Peer Recovery Program Tackling addiction together.

Peer Recovery Program 2020 Quarter 2 Report January 1 – June 30, 2020

In This Report In 2020 Quarters 1 and 2, Recovery Specialists received referrals during 8,455 patient visits and provided both in-person and virtual services. After a 43% decrease from February to April, referrals rebounded to pre-COVID-19 levels in May and June. During 11,008 follow-up calls conducted 3, 6, 9, and 12 months post-consultation, 646 patients reported being in recovery, representing 6% of eligible patients and 69% of patients who were successfully contacted.

The 2020 Quarter 2 Report presents information on referrals, the population served, and program outcomes, as well as program updates and a summary of the program’s response to COVID- 19 (see pages 3 and 4). The Appendix contains data stratified by location. The information included in this report is preliminary and subject to change.

Program Background The RWJBarnabas Health (RWJBH) Institute for Prevention and Recovery (IFPR) Peer Recovery Program (PRP) provides recovery support services for individuals with substance use disorder. PRP employs Recovery Specialists who are in long-term recovery from substance use disorder and provide consultation and peer recovery support as well as clinically trained Patient Navigators who link individuals to appropriate levels of care.

PRP, formerly known as the Opioid Overdose Recovery Program (OORP), serves patients 24 hours a day, 7 days a week, in 20 hospitals throughout Essex, Hudson, Middlesex, Monmouth, Ocean, Somerset, and Union counties. In addition to serving emergency department patients who received naloxone to reverse an opioid overdose, PRP also serves patients with substance use disorder in emergency departments of all participating hospitals, inpatient units of RWJBH hospitals, and outpatient settings. Participating organizations are listed in the Appendix.

Referral Summary Recovery Specialists received referrals during 8,455 patient visits in 2020 Quarters 1 and 2. There were 18,585 referrals in 2019, 9,060 referrals in 2018, 1,898 referrals in 2017, and 720 referrals in 2016. Location-specific data is available in the Appendix.

Number of Referrals (2020 Q1-Q2) 2,000 1,665 1,551 1,583 1,332 1,442 882 1,000

164 138 128 92 105 152 0 January February March April May June Patients With Any Substance Use Disorder Patients Who Received Naloxone

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COVID-19 Response Throughout the COVID-19 pandemic, IFPR has continued to operate the Peer Recovery Program with Recovery Specialists staffing RWJBH hospitals 24 hours a day, seven days a week, and providing in-person services with appropriate precautions. PRP staff implemented and, in certain cases, sunsetted policies and procedures to best serve patients and support hospital staff while prioritizing safety and wellbeing.

Services remain phone-based for patients who have tested positive or are awaiting test results for COVID-19 and for patients at non-RWJBH hospitals. PRP implemented weekly remote shifts for Recovery Specialists in April 2020, ensuring one Recovery Specialist remained on-site each shift while reducing potential contacts. When working remotely, Recovery Specialists provide phone-based services for patients who cannot be served in person. Based on a data-driven approach that incorporates PRP referral volume and hospital policy, PRP began phasing out most remote shifts in June 2020. Additionally, personal protective equipment availability is reported at the end of every in-person shift, and a cleaning product inventory is updated weekly.

Recovery Specialist Patrick Conley and Recovery Support Coordinator Albie Aveta (second row, second from left) alongside other RWJBarnabas Health employees, clinicians, and physicians.

PRP continues to prioritize self-care and peer-led supervision for staff. In addition to administrative and educative supervision, Recovery Specialists receive supportive supervision through monthly group and individual sessions focused on reflection, self-care, and patient and staff wellbeing. Clinical Health Educators Lauren Olsen and Ruth Palacio also hold three weekly Self-Care Live virtual sessions for IFPR staff. Internally developed self-care newsletters are distributed to IFPR staff via email each week and were made available to all RWJBH staff.

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IFPR Recovery Specialists and community-based Case Managers continue to hold twice-daily virtual All Recovery Meetings, which provide social support for those seeking or maintaining recovery, as well as family members and friends.1 All Recovery Meetings now reach approximately 800 attendees per week and 60 attendees per meeting, nearly five times the pre-COVID-19 average.

Average Attendees per All Recovery Meeting (2020 Q1-Q2) 70 60 50 40 30 20 10 0 January February March April May June Virtual Meetings Launched

Program Updates In response to COVID-19 and to ensure that individuals are served without needing to visit a hospital, PRP began piloting phone-based services for individuals in outpatient settings. Services are available for patients identified by RWJBH Medical Group providers and individuals referred from other outpatient or community settings. We now refer to the initial services provided by Recovery Specialists as a consultation rather than a deployment.

To prevent the spread of COVID-19, PRP limited in-person follow-up with patients. With nearly 75% fewer in-person follow-up contacts in Quarter 2 than in Quarter 1, Recovery Specialists may now supplement phone-based follow-up with text messages. Patients are first contacted by phone call and may elect to continue communication via text message. Updated data collection forms reflect this change and future reports will include text message follow-up data.

Please join us in congratulating Angela Cicchino and Nicholas Beam, who were promoted from PRP Supervisors to Managers. In their new roles, Angela and Nicholas will oversee recovery support services and Recovery Specialists at additional hospitals, manage after-hours operations at all hospitals, and take a greater role in executing RWJBH Tackling Addiction Task Force initiatives.

1 rwjbh.org/allrecovery Peer Recovery Program – 2020 Quarter 2 Report 4

Referral Summary (continued) Fewer than one in ten referred patients received at least one dose of naloxone prior to consultation. Nearly three-quarters of referrals were placed in the emergency department; the remainder were placed in inpatient units and outpatient settings. Referral volume by day of the week and shift are shown below. Throughout this report, “Unknown” consists of responses of “do not know” or “refused” and missing data. Additional data is available in the Appendix.

