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What strategies would you suggest to reduce patient-directed discharges in hospitalized patients with substance use disorder?

A recent study by Buresh et al., PMID 41372665 suggests that Addiction Medicine consultation is associated with a decrease in such discharges.
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What team members comprise the Addiction Medicine consult service at your hospital?

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3 Answers
Mednet Member
Mednet MemberInvited Expert
Hospital Medicine · University of Minnesota
Answered on

Hello,

This is an interesting question and one that our team has a lot of experience with.

I think it is, first and foremost, important to remember that the hospital is a hard place to be for anyone, and especially for people with substance use disorder. They are used to being mistreated in the hosp...

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Mednet Member
Mednet MemberInvited Expert
Hospital Medicine · University of Minnesota
Answered on

This is a great question and one that is often seen at my hospital. Patients with SUD are treated poorly, even by well-meaning staff and clinicians, right away. Withdrawal is seen as "seeking" and sometimes individuals want to fix that problem right away. The reality is that no individual will ever ...

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Mednet Member
Mednet MemberInvited Expert
Hospital Medicine · Wexner Medical Center at The Ohio State University
Answered on · Updated on

I agree with Dr. @Dr. First Last. The most actionable takeaway from Buresh et al., PMID 41372665 is that multidisciplinary addiction consultation appears to matter more than physician consultation alone. The strongest reduction came when peer recovery supporters and behavioral health professionals a...

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