless adults in Boston: shifts in causes of death over a 15-year period. JAMA Intern Med. 2013;173(3):189–195.
  • Gaeta J, Bock B, Takach M. Providing a safe space and medical monitoring to prevent overdose deaths. Health Affairs Blog. Innovations in Care Delivery website. https://doi.org/10.1377/hblog20160831.056280. Published 2016. Accessed April 24, 2019.
  • Nisbet AT, Mooney-Cotter F. Comparison of selected sedation scales for reporting opioid-induced sedation assessment. Pain Manag Nurs. 2009;10(3):154–164.
  • Potier C, Laprévote V, Dubois-Arber F, Cottencin O, Rolland B. Supervised Injection Services: what has been demonstrated? A systematic literature review. Drug Alcohol Depend. 2014;145:48–68.
  • Rhee TG, Ross JS, Rosenheck RA, Grau LE, Fiellin DA, Becker WC. Accidental drug overdose deaths in Connecticut, 2012–2018: The rise of polysubstance detection? Drug Alcohol Depend. 2019;205:10671.
  • Schneider KE, Park JN, Allen ST, Weir BW, Sherman SG. Patterns of polysubstance use and overdose among people who inject drugs in Baltimore, Maryland: a latent class analysis. Drug Alcohol Depend. 2019;201:71–77.
  • Palamar JJ, Le A, Mateu-Gelabert P. Not just heroin: Extensive polysubstance use among US high school seniors who currently use heroin. Drug Alcohol Depend. 2018;188:377–384.
  • Slavova S, Miller A, Bunn TL, et al. Prevalence of gabapentin in drug overdose postmortem toxicology testing results. Drug Alcohol Depend. 2018;186:80–85.
  • Evoy KE, Morrison MD, Saklad SR. Abuse and misuse of pregabalin and gabapentin. Drugs. 2017;77(4):403–426.
  • Höjer J, Tellerup M. Promethazine – an old pharmaceutical that has got a renaissance. An avalanche-like increase in the number of overdose cases in Sweden. Lakartidningen. 2018;115:E9EZ.
  • Isbister GK, Heppell SP, Page CB, Ryan NM. Adult Clonidine Overdose: Prolonged bradycardia and central nervous system depression, but not severe toxicity. Clin Toxicol. 2017;55(3):187–192.
  • Weaver J. When can a normal dose be an overdose? Who is at risk? Anesth Prog. 2014;61(2):45–46.
  • Schroeck JL, Ford J, Conway EL, et al. Review of safety and efficacy of sleep medicines in older adults. Clin Ther. 2016;38 (11):2340–2372.
  • Jessell L, Mateu-Gelabert P, Guarino H, et al. Sexual violence in the context of drug use among young adult opioid users in New York City. J Interpers Violence. 2017;32(19):2929–2954.

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