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Inpatient Addiction Consult Service: Expertise for Hospitalized Patients with Complex Addiction Problems.
Med Clin North Am. 2018 Jul; 102(4):587-601.MC

Abstract

Substance use disorders are highly prevalent and are a large driver of costly inpatient medical care; however, historically the substance use disorder has gone unaddressed during an inpatient stay. Inpatient addiction consult services are an important intervention to use the reachable moment of hospitalization to engage patients and initiate addiction treatment. Addiction consultation involves taking an addiction-specific history, motivational interviewing, withdrawal symptom management, and initiation of long-term pharmacotherapy. Addiction consult services have the potential to decrease readmissions and utilization costs for medical systems and improve substance-related outcomes for patients.

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Authors+Show Affiliations

Weinstein ZM
Department of Medicine, Boston University School of Medicine, Boston Medical Center, 801 Massachusetts Avenue, Crosstown 2, Boston, MA 02118, USA. Electronic address: zoe.weinstein@bmc.org.
Wakeman SE
Department of Medicine, Harvard Medical School, Massachusetts General Hospital, 50 Staniford Street, 9th Floor, Boston, MA 02114, USA.
Nolan S
British Columbia Centre on Substance Use, 608-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada; Department of Medicine, University of British Columbia, St. Paul's Hospital, 553B-1081 Burrard Street, Vancouver, British Columbia V6Z 1Y6, Canada.

MeSH

AlcoholismDiagnostic Tests, RoutineHospitalizationHumansInpatientsMass ScreeningMedical History TakingMotivational InterviewingPatient Care TeamSeverity of Illness IndexSubstance Withdrawal SyndromeSubstance-Related Disorders

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

29933817

Citation

Weinstein, Zoe M., et al. "Inpatient Addiction Consult Service: Expertise for Hospitalized Patients With Complex Addiction Problems." The Medical Clinics of North America, vol. 102, no. 4, 2018, pp. 587-601.
Weinstein ZM, Wakeman SE, Nolan S. Inpatient Addiction Consult Service: Expertise for Hospitalized Patients with Complex Addiction Problems. Med Clin North Am. 2018;102(4):587-601.
Weinstein, Z. M., Wakeman, S. E., & Nolan, S. (2018). Inpatient Addiction Consult Service: Expertise for Hospitalized Patients with Complex Addiction Problems. The Medical Clinics of North America, 102(4), 587-601. https://doi.org/10.1016/j.mcna.2018.03.001
Weinstein ZM, Wakeman SE, Nolan S. Inpatient Addiction Consult Service: Expertise for Hospitalized Patients With Complex Addiction Problems. Med Clin North Am. 2018;102(4):587-601. PubMed PMID: 29933817.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Inpatient Addiction Consult Service: Expertise for Hospitalized Patients with Complex Addiction Problems. AU - Weinstein,Zoe M, AU - Wakeman,Sarah E, AU - Nolan,Seonaid, PY - 2018/6/24/entrez PY - 2018/6/24/pubmed PY - 2018/7/3/medline KW - Addiction KW - Consult service KW - Hospitalized patient KW - Inpatient management KW - Substance use disorder KW - Withdrawal SP - 587 EP - 601 JF - The Medical clinics of North America JO - Med Clin North Am VL - 102 IS - 4 N2 - Substance use disorders are highly prevalent and are a large driver of costly inpatient medical care; however, historically the substance use disorder has gone unaddressed during an inpatient stay. Inpatient addiction consult services are an important intervention to use the reachable moment of hospitalization to engage patients and initiate addiction treatment. Addiction consultation involves taking an addiction-specific history, motivational interviewing, withdrawal symptom management, and initiation of long-term pharmacotherapy. Addiction consult services have the potential to decrease readmissions and utilization costs for medical systems and improve substance-related outcomes for patients. SN - 1557-9859 UR - https://www.unboundmedicine.com/medline/citation/29933817/Inpatient_Addiction_Consult_Service:_Expertise_for_Hospitalized_Patients_with_Complex_Addiction_Problems_ DB - PRIME DP - Unbound Medicine ER -