Received Naloxone Referral Setting (2020 Q1-Q2) (2020 Q1-Q2) 4.4% 9.2% 0.5% Emergency Yes Department 28.1% Inpatient No 86.4% 71.4% Unknown Outpatient

Average Referrals by Day of the Week (2020 Q1-Q2) 60 52.6 49.0 47.7 47.1 48.2 40.1 40.4 40

20

0 Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Referrals by Time of Day (2020 Q1-Q2)

20.7% 12:00 am – 7:59 am 33.0% 8:00 am – 3:59 pm 46.3% 4:00 pm – 11:59 pm

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Population Served Of the 8,455 referred patients, over two-thirds were male. Most patients were between the ages of 26-44 (40.6%) and 45-64 (43.1%). The majority (54.1%) of patients were white, 23.2% were Black, and 14.7% were Hispanic/Latino. Nearly two-thirds of all patients were covered by Medicaid or were uninsured, 14.2% were homeless, and 39.8% did not have access to transportation.

Gender (2020 Q1-Q2)

0.1% 3.0% Male 29.7% Female 67.1% Other Unknown

Age (2020 Q1-Q2) 60% 40.6% 43.1% 40%

20% 7.8% 7.5% 1.0% 0% <18 18-25 26-44 45-64 65+

Race/Ethnicity (2020 Q1-Q2) 60% 54.1%

40% 23.2% 20% 14.7% 6.0% 2.1% 0% White Black Hispanic/Latino Other Unknown

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Population Served (continued)

Insurance Status (2020 Q1-Q2)

Private 14.8% Medicaid 45.2% Medicare 11.9% Other 0.4% Uninsured 17.2% Unknown 10.5% 0% 10% 20% 30% 40% 50%

Housing Status (2020 Q1-Q2)

Own or Rent 34.2% Someone Else's Home 34.3% Shelter 0.7% Homeless 14.2% Other 0.9% Unknown 15.7% 0% 10% 20% 30% 40%

Access to Transportation (2020 Q1-Q2)

27.5% 32.6% Yes No Unknown 39.8%

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Program Outcomes To measure success, the Institute for Prevention and Recovery utilizes the Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) working definition of recovery, which emphasizes the process of change through which individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential.2 Four major dimensions—health, home, purpose, and community—support recovery. PRP assists in the process of recovery by providing recovery support services and clinical referrals.

In 2020 Quarters 1 and 2, 51 patients were not available for consultation (i.e., left against medical advice, was unresponsive, was deceased, etc.). 94.9% of patients available for consultation accepted consultation by a Recovery Specialist. 92.3% of patients who accepted consultation also accepted some form of support services.

Consultation Outcomes (2020 Q1-Q2) 5.1%

Accepted Consultation Refused Consultation 94.9%

Support Services Outcomes (2020 Q1-Q2) 7.7%

Accepted Recovery Support Only 28.9% Accepted Patient Navigator Services 63.4% Refused

2 https://store.samhsa.gov/system/files/pep12-recdef.pdf Peer Recovery Program – 2020 Quarter 2 Report 8

Program Outcomes (continued) In 2020 Quarters 1 and 2, patients accepted 1,107 referrals to levels of care offered by Patient Navigators, including 466 referrals to withdrawal management and 177 referrals to opioid treatment programs. Accepted and offered referrals are included in the Appendix.

Accepted Referrals to Levels of Care (2020 Q1-Q2) 500 466

400

300 236 181 200 177

100 36 11 0 Withdrawal Outpatient Residential Opioid Other Unknown Management Treatment Program

Recovery Specialists conduct follow-up with patients for a minimum of eight weeks post- consultation. In 2020 Quarters 1 and 2, PRP staff conducted 81,049 instances of follow-up, including 5,790 face-to-face contacts. Patient Navigators were responsible for approximately one-seventh of all instances of follow-up.

Follow-Up Conducted (2020 Q1-Q2) 80,000 75,259

60,000

40,000

20,000 5,790 0 Telephone Call Face-to-Face Contact

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Program Outcomes (continued) PRP staff also conduct follow-up with patients 3, 6, 9, and 12 months post-consultation to assess long-term recovery. In 2020 Quarters 1 and 2, PRP staff attempted 11,008 of these follow-up calls and 941 patients were successfully contacted. Of these patients, 646 reported currently being in recovery, representing 5.9% of eligible patients and 68.7% of patients who were successfully contacted.

In Recovery at 3-, 6-, 9-, or 12-Month Follow-Up (2020 Q1-Q2) 8% 6.7% 5.8% 5.7% 6% 4.7% 4% 3.4% 3.0% 2.0% 1.8% 2%

0% 3 Months 6 Months 9 Months 12 Months Yes No

In Recovery at 3-, 6-, 9-, or 12-Month Follow-Up (2020 Q1-Q2) 3 Months 6 Months 9 Months 12 Months Total Outcome # % # % # % # % # % Yes 245 6.7% 164 5.8% 141 5.7% 96 4.7% 646 5.9% No 123 3.4% 86 3.0% 49 2.0% 37 1.8% 295 2.7% Unknown 3,291 89.9% 2,582 91.2% 2,286 92.3% 1,908 93.5% 10,067 91.5% Total 3,659 100% 2,832 100% 2,476 100% 2,041 100% 11,008 100%

If you have any questions about this report, please contact Elliott Liebling, Assistant Director of Research and Development, at [email protected] or 732-837-9402.

