The team, which includes a physician, case manager and outreach workers who have personal experiences with substance use disorder, worked out of a van parked at six sites in neighborhoods that have high rates of fatal and nonfatal overdoses. The goal was to get patients same-day prescriptions for buprenorphine, a lifesaving medication that treats opioid use disorder. The van is operated by Prevention Point Philadelphia, a nonprofit, harm-reduction group that serves people experiencing homelessness and substance use disorder.
Importantly, the “bupe bus,” as patients and staff call it, reached a diverse group of patients. Nearly 60% were Black and 15% were Hispanic during the period we collected our data. Most did not have a primary care doctor or mental health providers.
After their initial visit, 86% of patients completed at least one follow-up visit, and 69% completed four or more visits on the van.
When it came to linking patients to more traditional brick-and-mortar programs, such as outpatient addiction treatment programs or buprenorphine prescribed in primary care settings, success was lower. Half of patients made it to at least one outside appointment for a buprenorphine prescription, and 30% made it to two or more visits at more traditional clinic sites.
The team, which includes a physician, case manager and outreach workers who have personal experiences with substance use disorder, worked out of a van parked at six sites in neighborhoods that have high rates of fatal and nonfatal overdoses. The goal was to get patients same-day prescriptions for buprenorphine, a lifesaving medication that treats opioid use disorder. The van is operated by Prevention Point Philadelphia, a nonprofit, harm-reduction group that serves people experiencing homelessness and substance use disorder.
Importantly, the “bupe bus,” as patients and staff call it, reached a diverse group of patients. Nearly 60% were Black and 15% were Hispanic during the period we collected our data. Most did not have a primary care doctor or mental health providers.
After their initial visit, 86% of patients completed at least one follow-up visit, and 69% completed four or more visits on the van.
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