A drop-in facility in Boston, MA that provides observation and referral to treatment for those at risk for an overdose after using drugs
SPOT was developed by the Boston Health Care for the Homeless Program (BHCHP) and opened in April 2016. It is a one-room observation center equipped with reclining chairs and staffed by health professionals. People walk in on their own or sometimes are assisted by friends or outreach workers. Drug use is not allowed in the facility.
The goals of SPOT are to prevent overdose, connect people to treatment, and decrease stigma in the community. The services offered include:
- Medical monitoring
- Treatment for overdose (oxygen, IV fluids, naloxone)
- Counseling about safer injection techniques
- Connection to primary care, behavioral health services, and addictions treatment
- Naloxone rescue kit distribution
SPOT is staffed by a registered nurse specializing in addiction, a harm reduction specialist or case manager who builds relationships and links people to treatment, peers who are in recovery and offer support, and a rapid response clinician (medical doctor/nurse practitioner/physician assistant) is available in an emergency.
SPOT is open Monday through Friday 8:30am-5pm. Initial funding for the facility came from Blue Cross Blue Shield of Massachusetts Foundation and private sources. SPOT now has the ability to bill Medicaid fee-for-service for medically necessary encounters. The biggest strengths of SPOT are its ability to divert patients from emergency departments, prevent overdoses, and refer patients to treatment. In addition to reducing public health risks, these outcomes can also be linked to local cost savings.