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Appendix PRP participating organizations: 11. Monmouth Medical Center (MMC), Essex County Long Branch 1. Clara Maass Medical Center RWJBarnabas Health (CMMC), Belleville Launch Date: 1/18/16 RWJBarnabas Health Ocean County Launch Date: 9/11/17 12. Barnabas Health Behavioral Health 2. Newark Beth Israel Medical Center Center (BHBHC), Toms River (NBIMC), Newark RWJBarnabas Health RWJBarnabas Health Launch Date: 4/1/18 Launch Date: 11/7/16 13. Community Medical Center (CMC), 3. Saint Barnabas Medical Center Toms River (SBMC), Livingston RWJBarnabas Health RWJBarnabas Health Launch Date: 1/18/16 Launch Date: 9/11/17 14. Monmouth Medical Center Southern Hudson County Campus (MMCSC), Lakewood 4. Bayonne Emergency Center (BEC), RWJBarnabas Health Bayonne Launch Date: 3/14/16 RWJBarnabas Health 15. Ocean Care Center (OCC), Point Launch Date: 9/11/17 Pleasant 5. Jersey City Medical Center (JCMC), Hackensack Meridian Health Jersey City Launch Date: 6/28/18 RWJBarnabas Health 16. Ocean Medical Center (OMC), Brick Launch Date: 4/3/17 Hackensack Meridian Health Middlesex County Launch Date: 10/3/16 6. Children’s Specialized Hospital 17. Southern Ocean Medical Center (CSH), New Brunswick (SOMC), Manahawkin RWJBarnabas Health Hackensack Meridian Health Launch Date: 3/20/20 Launch Date: 6/20/18 7. RWJUH New Brunswick (RWJUH Somerset County NB), New Brunswick 18. RWJUH Somerset (RWJUH SOM), RWJBarnabas Health Somerville Launch Date: 4/3/17 RWJBarnabas Health Monmouth County Launch Date: 10/27/17 8. Bayshore Medical Center (BMC), Union County Holmdel 19. RWJUH Rahway (RWJUH RAH), Hackensack Meridian Health Rahway Launch Date: 7/1/17 RWJBarnabas Health 9. CentraState Medical Center (CEN), Launch Date: 12/1/17 Freehold 20. Trinitas Regional Medical Center CentraState Healthcare System (TRMC), Elizabeth Launch Date: 11/7/16 Trinitas Regional Medical Center 10. Jersey Shore University Medical Launch Date: 1/29/18 Center (JSUMC), Neptune Outpatient Hackensack Meridian Health 21. RWJBH Medical Group Launch Date: 10/17/16 Launch Date: 5/20/20

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Referrals (2020 Q1-Q2) # of Total % of Total # of Naloxone Month and Year Referrals* Referrals Referrals January 2020 1,665 19.7% 164 February 2020 1,551 18.3% 138 March 2020 1,332 15.8% 128 April 2020 882 10.4% 92 May 2020 1,442 17.1% 105 June 2020 1,583 18.7% 152 Total 8,455 100% 779 *# of Total Referrals includes referrals for patients who received naloxone and referrals for patients with any substance use disorder.

Referral Location (2020 Q1-Q2)

Essex County 23.4% Hudson County 9.4% Middlesex County 14.9% Monmouth County 9.9% Ocean County 28.8% Somerset County 9.9% Union County 3.2% Outpatient 0.5%

0% 10% 20% 30% 40%

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Note: Bayonne Emergency Center and Ocean Care Center are satellite emergency departments and are consolidated in the Appendix with Jersey City Medical Center and Ocean Medical Center, respectively. Children’s Specialized Hospital is consolidated in the appendix with RWJUH New Brunswick.

Referral Location (2020 Q1-Q2) % of Location # % County Essex County 1,976 23.4% - Clara Maass Medical Center 826 9.8% 41.8% Newark Beth Israel Medical Center 818 9.7% 41.4% Saint Barnabas Medical Center 332 3.9% 16.8% Hudson County 793 9.4% - Jersey City Medical Center 793 9.4% 100.0% Middlesex County 1,257 14.9% - RWJUH New Brunswick 1,257 14.9% 100.0% Monmouth County 840 9.9% - Bayshore Medical Center 23 0.3% 2.7% CentraState Medical Center 89 1.1% 10.6% Jersey Shore University Medical Center 138 1.6% 16.4% Monmouth Medical Center 590 7.0% 70.2% Ocean County 2,437 28.8% - Barnabas Health Behavioral Health Center 380 4.5% 15.6% Community Medical Center 1,505 17.8% 61.8% Monmouth Medical Center Southern Campus 389 4.6% 16.0% Ocean Medical Center 82 1.0% 3.4% Southern Ocean Medical Center 81 1.0% 3.3% Somerset County 836 9.9% - RWJUH Somerset 836 9.9% 100.0% Union County 270 3.2% - RWJUH Rahway 240 2.8% 88.9% Trinitas Regional Medical Center 30 0.4% 11.1% Outpatient 46 0.5% - Total 8,455 100% -

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Referral Setting (2020 Q1-Q2) Emergency Department Inpatient Outpatient Total Location # % # % # % # Essex County 1,331 67.4% 645 32.6% - - 1,976 Clara Maass Medical Center 520 63.0% 306 37.0% - - 826 Newark Beth Israel Medical Center 591 72.2% 227 27.8% - - 818 Saint Barnabas Medical Center 220 66.3% 112 33.7% - - 332 Hudson County 553 69.7% 240 30.3% - - 793 Jersey City Medical Center 553 69.7% 240 30.3% - - 793 Middlesex County 977 77.7% 280 22.3% - - 1,257 RWJUH New Brunswick 977 77.7% 280 22.3% - - 1,257 Monmouth County 565 67.3% 275 32.7% - - 840 Bayshore Medical Center 17 73.9% 6 26.1% - - 23 CentraState Medical Center 84 94.4% 5 5.6% - - 89 Jersey Shore University Medical Center 129 93.5% 9 6.5% - - 138 Monmouth Medical Center 335 56.8% 255 43.2% - - 590 Ocean County 1,703 69.9% 734 30.1% - - 2,437 Barnabas Health Behavioral Health Center 0 0.0% 380 100.0% - - 380 Community Medical Center 1,236 82.1% 269 17.9% - - 1,505 Monmouth Medical Center Southern Campus 311 79.9% 78 20.1% - - 389 Ocean Medical Center 78 95.1% 4 4.9% - - 82 Southern Ocean Medical Center 78 96.3% 3 3.7% - - 81 Somerset County 697 83.4% 139 16.6% - - 836 RWJUH Somerset 697 83.4% 139 16.6% - - 836 Union County 207 76.7% 63 23.3% - - 270 RWJUH Rahway 178 74.2% 62 25.8% - - 240 Trinitas Regional Medical Center 29 96.7% 1 3.3% - - 30 Outpatient - - - - 46 100.0% 46 Total 6,033 71.4% 2,376 28.1% 46 0.5% 8,455

