Rural Expanded Access to OUD Care & Linkage Using Toxicologists for Telehealth Initiated Treatment

Recruiting now · Not applicable

Conditions studied: Opioid Use, Opioid Abuse

In brief

The overarching goal of this project is to increase the availability of OUD treatment in rural counties in the state of Georgia by using Emergency Department (ED)-based telehealth strategies to initiate MOUD and connect patients to treatment. The investigators will implement a novel collaboration between rural EDs, medical toxicologists at the Georgia Poison Center (GPC), peer recovery coaches (PRCs) and RCOs throughout Georgia to bridge the gap between OUD treatment need in rural EDs and specialty physician availability at the GPC. Research activities will be conducted during two broad phases, at three rural EDs in Georgia: planning and implementation. During the planning phase, aggregate data will be obtained to determine each ED's existing practices treating patients with OUD and opioid withdrawal. During the implementation phase, the researchers will prospectively study a poison center OUD consultation and PRC intervention as it is rolled out at each site, collecting participant-level data. Sites will be rolled into the implementation phase in a stepped-wedge fashion, so there will be times when some sites are in the planning phase while others are in the implementation phase.

Key facts

Study ID

NCT05711056

Run by

Emory University

People needed

480

Starts

2023-08-30

Expected to finish

2026-08-01

Last updated by the study team

2025-10-20

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age 18 years or older
• English speaking
• Clinically sober
• Medically and psychiatrically stable

You may not qualify if…

• Already receiving MAT or psychotherapy for OUD prior to ED arrival
• Prior participation in the study
• Unable to provide informed consent
• If their clinical condition worsens such that continued participation would be considered unsafe in the opinion of the PRC or ED staff
• Prisoners
• Individuals who are not yet adults (infants, children, teenagers)
• Cognitively impaired or Individuals with Impaired Decision-Making Capacity
• Individuals who are not able to clearly understand English

Where it is running

• Georgia Poison Center — Atlanta, Georgia, United States (enrolling)

Full record on ClinicalTrials.gov

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