Table 2 Services offered in the Roundhouse clinical units

Medications for SUDs

• Buprenorphine,  sublingual or subcutaneous (long-acting)

• Naltrexone

• Acamprosate

• Others

Same services as provided in urgent care, plus:

Outpatient withdrawal management

•Opioid withdrawal: 72-h rule methadone with OTP linkage

• Opioid withdrawal:Buprenorphine

• Alcohol withdrawal: Benzodiazepines

Management of over-intoxication

• Sedation

• Over-stimulation

• Over-amping

Skin and soft tissue infection care

• Abscess

• Cellulitis

• Wound care

Management of mild-moderate acute withdrawal

Infection Screening, Treatment, Prevention

• HIV testing (rapid and phlebotomy)

• PEP, PrEP

• HCV testing

• Vaccines

• STI testing and treatment

Behavioral health assessments and triage

• Onsite emergency mental health evaluations for voluntary admission to Crisis Stabilization Unit

Reproductive Health

• Pregnancy testing

• Contraception

• Condoms

Post-overdose observation

• Offered to patients as an alternative when refusing ED transfer post overdose

• Medications to assist with withdrawal symptoms following naloxone administration in the community or onsite

Harm-reduction supplies and education, including naloxone

Case management for treatment referral

Connection to recovery coach services