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Referrals by Time of Day (2020 Q1-Q2) 12:00 am – 8:00 am – 4:00 pm – 7:59 am 3:59 pm 11:59 pm Total Location # % # % # % # Essex County 487 24.6% 897 45.4% 592 30.0% 1,976 Clara Maass Medical Center 118 14.3% 441 53.4% 267 32.3% 826 Newark Beth Israel Medical Center 302 36.9% 299 36.6% 217 26.5% 818 Saint Barnabas Medical Center 67 20.2% 157 47.3% 108 32.5% 332 Hudson County 229 28.9% 278 35.1% 286 36.1% 793 Jersey City Medical Center 229 28.9% 278 35.1% 286 36.1% 793 Middlesex County 273 21.7% 496 39.5% 488 38.8% 1,257 RWJUH New Brunswick 273 21.7% 496 39.5% 488 38.8% 1,257 Monmouth County 151 18.0% 416 49.5% 273 32.5% 840 Bayshore Medical Center 6 26.1% 12 52.2% 5 21.7% 23 CentraState Medical Center 25 28.1% 35 39.3% 29 32.6% 89 Jersey Shore University Medical Center 39 28.3% 63 45.7% 36 26.1% 138 Monmouth Medical Center 81 13.7% 306 51.9% 203 34.4% 590 Ocean County 414 17.0% 1,376 56.5% 647 26.5% 2,437 Barnabas Health Behavioral Health Center 26 6.8% 343 90.3% 11 2.9% 380 Community Medical Center 268 17.8% 802 53.3% 435 28.9% 1,505 Monmouth Medical Center Southern Campus 87 22.4% 162 41.6% 140 36.0% 389 Ocean Medical Center 16 19.5% 33 40.2% 33 40.2% 82 Southern Ocean Medical Center 17 21.0% 36 44.4% 28 34.6% 81 Somerset County 141 16.9% 304 36.4% 391 46.8% 836 RWJUH Somerset 141 16.9% 304 36.4% 391 46.8% 836 Union County 54 20.0% 118 43.7% 98 36.3% 270 RWJUH Rahway 45 18.8% 110 45.8% 85 35.4% 240 Trinitas Regional Medical Center 9 30.0% 8 26.7% 13 43.3% 30 Outpatient 1 2.2% 26 56.5% 19 41.3% 46 Total 1,750 20.7% 3,911 46.3% 2,794 33.0% 8,455

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Received Naloxone (2020 Q1-Q2) Yes No Unknown Total Location # % # % # % # Essex County 239 12.1% 1,620 82.0% 117 5.9% 1,976 Clara Maass Medical Center 79 9.6% 728 88.1% 19 2.3% 826 Newark Beth Israel Medical Center 143 17.5% 583 71.3% 92 11.2% 818 Saint Barnabas Medical Center 17 5.1% 309 93.1% 6 1.8% 332 Hudson County 62 7.8% 718 90.5% 13 1.6% 793 Jersey City Medical Center 62 7.8% 718 90.5% 13 1.6% 793 Middlesex County 87 6.9% 1,110 88.3% 60 4.8% 1,257 RWJUH New Brunswick 87 6.9% 1,110 88.3% 60 4.8% 1,257 Monmouth County 66 7.9% 740 88.1% 34 4.0% 840 Bayshore Medical Center 12 52.2% 10 43.5% 1 4.3% 23 CentraState Medical Center 8 9.0% 73 82.0% 8 9.0% 89 Jersey Shore University Medical Center 18 13.0% 111 80.4% 9 6.5% 138 Monmouth Medical Center 28 4.7% 546 92.5% 16 2.7% 590 Ocean County 227 9.3% 2,105 86.4% 105 4.3% 2,437 Barnabas Health Behavioral Health Center 2 0.5% 370 97.4% 8 2.1% 380 Community Medical Center 149 9.9% 1,297 86.2% 59 3.9% 1,505 Monmouth Medical Center Southern Campus 57 14.7% 310 79.7% 22 5.7% 389 Ocean Medical Center 10 12.2% 62 75.6% 10 12.2% 82 Southern Ocean Medical Center 9 11.1% 66 81.5% 6 7.4% 81 Somerset County 46 5.5% 762 91.1% 28 3.3% 836 RWJUH Somerset 46 5.5% 762 91.1% 28 3.3% 836 Union County 52 19.3% 206 76.3% 12 4.4% 270 RWJUH Rahway 39 16.3% 189 78.8% 12 5.0% 240 Trinitas Regional Medical Center 13 43.3% 17 56.7% 0 0.0% 30 Outpatient 0 0.0% 43 93.5% 3 6.5% 46 Total 779 9.2% 7,304 86.4% 372 4.4% 8,455

