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. Author manuscript; available in PMC: 2025 Nov 1.
Published in final edited form as: Drug Alcohol Rev. 2024 Aug 28;43(7):1865–1879. doi: 10.1111/dar.13926
Code category Parent code Child code

Outer setting/implementation context Barriers to care Budget for interventions
Lack of access to care
Lack of stability in care
Negative feelings about first responders
Stigma
Facilitators to care Positive feelings about first responder services
Low/No barrier access
Non-stigmatising environment and rapport building
Services brought to PWUD
Trauma-informed care
Effective first responder communication style
Intervention characteristics N/A Buprenorphine
HIV/HCV Testing
Leave behind naloxone (LBN)
Characteristics of individuals Perceptions of buprenorphine Ambivalence toward buprenorphine
Interested in buprenorphine
Not interested in buprenorphine
Perceptions of HIV/HCV testing Ambivalence toward HIV/HCV testing
Interested in HIV/HCV testing
Not interested in HIV/HCV testing
Perceptions of LBN Ambivalence toward LBN
Interested in LBN
Not interested in LBN
Inner setting N/A Characteristics of personal drug use
Experiences with overdose
Perceptions of first responder roles
Perceptions of police
Scope of first responder services and mission
Process Implementation recommendations Buprenorphine
HIV/HCV Testing
LBN
Implementers Paramedics should provide intervention
Firefighters should provide intervention
Mobile/outreach clinic should provide intervention
Paramedics should not provide intervention
Firefighters should not provide intervention
Mobile/outreach clinic should not provide intervention
Police should not provide intervention
Peers should provide intervention