In-hospital Substance Use Policies: An Opportunity to Advance Equity, Reduce Stigma, and Offer Evidence-based Addiction Care

被引:17
作者
Martin, Marlene [1 ,2 ]
Snyder, Hannah R. [2 ,3 ]
Otway, Gillian [4 ]
Holpit, Leslie [4 ]
Day, Lukejohn W. [1 ,2 ]
Seidman, Dominika [2 ,5 ]
机构
[1] Univ Calif San Francisco, Dept Med, 1001 Potrero Ave,Box 0862, San Francisco, CA 94110 USA
[2] San Francisco Gen Hosp, San Francisco, CA USA
[3] Univ Calif San Francisco, Dept Family & Community Med, San Francisco, CA 94110 USA
[4] San Francisco Gen Hosp, Dept Nursing, San Francisco, CA USA
[5] Univ Calif San Francisco, Dept Obstet Gynecol & Reprod Sci, San Francisco, CA 94110 USA
关键词
substance use disorder; opioid use disorder; hospital policy; acute care; addiction consult; equity; ILLICIT DRUG-USE;
D O I
10.1097/ADM.0000000000001046
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
In-hospital substance use is common among patients with addiction because of undertreated withdrawal, undertreated pain, negative feelings, and stigma. Health care system responses to in-hospital substance use often perpetuate stigma and criminalization of people with addiction, long etched into our culture by the racist War on Drugs. In this commentary, we describe how our hospital convened an interprofessional workgroup to revise our in-hospital substance use policy. Our updated policy recommends health care workers respond to substance use concerns by offering patients adequate pain control, evidence-based addiction treatment, and supportive services instead of punitive responses. We provide best-practice recommendations for in-hospital substance use policies.
引用
收藏
页码:10 / 12
页数:3
相关论文
共 15 条
[1]   Disparities in the Treatment of Substance Use Disorders: Does Where You Live Matter? [J].
Acevedo, Andrea ;
Panas, Lee ;
Garnick, Deborah ;
Acevedo-Garcia, Dolores ;
Miles, Jennifer ;
Ritter, Grant ;
Campbell, Kevin .
JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH, 2018, 45 (04) :533-549
[2]  
[Anonymous], 2016, IAHSS HEALTHCARE SEC
[3]  
Carson EA., 2014, Prisoners in 2013
[4]  
Chinedozi ID., INPATIENT OPIOID MIS
[5]   In-Hospital Illicit Drug Use and Patient-Directed Discharge: Barriers to Care for Patients With Injection-Related Infections [J].
Eaton, Ellen F. ;
Westfall, Andrew O. ;
McClesky, Brandi ;
Paddock, Cayce S. ;
Lane, Peter S. ;
Cropsey, Karen L. ;
Lee, Rachael A. .
OPEN FORUM INFECTIOUS DISEASES, 2020, 7 (03)
[6]   In-hospital illicit drug use, substance use disorders, and acceptance of residential treatment in a prospective pilot needs assessment of hospitalized adults with severe infections from injecting drugs [J].
Fanucchi, Laura C. ;
Lofwall, Michelle R. ;
Nuzzo, Paul A. ;
Walsh, Sharon L. .
JOURNAL OF SUBSTANCE ABUSE TREATMENT, 2018, 92 :64-69
[7]   Illicit drug use in acute care settings [J].
Grewal, Harjot Kaur ;
Ti, Lianping ;
Hayashi, Kanna ;
Dobrer, Sabina ;
Wood, Evan ;
Kerr, Thomas .
DRUG AND ALCOHOL REVIEW, 2015, 34 (05) :499-502
[8]   Buprenorphine Treatment Divide by Race/Ethnicity and Payment [J].
Lagisetty, Pooja A. ;
Ross, Ryan ;
Bohnert, Amy ;
Clay, Michael ;
Maust, Donovan T. .
JAMA PSYCHIATRY, 2019, 76 (09) :979-981
[9]   Hospitals as a 'risk environment': An ethno-epidemiological study of voluntary and involuntary discharge from hospital against medical advice among people who inject drugs [J].
McNeil, Ryan ;
Small, Will ;
Wood, Evan ;
Kerr, Thomas .
SOCIAL SCIENCE & MEDICINE, 2014, 105 :59-66
[10]   Mutual mistrust in the medical care of drug usersThe keys to the “narc” cabinet [J].
Joseph O. Merrill ;
Lorna A. Rhodes ;
Richard A. Deyo ;
G. Alan Marlatt ;
Katharine A. Bradley .
Journal of General Internal Medicine, 2002, 17 (5) :327-333