Merging Outpatient Addiction and Opioid-Maintenance Programs During A Disaster: Lessons From Hurricane Sandy

Vishal K. Gupta, Helena Hansen, Sonia Mendoza, Xinlin Linda Chen, Ronnie G. Swift

    Research output: Contribution to journalArticle

    Abstract

    Objective: After Hurricane Sandy flooded Bellevue Hospital in New York City, its opiate maintenance patients were displaced and Bellevue’s outpatient program was temporarily merged with the program at Metropolitan Hospital for continuation of care. The merger forced Metropolitan to accommodate a program twice as large as its own and required special staff coordination and adjustments in clinical care. Methods: Physicians, clinicians, and administrators from both institutions participated in interviews regarding the merger. Results: Issues that emerged in the interviews fell into 4 major themes: (1) organization and meshing of professional cultures, (2) regulation, (3) communication, and (4) accommodations. Conclusions: Despite these barriers, data collected after the merger showed high retention rates and low rates of positive urine toxicology results. (Disaster Med Public Health Preparedness. 2017;page 1 of 7)

    Original languageEnglish (US)
    Pages (from-to)1-7
    Number of pages7
    JournalDisaster Medicine and Public Health Preparedness
    DOIs
    StateAccepted/In press - Mar 7 2017

    Fingerprint

    Cyclonic Storms
    Disasters
    Opioid Analgesics
    Opiate Alkaloids
    Outpatients
    Maintenance
    Interviews
    Social Adjustment
    Urban Hospitals
    Administrative Personnel
    Toxicology
    Public Health
    Communication
    Urine
    Physicians

    Keywords

    • disaster medicine
    • emergency preparedness
    • hurricane

    ASJC Scopus subject areas

    • Public Health, Environmental and Occupational Health

    Cite this

    Merging Outpatient Addiction and Opioid-Maintenance Programs During A Disaster : Lessons From Hurricane Sandy. / Gupta, Vishal K.; Hansen, Helena; Mendoza, Sonia; Chen, Xinlin Linda; Swift, Ronnie G.

    In: Disaster Medicine and Public Health Preparedness, 07.03.2017, p. 1-7.

    Research output: Contribution to journalArticle

    Gupta, Vishal K. ; Hansen, Helena ; Mendoza, Sonia ; Chen, Xinlin Linda ; Swift, Ronnie G. / Merging Outpatient Addiction and Opioid-Maintenance Programs During A Disaster : Lessons From Hurricane Sandy. In: Disaster Medicine and Public Health Preparedness. 2017 ; pp. 1-7.
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