Crisis Assistance Response and Engagement Overdose Response Team (CARE)

This Chicago outreach program follows up on opioid overdose survivors to provide access to treatment, overdose education, and harm reduction materials

Unless they are given timely resources to reduce the chances of repeat episodes, survivors of opioid overdoses are at great risk of death. Post-overdose follow-up teams can provide care to survivors at a critical window to mitigate opioid-related risk and fatalities. The Chicago Crisis Assistance Response and Engagement (CARE) program supports a two-member field response team consisting of a community paramedic and a peer recovery coach. They follow up with individuals who experienced an opioid overdose within a three-day period to offer connections to treatment, overdose education, and harm reduction kits, including naloxone and fentanyl test strips. The program has been successful in engaging older Black men, a population that has been experiencing disproportionately higher rates of opioid-related mortality in recent years. 

CARE is a multi-agency collaboration involving Chicago's Department of Public Health, Fire Department, and Police Department, along with the Office of Emergency Management and Communications which manages the 911 call and emergency response dispatching center. An evaluation of the CARE pilot program found that it was successful in contacting individuals who had overdosed as reported by EMS, and presentations here and here describe the program's operations, regulatory framework, and data sharing challenges. This video presents the CARE team in action and this news story provides background on how the program originated. Information about how to reach the CARE program is available at its website

The CARE team can help link people to treatment services, recovery services, and other services that will improve their lives, and is especially successful in engaging older Black men. 

Continuum of Care
Treatment
Recovery
Harm Reduction
Type of Evidence
Peer-reviewed
Response Approach
Outreach
Post-overdose response
Peer-reviewed Article

Evidence of Program Effectiveness

"The CARE Overdose Response Team model proved successful in engaging predominantly older, non-Hispanic Black men in post-overdose outreach who were stably housed. While the number of individuals reached compared to the total eligible individuals was low, the program successfully navigated multiple barriers of limited EMS referral information, limited accuracy of data management, and urban realities of public overdose locations to reach a marginalized patient population with a high risk of mortality." Weston, et al. 2025.