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Gender (2020 Q1-Q2) Male Female Other Unknown Total Location # % # % # % # % # Essex County 1,328 67.2% 609 30.8% 4 0.2% 35 1.8% 1,976 Clara Maass Medical Center 574 69.5% 232 28.1% 2 0.2% 18 2.2% 826 Newark Beth Israel Medical Center 523 63.9% 281 34.4% 1 0.1% 13 1.6% 818 Saint Barnabas Medical Center 231 69.6% 96 28.9% 1 0.3% 4 1.2% 332 Hudson County 563 71.0% 197 24.8% 1 0.1% 32 4.0% 793 Jersey City Medical Center 563 71.0% 197 24.8% 1 0.1% 32 4.0% 793 Middlesex County 917 73.0% 301 23.9% 4 0.3% 35 2.8% 1,257 RWJUH New Brunswick 917 73.0% 301 23.9% 4 0.3% 35 2.8% 1,257 Monmouth County 543 64.6% 262 31.2% 0 0.0% 35 4.2% 840 Bayshore Medical Center 17 73.9% 6 26.1% 0 0.0% 0 0.0% 23 CentraState Medical Center 53 59.6% 31 34.8% 0 0.0% 5 5.6% 89 Jersey Shore University Medical Center 93 67.4% 41 29.7% 0 0.0% 4 2.9% 138 Monmouth Medical Center 380 64.4% 184 31.2% 0 0.0% 26 4.4% 590 Ocean County 1,516 62.2% 823 33.8% 2 0.1% 96 3.9% 2,437 Barnabas Health Behavioral Health Center 244 64.2% 129 33.9% 1 0.3% 6 1.6% 380 Community Medical Center 922 61.3% 561 37.3% 1 0.1% 21 1.4% 1,505 Monmouth Medical Center Southern Campus 252 64.8% 82 21.1% 0 0.0% 55 14.1% 389 Ocean Medical Center 47 57.3% 26 31.7% 0 0.0% 9 11.0% 82 Southern Ocean Medical Center 51 63.0% 25 30.9% 0 0.0% 5 6.2% 81 Somerset County 591 70.7% 228 27.3% 1 0.1% 16 1.9% 836 RWJUH Somerset 591 70.7% 228 27.3% 1 0.1% 16 1.9% 836 Union County 189 70.0% 77 28.5% 0 0.0% 4 1.5% 270 RWJUH Rahway 165 68.8% 71 29.6% 0 0.0% 4 1.7% 240 Trinitas Regional Medical Center 24 80.0% 6 20.0% 0 0.0% 0 0.0% 30 Outpatient 28 60.9% 18 39.1% 0 0.0% 0 0.0% 46 Total 5,675 67.1% 2,515 29.7% 12 0.1% 253 3.0% 8,455

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Age (2020 Q1-Q2) <18 18-25 26-44 45-64 65+ Total Location # % # % # % # % # % # Essex County 7 0.4% 173 8.8% 735 37.2% 906 45.9% 155 7.8% 1,976 CMMC 2 0.2% 104 12.6% 322 39.0% 350 42.4% 48 5.8% 826 NBIMC 4 0.5% 41 5.0% 292 35.7% 422 51.6% 59 7.2% 818 SBMC 1 0.3% 28 8.4% 121 36.4% 134 40.4% 48 14.5% 332 Hudson County 3 0.4% 35 4.4% 314 39.6% 395 49.8% 46 5.8% 793 JCMC 3 0.4% 35 4.4% 314 39.6% 395 49.8% 46 5.8% 793 Middlesex County 16 1.3% 110 8.8% 563 44.8% 480 38.2% 88 7.0% 1,257 RWJUH NB 16 1.3% 110 8.8% 563 44.8% 480 38.2% 88 7.0% 1,257 Monmouth County 43 5.1% 63 7.5% 374 44.5% 310 36.9% 50 6.0% 840 BMC 0 0.0% 2 8.7% 14 60.9% 7 30.4% 0 0.0% 23 CEN 1 1.1% 5 5.6% 53 59.6% 26 29.2% 4 4.5% 89 JSUMC 0 0.0% 8 5.8% 71 51.4% 55 39.9% 4 2.9% 138 MMC 42 7.1% 48 8.1% 236 40.0% 222 37.6% 42 7.1% 590 Ocean County 8 0.3% 184 7.6% 1,003 41.2% 1,038 42.6% 204 8.4% 2,437 BHBHC 0 0.0% 41 10.8% 180 47.4% 139 36.6% 20 5.3% 380 CMC 4 0.3% 101 6.7% 579 38.5% 668 44.4% 153 10.2% 1,505 MMCSC 2 0.5% 25 6.4% 158 40.6% 181 46.5% 23 5.9% 389 OMC 1 1.2% 11 13.4% 45 54.9% 21 25.6% 4 4.9% 82 SOMC 1 1.2% 6 7.4% 41 50.6% 29 35.8% 4 4.9% 81 Somerset County 7 0.8% 66 7.9% 323 38.6% 369 44.1% 71 8.5% 836 RWJUH SOM 7 0.8% 66 7.9% 323 38.6% 369 44.1% 71 8.5% 836 Union County 0 0.0% 19 7.0% 98 36.3% 133 49.3% 20 7.4% 270 RWJUH RAH 0 0.0% 16 6.7% 89 37.1% 115 47.9% 20 8.3% 240 TRMC 0 0.0% 3 10.0% 9 30.0% 18 60.0% 0 0.0% 30 Outpatient 0 0.0% 6 13.0% 26 56.5% 14 30.4% 0 0.0% 46 Total 84 1.0% 656 7.8% 3,436 40.6% 3,645 43.1% 634 7.5% 8,455

