Cardiac Surgery Peer Recovery Support Program
IV Drug Usage, Infective Endocarditis, Substance Use Disorders
About this trial
This is an interventional prevention trial for IV Drug Usage
Eligibility Criteria
Inclusion Criteria:
All patients considered for this program must meet the following criteria:
- Must be at least 18 years of age and able to provide consent
- Must speak/read/understand English
- Currently hospitalized and physically located on 7-3600 unit
- Followed by or on the Cardiac Surgery service
- Have a diagnosis of Endocarditis associated with recent or remote intravenous drug use (IVDU)
- Alert and oriented to person, place, time, and events leading up to hospitalization
- Able to carry on a coherent conversation
- Clinical Opiate Withdrawal (COW) score of less than or equal to 5 with no adjunctive (opioids) medication use within past 24 hours a. If COW score is greater than five or adjunctive medications have been used within the previous 24 hours, the patient will be re-evaluate every 24 hours until score is less than or equal to five and no adjunctive medications used within the previous 24 hours
Exclusion Criteria:
- Under the age of 18 years old
- Unable to speak/read/understand English
- Hospitalized but not on 7-3600
- Does not have a diagnosis of endocarditis associated with IVDU
- Not followed by or on the Cardiac Surgery service
- Not Alert or oriented or unable to carry on a coherent conversation
- COW score that is greater than five or adjunctive medications have been used within the previous 24 hours (see inclusion criteria)
Sites / Locations
- University of Rochester Medical Center
Arms of the Study
Arm 1
Experimental
Peer Recovery Support Program
Patients enrolled in the Peer Recovery Support Program will: Actively engage in the program as defined by meeting with a Peer Support Volunteer at least two times prior to discharge, and or use of resilience journal, and or review of NA book. Demonstrate negative drug screens done randomly during their hospitalization. Actively contact at least one outpatient recovery program that they might enroll in prior to discharge (information about recovery programs to be provided by unit SW). Demonstrate appropriate changes in their SOCRATES 8D survey scores from admission to program to post discharge. Participate in follow up phone call with completion of SOCRATES 8D survey at 30 and 60 days post discharge.