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Table 3 Components of intervention during acute care, transition, and community treatment phases

From: Strategies to support substance use disorder care transitions from acute-care to community-based settings: a scoping review and typology

Components of Intervention

Overall N = 45 (100%)

ED N = 28 (62%)a

Hospital N = 20 (44%)a

Acute care phase

Staff involved in acute care interventionb

Multidisciplinary addiction care team

11 (24.4)

4 (14.3)

9 (45.0)

Nurse

10 (22.2)

6 (21.4)

3 (15.0)

Social worker/case manager

10 (22.2)

4 (14.3)

7 (35.0)

Patient navigator

5 (11.1)

4 (14.3)

1 (5.0)

Addiction counselor

6 (13.3)

4 (14.3)

3 (15.0)

Peer

3 (6.7)

2 (7.1)

2 (10.0)

physician

22 (48.9)

11 (39.3)

12 (60.0)

Nurse practitioner or physician’s assistant

4 (8.9)

2 (7.1)

2 (10.0)

Otherc

3 (6.7)

3 (10.7)

2 (10.0)

Not specified

11 (24.4)

9 (32.1)

1 (5.0)

Location of acute care staff

Work directly in ED/Hospital unit

34 (75.6)

24 (85.7)

12 (60.0)

Called upon as a part of a hospital consult team

5 (11.1)

1 (3.6)

5 (25.0)

Not specified

6 (13.3)

3 (10.7)

3 (15.0)

Medication initiation offeredb

Buprenorphine

26 (57.8)

16 (57.1)

11 (55.0)

Methadone

10 (22.2)

1 (3.6)

10 (50.0)

Naltrexone

6 (13.3)

1 (3.6)

5 (25.0)

Pharmacotherapy (unspecified)

1 (2.2)

0 (0.0)

1 (5.0)

None

14 (31.1)

9 (32.1)

6 (30.0)

Brief interventions involved

Screening, Brief Intervention, Referral to Treatment (SBIRT)

7 (15.6)

5 (17.9)

2 (10.0)

Other Brief Intervention

4 (8.9)

4 (14.3)

0 (0.0)

Transition phase

Staff Involved in facilitating transitionb

Multidisciplinary addiction care team

4 (8.9)

2 (7.1)

2 (10.0)

Nurse

11 (24.4)

7 (25.0)

4 (20.0)

Social Worker/case manager

15 (33.3)

6 (21.4)

10 (50.0)

Patient navigator

5 (11.1)

3 (10.7)

2 (10.0)

Addiction counselor

5 (11.1)

3 (10.7)

5 (25.0)

Peer

11 (24.4)

6 (21.4)

5 (25.0)

physician

25 (55.6)

18 (64.3)

8 (40.0)

Nurse practitioner or physician's assistant

3 (6.7)

2 (7.1)

1 (5.0)

Research assistant

3 (6.7)

3 (10.7)

0 (0.0)

Otherd

4 (8.9)

3 (10.7)

2 (10.0)

Not specified

4 (8.9)

4 (14.3)

0 (0.0)

Location of Transition Staff

Work directly in the ED/Hospital unit

33 (73.3)

23 (82.1)

10 (50.0)

Employed by external organization/research team

9 (20.0)

4 (14.3)

7 (35.0)

Called upon as a part of a hospital consult team

4 (8.9)

1 (3.6)

3 (15.0)

Community treatment phase

SUD Services Patients Transitioned Tob

SUD treatment providers (general)

26 (57.8)

12 (42.9)

14 (70.0)

Treatment with MOUD

26 (57.8)

17 (60.7)

11 (55.0)

Primary care provider

5 (11.1)

4 (14.3)

1 (5.0)

Detoxification program

4 (8.9)

3 (10.7)

3 (15.0)

Residential treatment program

8 (17.8)

4 (14.3)

5 (25.0)

Bridge or other short-term clinic

7 (15.6)

4 (14.3)

3 (15.0)

Peer support/self-help groups

3 (6.7)

1 (3.6)

3 (15.0)

Other medical and mental health servicese

6 (13.3)

5 (17.9)

3 (15.0)

Harm reduction services

2 (4.4)

0 (0.0)

2 (10.0)

Other community/social servicesf

11 (24.4)

6 (21.4)

7 (35.0)

  1. ED  emergency department, SUD  substance use disorder, MOUD  medications for opioid use disorder
  2. aThree studies included patients from both the ED and inpatient setting
  3. bNot mutually exclusive, will not add to 100%
  4. cOther staff involved in acute care (3) include pharmacist, clinical psychologist, and medical student
  5. dOther staff involved in transition (4) include pharmacist, toxicologist, psychoeducator, staff from the outpatient clinic in which patients are referred
  6. eOther medical and mental health services include care management, injury care, mental and behavioural health
  7. fOther community/social services include transportation, legal support, educational support, familial support, domestic violence hotlines, basic needs support (housing, food, employment, insurance, clothing)
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Addiction Science & Clinical Practice

ISSN: 1940-0640