LOWELL — One year into a new partnership between Riverbend and Lowell General Hospital, Recovery Coach Carmine Solimini is now one of the first people some patients entering the LGH emergency room ask for.
“It is a great feeling when somebody comes into the triage and asks if Carmine is working,” Solimini said. “The staff asks why, and the patient says they want to go into detox, and I can place them right from the waiting room.”
Solimini started working with Riverbend on Jan. 15 of last year, and before that had experience in roles from drug counselor to human rights officer for the state. Now, he’s one of the faces of a pilot program between the two organizations where patients going through substance abuse can enter a detox program directly from the waiting room.
“The culture of supporting services has changed. It has been an amazing thing to witness,” said Solimini. “The culture was not great for this population one year ago, but over time we have changed everything, and we are all pushing in the right direction.”
Over the course of that year, in which he works the 3 p.m. to midnight shift Tuesday through Saturday, Solimini had 406 “encounters,” meaning he was invited into a patient’s care team because the patient was being seen for something related to substance use or the patient requested him themselves. Of those 406 patient encounters, Solimini was able to place 218 into detox, about 54%.
“In our industry, 54% is a crazy number. It is generally 10% or lower that want to go to detox through the ED,” said Solimini. “People know now they are going to be treated with kindness, and they won’t be judged and stigmatized. All of that is gone.”
The other 46% had varying outcomes of their own, Solimini said, with 138 of them being discharged from the emergency department, while 44 of those people got into a detox program through a successful follow up.
“They simply were not ready, and we know that. Not everybody is ready to seek help,” said Solimini.