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Race/Ethnicity (2020 Q1-Q2) White Black Hispanic/Latino Other Unknown Total Location # % # % # % # % # % # Essex County 524 26.5% 951 48.1% 384 19.4% 33 1.7% 84 4.3% 1,976 CMMC 289 35.0% 207 25.1% 266 32.2% 15 1.8% 49 5.9% 826 NBIMC 92 11.2% 618 75.6% 73 8.9% 13 1.6% 22 2.7% 818 SBMC 143 43.1% 126 38.0% 45 13.6% 5 1.5% 13 3.9% 332 Hudson County 194 24.5% 304 38.3% 152 19.2% 41 5.2% 102 12.9% 793 JCMC 194 24.5% 304 38.3% 152 19.2% 41 5.2% 102 12.9% 793 Middlesex County 551 43.8% 291 23.2% 321 25.5% 50 4.0% 44 3.5% 1,257 RWJUH NB 551 43.8% 291 23.2% 321 25.5% 50 4.0% 44 3.5% 1,257 Monmouth County 537 63.9% 126 15.0% 105 12.5% 6 0.7% 66 7.9% 840 BMC 20 87.0% 0 0.0% 1 4.3% 0 0.0% 2 8.7% 23 CEN 59 66.3% 6 6.7% 6 6.7% 0 0.0% 18 20.2% 89 JSUMC 80 58.0% 41 29.7% 7 5.1% 0 0.0% 10 7.2% 138 MMC 378 64.1% 79 13.4% 91 15.4% 6 1.0% 36 6.1% 590 Ocean County 1,978 81.2% 122 5.0% 146 6.0% 19 0.8% 172 7.1% 2,437 BHBHC 303 79.7% 23 6.1% 25 6.6% 6 1.6% 23 6.1% 380 CMC 1,339 89.0% 61 4.1% 59 3.9% 9 0.6% 37 2.5% 1,505 MMCSC 208 53.5% 34 8.7% 55 14.1% 3 0.8% 89 22.9% 389 OMC 59 72.0% 3 3.7% 5 6.1% 1 1.2% 14 17.1% 82 SOMC 69 85.2% 1 1.2% 2 2.5% 0 0.0% 9 11.1% 81 Somerset County 590 70.6% 102 12.2% 107 12.8% 16 1.9% 21 2.5% 836 RWJUH SOM 590 70.6% 102 12.2% 107 12.8% 16 1.9% 21 2.5% 836 Union County 162 60.0% 60 22.2% 25 9.3% 7 2.6% 16 5.9% 270 RWJUH RAH 154 64.2% 49 20.4% 19 7.9% 6 2.5% 12 5.0% 240 TRMC 8 26.7% 11 36.7% 6 20.0% 1 3.3% 4 13.3% 30 Outpatient 34 73.9% 8 17.4% 0 0.0% 2 4.3% 2 4.3% 46 Total 4,570 54.1% 1,964 23.2% 1,240 14.7% 174 2.1% 507 6.0% 8,455 Peer Recovery Program – 2020 Quarter 2 Report 19

Insurance Status (2020 Q1-Q2) Private Medicaid Medicare Other Uninsured Unknown Total Location # % # % # % # % # % # % # Essex County 199 10.1% 1,067 54.0% 174 8.8% 6 0.3% 347 17.6% 183 9.3% 1,976 CMMC 90 10.9% 440 53.3% 71 8.6% 3 0.4% 162 19.6% 60 7.3% 826 NBIMC 27 3.3% 498 60.9% 63 7.7% 3 0.4% 134 16.4% 93 11.4% 818 SBMC 82 24.7% 129 38.9% 40 12.0% 0 0.0% 51 15.4% 30 9.0% 332 Hudson County 70 8.8% 352 44.4% 50 6.3% 3 0.4% 141 17.8% 177 22.3% 793 JCMC 70 8.8% 352 44.4% 50 6.3% 3 0.4% 141 17.8% 177 22.3% 793 Middlesex County 198 15.8% 453 36.0% 115 9.1% 3 0.2% 266 21.2% 222 17.7% 1,257 RWJUH NB 198 15.8% 453 36.0% 115 9.1% 3 0.2% 266 21.2% 222 17.7% 1,257 Monmouth County 136 16.2% 404 48.1% 74 8.8% 2 0.2% 133 15.8% 91 10.8% 840 BMC 2 8.7% 19 82.6% 0 0.0% 0 0.0% 0 0.0% 2 8.7% 23 CEN 11 12.4% 42 47.2% 7 7.9% 0 0.0% 19 21.3% 10 11.2% 89 JSUMC 17 12.3% 75 54.3% 6 4.3% 0 0.0% 18 13.0% 22 15.9% 138 MMC 106 18.0% 268 45.4% 61 10.3% 2 0.3% 96 16.3% 57 9.7% 590 Ocean County 376 15.4% 1,118 45.9% 410 16.8% 13 0.5% 393 16.1% 127 5.2% 2,437 BHBHC 59 15.5% 201 52.9% 63 16.6% 1 0.3% 40 10.5% 16 4.2% 380 CMC 243 16.1% 688 45.7% 274 18.2% 10 0.7% 241 16.0% 49 3.3% 1,505 MMCSC 38 9.8% 158 40.6% 60 15.4% 0 0.0% 86 22.1% 47 12.1% 389 OMC 17 20.7% 33 40.2% 8 9.8% 2 2.4% 14 17.1% 8 9.8% 82 SOMC 19 23.5% 38 46.9% 5 6.2% 0 0.0% 12 14.8% 7 8.6% 81 Somerset County 203 24.3% 301 36.0% 141 16.9% 4 0.5% 121 14.5% 66 7.9% 836 RWJUH SOM 203 24.3% 301 36.0% 141 16.9% 4 0.5% 121 14.5% 66 7.9% 836 Union County 57 21.1% 112 41.5% 45 16.7% 0 0.0% 42 15.6% 14 5.2% 270 RWJUH RAH 54 22.5% 96 40.0% 43 17.9% 0 0.0% 34 14.2% 13 5.4% 240 TRMC 3 10.0% 16 53.3% 2 6.7% 0 0.0% 8 26.7% 1 3.3% 30 Outpatient 9 19.6% 15 32.6% 1 2.2% 0 0.0% 13 28.3% 8 17.4% 46 Total 1,248 14.8% 3,822 45.2% 1,010 11.9% 31 0.4% 1,456 17.2% 888 10.5% 8,455

