Substance Use Disorder

by Jessie M. Gaeta, MD; Melanie Racine, MPH.

These guidelines, developed by the Boston Health Care for the Homeless Program in partnership with the Boston Public Health Commission and its needle exchange program, AHOPE, are intended to increase the preparedness of people in congregate housing and shelters to respond safely and effectively to opioid overdoses.

Since April 2016 when BHCHP opened our Supportive Place for Observation and Treatment (SPOT) in a former conference room, at least 10% of our visitors have immediately sought treatment for their disease. Here, at SPOT, the only program of its kind in the country, we provide medical monitoring following opioid use to prevent fatal overdose and promote access to long term treatment.

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