ArticleAddiction (Abingdon, England)2021
Building a hospital-based addiction medicine consultation service in Vancouver, Canada: the path taken and lessons learned.
Article in Addiction (Abingdon, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed.
- Contextual barriers and enablers to establishing an addiction-focused consultation team for hospitalized adults with opioid use disorder.Addiction science & clinical practice · 2024Trial
- Pilot randomized controlled trial of a hospital-based substance use treatment and recovery team (START) to improve initiation of medication for alcohol or opioid use disorder and linkage to follow-up care.Journal of substance use and addiction treatment · 2023Trial
- An application of hospital at home for precariously housed people who use drugs in a community-based harm reduction setting in Vancouver, Canada.Addiction science & clinical practice · 2026Article
- Models of care for the management of alcohol use disorder in general hospital settings and transition to the community: a scoping review.Alcohol and alcoholism (Oxford, Oxfordshire) · 2026Article
- "Just Be Relentless," Lessons Learned from In-Hospital Addiction Consult Service Implementation.Journal of general internal medicine · 2025Article
- Pharmacotherapy for alcohol use disorder among adults with medical disorders in Sweden.Addiction science & clinical practice · 2024Article
- How an emergency department is organized to provide opioid-specific harm reduction and facilitators and barriers to harm reduction implementation: a systems perspective.Harm reduction journal · 2023Article
- Access to tablet injectable opioid agonist therapy in rural and smaller urban settings in British Columbia, Canada: a qualitative study.Substance abuse treatment, prevention, and policy · 2023Article
- Inpatient care provider perspectives on the development and implementation of an addiction medicine consultation service in a small urban setting.Substance abuse treatment, prevention, and policy · 2022Article
- Opioid Use Disorder Treatment Initiation and Continuation: a Qualitative Study of Patients Who Received Addiction Consultation and Hospital-Based Providers.Journal of general internal medicine · 2022Article
- The Substance Use Treatment and Recovery Team (START) study: protocol for a multi-site randomized controlled trial evaluating an intervention to improve initiation of medication and linkage to post-discharge care for hospitalized patients with opioid use disorder.Addiction science & clinical practice · 2022Article
- Article
- Simulating the impact of Addiction Consult Services in the context of drug supply contamination, hospitalizations, and drug-related mortality.The International journal on drug policy · 2022Article
- Experiences with an addiction consultation service on care provided to hospitalized patients with opioid use disorder: a qualitative study of hospitalists, nurses, pharmacists, and social workers.Substance abuse · 2022Article
- Article
- Bridging the Gap: Canadian Healthcare Providers' Perspectives of Harm Reduction and Substance Use Education in Hospital.Journal of the American Psychiatric Nurses AssociationArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
BACKGROUND AND
aimsTo improve evidence-based addiction care in acute care settings, many hospitals across North America are developing an inpatient addiction medicine consultation service (AMCS). St Paul's Hospital in Vancouver, Canada houses a large interdisciplinary AMCS. This study aimed to: (1) describe the current model of clinical care and its evolution over time; (2) evaluate requests for an AMCS consultation over time; (3) highlight the established clinical training opportunities and educational curriculum and (4) provide some lessons learned. DESIGN, SETTING AND
participantsA retrospective observational analysis in an urban, academic hospital in Vancouver, Canada with a large interdisciplinary AMCS, studied from 2013 to 2018, among individuals who presented to hospital and had a substance use disorder. MEASUREMENTS: Data were collected using the hospital's electronic medical records. The primary outcome was number of AMCS consultations over time.
findingsIn 2014 the hospital's AMCS was restructured into an academic, interdisciplinary consultation service. A 228% increase in the number of consultations was observed between 2013 (1 year prior to restructuring) and 2018 (1373 versus 4507, respectively; P = 0.027). More than half of AMCS consultations originated from the emergency department, with this number increasing over time (55% in 2013 versus 74% in 2018). Referred patients were predominantly male (> 60% in all 5 years) between the ages of 45 and 65 years. Reasons for consultation remained consistent and included: opioids (33%), stimulants (30%), alcohol (23%) and cannabis use (8%).
conclusionsAfter St Paul's Hospital in Vancouver, Canada was restructured in 2014 to a large, interdisciplinary addiction medicine consultation service (AMCS), the AMCS saw a 228% increase in the number of consultation requests with more than half of requests originating from the emergency department. Approximately two-thirds of consultation requests were for opioid or stimulant use.
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