# Evaluation of Community-based Drug User Health Hubs to Reduce Opioid Overdoses in NY State

> **NIH ALLCDC R01** · CENTER OF ENVIRONMENTAL HEALTH · 2020 · $738,698

## Abstract

Project Summary/Abstract
New York State (NYS) has been heavily impacted by the nation’s increasing opioid crisis, experiencing a nearly 40
percent increase in opioid overdose deaths from 2,166 in 2015 to 3,009 deaths in 2016. To address this issue, NYS
created community-based Drug User Health Hubs to increase access to appropriate health, mental health, and
medication-assisted treatment services for persons who use drugs. Hubs are located at Syringe Exchange Programs and
expand and enhance their services, a change that is expected to reduce opioid overdoses and improve the overall health
and well-being of people who use drugs. The objectives of the proposed project are to: 1) construct a complete and rich
description of the service elements offered at established Hubs to support assessment of their efficacy and guide
replication efforts; 2) assess and compare the effectiveness of a sample of SEPs to the Hubs in a) reducing fatal and non-
fatal opioid overdoses and b) improving various health and social indicators for clients; and 3) examine service utilization
and costs to estimate the potential overdose reduction and economic impact of implementing the Hub model at SEPs in
NYS. Project objectives will be achieved through three specific aims.
Aim 1: Construct a complete and rich description of the service elements offered at established Hubs to support
assessment of their efficacy and guide replication efforts. Service offerings are unique to the communities the Hubs
and SEPs serve. We will employ quantitative and qualitative measures (surveys, state records review, and interviews
with site service coordinators) to construct a full description of service elements and mechanisms of operation for three
Hubs and three comparison SEPs in NYS, excluding New York City (NYC). We will explore Hub/SEP organization and
administrative capacity, community referral network structure and function, and resources required to deliver services.
Aim 2: Compare effectiveness of Hubs and SEPs in reducing overdose incidence and improving other client health and
social indicators. We will assess the effectiveness of the expanded service elements of Hubs over and above those
offered by SEPs in reducing fatal/non-fatal overdose (primary aim) and changing substance use-related behaviors;
improving physical health, psychosocial functioning, and social determinants of health, and decreasing involvement in
the justice system. We will administer client surveys at four time points over one year (enrollment; 4 months, 8 months;
and 12 months) to measure client overdose risk level at entry, engagement with services during the subsequent 12
months, and change/success on outcome indicators after 12 months.
Aim 3: Examine service utilization and costs at Hubs to estimate the potential overdose and economic impact of
implementing the Hub model at SEPs in NYS. Using site records, participant survey results, site visit interviews, and
records from state and local health department reg...

## Key facts

- **NIH application ID:** 10003130
- **Project number:** 5R01CE003022-03
- **Recipient organization:** CENTER OF ENVIRONMENTAL HEALTH
- **Principal Investigator:** Allan Clear
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** ALLCDC
- **Fiscal year:** 2020
- **Award amount:** $738,698
- **Award type:** 5
- **Project period:** 2018-09-30 → 2021-09-29

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10003130

## Citation

> US National Institutes of Health, RePORTER application 10003130, Evaluation of Community-based Drug User Health Hubs to Reduce Opioid Overdoses in NY State (5R01CE003022-03). Retrieved via AI Analytics 2026-05-28 from https://api.ai-analytics.org/grant/nih/10003130. Licensed CC0.

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