Peer Recovery Program – 2020 Quarter 2 Report 20

Housing Status (2020 Q1-Q2) Someone Else's Own or Rent Home Shelter Homeless Other Unknown Total Location # % # % # % # % # % # % # Essex County 641 32.4% 739 37.4% 14 0.7% 256 13.0% 9 0.5% 317 16.0% 1,976 CMMC 287 34.7% 359 43.5% 9 1.1% 90 10.9% 5 0.6% 76 9.2% 826 NBIMC 211 25.8% 263 32.2% 5 0.6% 151 18.5% 3 0.4% 185 22.6% 818 SBMC 143 43.1% 117 35.2% 0 0.0% 15 4.5% 1 0.3% 56 16.9% 332 Hudson County 198 25.0% 212 26.7% 6 0.8% 201 25.3% 10 1.3% 166 20.9% 793 JCMC 198 25.0% 212 26.7% 6 0.8% 201 25.3% 10 1.3% 166 20.9% 793 Middlesex County 416 33.1% 509 40.5% 4 0.3% 193 15.4% 10 0.8% 125 9.9% 1,257 RWJUH NB 416 33.1% 509 40.5% 4 0.3% 193 15.4% 10 0.8% 125 9.9% 1,257 Monmouth County 171 20.4% 294 35.0% 3 0.4% 119 14.2% 8 1.0% 245 29.2% 840 BMC 8 34.8% 9 39.1% 0 0.0% 4 17.4% 0 0.0% 2 8.7% 23 CEN 14 15.7% 31 34.8% 0 0.0% 25 28.1% 0 0.0% 19 21.3% 89 JSUMC 29 21.0% 55 39.9% 2 1.4% 27 19.6% 1 0.7% 24 17.4% 138 MMC 120 20.3% 199 33.7% 1 0.2% 63 10.7% 7 1.2% 200 33.9% 590 Ocean County 958 39.3% 770 31.6% 13 0.5% 290 11.9% 32 1.3% 374 15.3% 2,437 BHBHC 126 33.2% 113 29.7% 1 0.3% 98 25.8% 4 1.1% 38 10.0% 380 CMC 677 45.0% 517 34.4% 11 0.7% 138 9.2% 23 1.5% 139 9.2% 1,505 MMCSC 100 25.7% 75 19.3% 1 0.3% 39 10.0% 3 0.8% 171 44.0% 389 OMC 24 29.3% 30 36.6% 0 0.0% 6 7.3% 2 2.4% 20 24.4% 82 SOMC 31 38.3% 35 43.2% 0 0.0% 9 11.1% 0 0.0% 6 7.4% 81 Somerset County 368 44.0% 278 33.3% 9 1.1% 114 13.6% 6 0.7% 61 7.3% 836 RWJUH SOM 368 44.0% 278 33.3% 9 1.1% 114 13.6% 6 0.7% 61 7.3% 836 Union County 121 44.8% 79 29.3% 5 1.9% 28 10.4% 1 0.4% 36 13.3% 270 RWJUH RAH 110 45.8% 72 30.0% 2 0.8% 22 9.2% 1 0.4% 33 13.8% 240 TRMC 11 36.7% 7 23.3% 3 10.0% 6 20.0% 0 0.0% 3 10.0% 30 Outpatient 15 32.6% 23 50.0% 1 2.2% 3 6.5% 0 0.0% 4 8.7% 46 Total 2,888 34.2% 2,904 34.3% 55 0.7% 1,204 14.2% 76 0.9% 1,328 15.7% 8,455

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Access to Transportation (2020 Q1-Q2) Yes No Unknown Total Location # % # % # % # Essex County 609 30.8% 861 43.6% 506 25.6% 1,976 Clara Maass Medical Center 292 35.4% 395 47.8% 139 16.8% 826 Newark Beth Israel Medical Center 174 21.3% 372 45.5% 272 33.3% 818 Saint Barnabas Medical Center 143 43.1% 94 28.3% 95 28.6% 332 Hudson County 49 6.2% 399 50.3% 345 43.5% 793 Jersey City Medical Center 49 6.2% 399 50.3% 345 43.5% 793 Middlesex County 318 25.3% 642 51.1% 297 23.6% 1,257 RWJUH New Brunswick 318 25.3% 642 51.1% 297 23.6% 1,257 Monmouth County 284 33.8% 219 26.1% 337 40.1% 840 Bayshore Medical Center 9 39.1% 5 21.7% 9 39.1% 23 CentraState Medical Center 24 27.0% 35 39.3% 30 33.7% 89 Jersey Shore University Medical Center 47 34.1% 54 39.1% 37 26.8% 138 Monmouth Medical Center 204 34.6% 125 21.2% 261 44.2% 590 Ocean County 1,068 43.8% 713 29.3% 656 26.9% 2,437 Barnabas Health Behavioral Health Center 155 40.8% 149 39.2% 76 20.0% 380 Community Medical Center 745 49.5% 470 31.2% 290 19.3% 1,505 Monmouth Medical Center Southern Campus 82 21.1% 70 18.0% 237 60.9% 389 Ocean Medical Center 40 48.8% 10 12.2% 32 39.0% 82 Southern Ocean Medical Center 46 56.8% 14 17.3% 21 25.9% 81 Somerset County 311 37.2% 413 49.4% 112 13.4% 836 RWJUH Somerset 311 37.2% 413 49.4% 112 13.4% 836 Union County 97 35.9% 112 41.5% 61 22.6% 270 RWJUH Rahway 88 36.7% 95 39.6% 57 23.8% 240 Trinitas Regional Medical Center 9 30.0% 17 56.7% 4 13.3% 30 Outpatient 23 50.0% 9 19.6% 14 30.4% 46 Total 2,759 32.6% 3,368 39.8% 2,328 27.5% 8,455

