The Challenge
The addiction and overdose crises in the United States is overwhelming. More than 100,000 people die from drug overdose in the U.S. annually. The CDC estimates 75% of the 100,000 people who died from overdose in 2022 were opioid overdoses. There are many roadblocks to treating opioid addiction, but hospital emergency department treatment doesn’t have to be one.
How We Help
Reverse the Cycle is Mosaic Group’s comprehensive hospital substance use response program. The program is centered on streamlining emergency departments overdose response, medication-assisted treatment, combined with interventions led by peer recovery coaches.
Reverse the Cycle comprises three vital components:
- Integration of Screening, Brief Intervention and Referral to Treatment (SBIRT) in hospital emergency departments using Peer Recovery Coaches;
- the Overdose Survivors Outreach Program (OSOP) that includes community based-follow-up by Peer Recovery Coaches targeting high risk non-fatal opioid overdose survivors who have accessed the emergency department, and
- Hospital-based initiation of medications for opioid use disorder (MOUD) prior to discharge from the ED with transfer to a network of fast-track treatment programs the same day or next day.
The program begins with a ‘change team.’ This team plans and implements the model over a year-long process which includes:
- Assessment of each agency’s workflow
- Development of customized protocols
- Training of all staff
- Integrating and embedding program interventions into each agency’s workflows and within each agency’s electronic health records
- Collecting data to assure continuous improvement in quality of care
- Providing technical assistance as needed
Our Impact
Since 2014, Mosaic Group has implemented Reverse the Cycle in over 80 hospitals across the country in states and cities with the highest rate of overdose death, including District of Columbia, Illinois, Kentucky, Maryland, Massachusetts, Michigan, New Hampshire, Ohio, South Carolina, West Virginia.
We have also implemented more than 600 integrated behavioral health intervention programs in traditional and non-traditional settings, including hospital emergency departments, primary care centers, OBGYN practices, school-based health centers, pediatric practices, and detention centers.
Take a look at some news, reports, and studies that detail our success:
- White Paper: Models for Implementing Emergency Department-initiated Buprenorphine with Referral for Ongoing Medication Treatment at Emergency Department Discharge in Diverse Academic Centers
- Report: One Million Screened: Scaling Up SBIRT and Buprenorphine Treatment in Hospital Emergency Departments Across Maryland
- Meritus Health—Implementing Protocols to Improve Opioid Patient Care
- UMMC President Discusses Mosaic Group’s ‘Reverse The Cycle’ Program on Crosswinds
- Mosaic Group’s Medication-Assisted Treatment work recognized by the Pew Charitable Trusts
