Evidence map›Paper›PMID 35139877›Full record

ArticleHarm reduction journal2022

Meeting people where they are: implementing hospital-based substance use harm reduction.

Rachel Perera, Louise Stephan, Ayesha Appa, Ro Giuliano, Robert Hoffman, Paula Lum, Marlene Martin

Open access · goldAbstract read
In one paragraph

Article in Harm reduction journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
11.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. A Fall Prevention Feasibility Trial for People With HIV and Alcohol Use.OTJR : occupation, participation and health · 2025
    Trial
  4. Improving hospital substance use care from the ground up and from the outside in.Canadian journal of public health = Revue canadienne de sante publique · 2026
    Article
  5. Article
  6. Article
  7. Association between prior ICU admission for drug overdose and ICU readmission: A retrospective registry-based study.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
    Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Ethical Management of Challenging Behaviors in Hospitalized People Who Use Drugs.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Rachel PereraSan Francisco General Hospital, San Francisco, CA, USA.
Louise StephanFrank H Netter MD School of Medicine, Quinnipiac University, North Haven, CT, USA.
Ayesha AppaSan Francisco General Hospital, San Francisco, CA, USA.
Ro GiulianoSan Francisco AIDS Foundation, San Francisco, CA, USA.
Robert HoffmanDrug User Community Health, San Francisco, CA, USA.
Paula LumSan Francisco General Hospital, San Francisco, CA, USA.
Marlene MartinSan Francisco General Hospital, San Francisco, CA, USA. marlene.martin@ucsf.edu.ORCID 0000-0001-8727-0289
San Francisco General Hospital · USQuinnipiac University · USSan Francisco AIDS Foundation · US

Funding

BIOLOGY OF INFECTIOUS DISEASES TRAINING PROGRAMT32AI007641 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MATTHEW G DORSEY · 2000 to 2026
$6.9M
Training in HIV Translational ResearchT32AI060530 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Diane V Havlir · 2005 to 2026
$6.4M
NIAID NIH HHS T32 AI007641NIAID NIH HHS T32 AI060530
6 · The paper itself

Abstract

backgroundHospital-based addiction care focuses on assessing and diagnosing substance use disorders, managing withdrawal, and initiating medications for addiction treatment. Hospital harm reduction is generally limited to prescribing naloxone. Hospitals can better serve individuals with substance use disorders by incorporating harm reduction education and equipment provision as essential addiction care. We describe the implementation of a hospital intervention that provides harm reduction education and equipment (e.g., syringes, pipes, and fentanyl test strips) to patients via an addiction consult team in an urban, safety-net hospital.

methodsWe performed a needs assessment to determine patient harm reduction needs. We partnered with a community-based organization who provided us harm reduction equipment and training. We engaged executive, regulatory, and nursing leadership to obtain support. After ensuring regulatory compliance, training our team, and developing a workflow, we implemented this harm reduction program that provides education and equipment to individuals whose substance use goals do not include abstinence.

resultsDuring a 12-month period we provided 195 individuals harm reduction kits.

conclusionsThis intervention allowed us to advance hospital-based addiction care, better educate and engage patients, staff, and clinicians, and reduce stigma. By establishing a community harm reduction partner, obtaining support from hospital leadership, and incorporating feedback from staff, clinicians, and patients, we successfully implemented harm reduction education and equipment provision in a hospital setting as part of evidence-based addiction care.

trial registrationCommentary, none.

Indexed as

Behavior, AddictiveSubstance-Related DisordersHarm ReductionHospitalsHumansNaloxoneNaloxoneAddictionCommunity engagementHarm reductionHealth systemsHospitalsSafer use supplies

Identifiers

PMID35139877
PMCPMC8826677
OpenAlexW4210831730

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.