An ED visit from someone with opioid use disorder is an opportunity to put that person in treatment. People do not present to the ED when things are going well; they present at times of crisis. Sometimes, in that crisis, there is a wakeup. If the system offers some approaches and a treatment pathway, then everybody benefits.
OB/GYNs and family planning clinicians should screen all patients for substance use disorders, as recommended by researchers and professional guidelines. Recent guidelines from the American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice recommend anyone who enters a physician’s office for reproductive health services receive a screening for a substance use disorder.
Long before the COVID-19 pandemic, frontline providers were confronting an epidemic of patients struggling with opioid use disorders (OUD). Recognizing the urgent need for improvement in this area, the American College of Emergency Physicians is rolling out a new accreditation program that is aimed at nudging EDs across the country to up their game when it comes to both the treatment of pain and the way they manage patients who present with OUD.
A new accreditation program offers best practices in pain and addiction care for EDs across the country. The goal of the program is to enhance bread-and-butter practice through evidence, support from an accrediting body, and a clear understanding that emergency providers who adhere to best practice have the backing of their own departments and institutions.
A reliable treatment center partner is critical to quickly take over the care of patients initiated on such treatment
January 29, 2020
There are many reasons why EDs may choose to keep patients who present with opioid use disorders at arm’s length, preferring to hand them off to an addiction or behavioral health specialist whenever possible. One of the more frequent refrains is that they simply do not have the resources or expertise to treat addictions.
Simply reducing the number of opioid prescriptions is not enough, the report authors wrote. Hospitals must be much more proactive in identifying patients with opioid use disorder and initiating treatment wherever those patients are encountered within the treatment process.