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The number of overdose deaths in Vermont has been trending up over the past several years. A majority of these fatalities involved synthetic opioid fentanyl. The Emergency Department (ED) at Central Vermont Medical Center delivers medication assisted treatment (MAT) through the Rapid Access to MAT (RAM) program. This program has connected many people in the region to treatment for opiate use disorder. However it was identified that we lacked connection to harm reduction services for those not interested in MAT. Harm reduction education was provided for recovery coaches and ED nursing staff. Harm reduction kits containing life-saving supplies such as naloxone and fentanyl test strips, safer use information, and local harm reduction services were developed for distribution through the ED.

Clinical Site

Central Vermont Medical Center


harm reduction, emergency, opiate use disorder, MAT, RAM, Vermont

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


Community Health | Community Health and Preventive Medicine | Emergency Medicine | Family Medicine | Medical Education | Medical Pharmacology | Preventive Medicine | Primary Care | Public Health Education and Promotion | Substance Abuse and Addiction

Harm Reduction in the Emergency Department