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Consultation Outcomes (2020 Q1-Q2) Not Available for Total Accepted Consultation Refused Consultation Consultation* Available Location # % of Available # % of Available # # Essex County 1,839 93.4% 129 6.6% 8 1,968 Clara Maass Medical Center 809 98.3% 14 1.7% 3 823 Newark Beth Israel Medical Center 725 89.0% 90 11.0% 3 815 Saint Barnabas Medical Center 305 92.4% 25 7.6% 2 330 Hudson County 708 89.6% 82 10.4% 3 790 Jersey City Medical Center 708 89.6% 82 10.4% 3 790 Middlesex County 1,244 99.0% 12 1.0% 1 1,256 RWJUH New Brunswick 1,244 99.0% 12 1.0% 1 1,256 Monmouth County 783 93.8% 52 6.2% 5 835 Bayshore Medical Center 22 95.7% 1 4.3% 0 23 CentraState Medical Center 86 97.7% 2 2.3% 1 88 Jersey Shore University Medical Center 133 96.4% 5 3.6% 0 138 Monmouth Medical Center 542 92.5% 44 7.5% 4 586 Ocean County 2,270 94.4% 135 5.6% 32 2,405 Barnabas Health Behavioral Health Center 363 96.8% 12 3.2% 5 375 Community Medical Center 1,446 96.7% 50 3.3% 9 1,496 Monmouth Medical Center Southern Campus 301 81.1% 70 18.9% 18 371 Ocean Medical Center 79 96.3% 3 3.7% 0 82 Southern Ocean Medical Center 81 100.0% 0 0.0% 0 81 Somerset County 827 98.9% 9 1.1% 0 836 RWJUH Somerset 827 98.9% 9 1.1% 0 836 Union County 261 97.4% 7 2.6% 2 268 RWJUH Rahway 232 97.5% 6 2.5% 2 238 Trinitas Regional Medical Center 29 96.7% 1 3.3% 0 30 Outpatient 45 97.8% 1 2.2% 0 46 Total 7,977 94.9% 427 5.1% 51 8,404 *Not Available for Consultation includes patients who could not openly accept or refuse consultation when a Recovery Specialist arrived for reasons like leaving against medical advice, being unresponsive, and being deceased.

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Support Services Outcomes of Those Who Accepted Consultation (2020 Q1-Q2) Accepted Recovery Accepted Patient Not Available for Total Support Only Navigator Services Refused Support Services* Available Location # % of Available # % of Available # % of Available # # Essex County 882 48.1% 643 35.1% 309 16.8% 5 1,834 CMMC 479 59.3% 193 23.9% 136 16.8% 1 808 NBIMC 191 26.4% 396 54.8% 136 18.8% 2 723 SBMC 212 70.0% 54 17.8% 37 12.2% 2 303 Hudson County 339 48.1% 339 48.1% 27 3.8% 3 705 JCMC 339 48.1% 339 48.1% 27 3.8% 3 705 Middlesex County 923 74.4% 248 20.0% 70 5.6% 3 1,241 RWJUH NB 923 74.4% 248 20.0% 70 5.6% 3 1,241 Monmouth County 482 61.6% 280 35.8% 21 2.7% 0 783 BMC 14 63.6% 8 36.4% 0 0.0% 0 22 CEN 35 40.7% 49 57.0% 2 2.3% 0 86 JSUMC 57 42.9% 75 56.4% 1 0.8% 0 133 MMC 376 69.4% 148 27.3% 18 3.3% 0 542 Ocean County 1,600 70.6% 559 24.7% 108 4.8% 3 2,267 BHBHC 255 70.2% 104 28.7% 4 1.1% 0 363 CMC 1,138 78.8% 243 16.8% 64 4.4% 1 1,445 MMCSC 141 47.0% 122 40.7% 37 12.3% 1 300 OMC 27 34.6% 49 62.8% 2 2.6% 1 78 SOMC 39 48.1% 41 50.6% 1 1.2% 0 81 Somerset County 649 78.5% 124 15.0% 54 6.5% 0 827 RWJUH SOM 649 78.5% 124 15.0% 54 6.5% 0 827 Union County 157 60.2% 83 31.8% 21 8.0% 0 261 RWJUH RAH 149 64.2% 66 28.4% 17 7.3% 0 232 TRMC 8 27.6% 17 58.6% 4 13.8% 0 29 Outpatient 15 33.3% 29 64.4% 1 2.2% 0 45 Total 5,047 63.4% 2,305 28.9% 611 7.7% 14 7,963 *Not Available for Support Services includes patients who could not openly accept or refuse support services after accepting consultation for reasons like leaving against medical advice, being unresponsive, and being deceased.

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Referrals to Levels of Care (2020 Q1-Q2) Level of Care Accepted Offered % Accepted Withdrawal Management 466 495 94.1% Outpatient 236 247 95.5% Residential 181 199 91.0% Opioid Treatment Program* 177 185 95.7% Other 36 49 73.5% Unknown 11 11 100.0% Total 1,107 1,186 93.3% *Opioid Treatment Programs provide medications for opioid use disorder including buprenorphine, methadone, and naltrexone.

Follow-Up Conducted (2020 Q1-Q2) Mode # % Telephone Call 75,259 92.9% Face-to-Face Contact 5,790 7.1% Total 81,049 100%

Follow-Up Conducted (2020 Q1-Q2) Staff # % Recovery Specialist 70,161 86.6% Patient Navigator 10,888 13.4% Total 81,049 100%

In Recovery at 3-, 6-, 9-, or 12-Month Follow-Up (2020 Q1-Q2) Outcome # % Yes 646 5.9% No 295 2.7% Unknown 10,067 91.5% Total 11,008 100%

Peer Recovery Program – 2020 Quarter 2 Report 25