Coordinated Opioid Recovery Network (CORE Network)

This Florida initiative established a comprehensive state-supported system of addiction care for individuals suffering from substance use disorder with a focus on those with opioid use disorder 

Standard addiction treatment programs have had limited success in supporting long-term recovery from substance use disorder (SUD). In response to rising overdose deaths, Florida's Coordinated Opioid Recovery Network (CORE Network), the first of its kind in the country, established a state-supported system of addiction care for individuals with SUD, starting with quick response teams staffed by paramedics. Financed by opioid settlement funds, CORE coordinates the initial EMS response with post-overdose stabilization using medications for opioid use disorder (MOUD), peer recovery support, transportation, primary health and dental care, and social services. Participants in CORE are assisted in finding treatment and risk reduction resources after an overdose, and are contacted regularly by staff to ensure basic needs are met to help maintain recovery. Agency partners in the initiative include The Florida Department of Health, Department of Children and Families, and the Agency for Health Care Administration.

CORE was first piloted in Palm Beach County by the EMS division of its fire department and has since expanded to twelve counties. An initial press release describes the motivation and aims of the project, a second release highlights program achievements after a year in operation, and news coverage of CORE can be found here and here. The program's contact information is available here.

From care and peer navigators directly within an emergency department, to sustainable overall health care, CORE's structure of care aims to disrupt the revolving door of addiction and overdose.

Continuum of Care
Full continuum of care
Type of Evidence
Implemented
Response Approach
Comprehensive services
Housing, Education, and Employment
Medications for Opioid Use Disorder
Post-overdose response
Recovery coaching

Evidence of Program Effectiveness

"Within CORE counties, emergency medical providers connected 25,000 overdose patients to long-term recovery...providing nearly 550,000 services to support the patient's overall sustainable long-term long-term recovery, including disease treatment, dental care, primary care, psychiatric evaluation, and maternal care." State of Florida news release, August 2023.