Tempe First-Responder Opioid Recovery Project

An Arizona program links overdose survivors with treatment and recovery services

Surviving an overdose can be the first step towards recovery for those struggling with opioid use disorder. Given the surge in opioid overdose deaths in the Tempe, Arizona area, in 2019 the city initiated the Tempe First-Responder Opioid Recovery Project, a collaboration between police officers, first responders, social workers, peer counselors, and university researchers. The objective is to administer intranasal naloxone (Narcan) to overdose victims and then link them to treatment and recovery services. Police are trained in naloxone administration and, along with other first responders, offer overdose survivors hospital transport and immediate contact with EMPACT, a behavioral health treatment provider. A Crisis Outreach Response Team follows up with overdose survivors for 45 days, offering round-the-clock support, referrals, and services. The team provides survivors and their families with "post-crisis transition navigation" to assist with placement into treatment and post-treatment recovery programs.

A preliminary evaluation found that the program was an effective interagency, multi-disciplinary collaboration that saved lives and increased entry into treatment and engagement with recovery support. In interviews, police expressed commitment to the program and satisfaction with their new role as Narcan administrators with the power to save lives. The program has received positive news coverage.

As of August 1, 2021, 116 survivors and their loved ones have connected to addiction recovery services thanks to the Opioid Recovery Project.

Continuum of Care
Treatment
Recovery
Harm Reduction
Type of Evidence
Peer-reviewed
Response Approach
Crisis intervention
Family Support
Post-overdose response
Recovery coaching
Peer-reviewed Article

Evidence of Program Effectiveness

"81 lives were saved because a Tempe police officer reversed an overdose with Narcan. Many, if not all, of those people would have died if not for the Tempe First-Responder ORP. Moreover, aggregate data from EMPACT (as of November 15, 2020) shows 34 individuals who overdosed have accepted at least some services, ranging from in-patient hospitalization (n = 6) and residential treatment (n = 7) to outpatient treatment (n = 15) and alcoholics anonymous (n = 3). This is notable, as prior studies show much lower rates of service engagement after an overdose (e.g., Dahlem et al., 2017; Wagner et al., 2016). Early results from the Tempe First-Responder ORP indicates the program is nearly doubling that rate of service engagement." White, M.D. et al. 2021.