Evidence map›Paper›PMID 41704554›Full record

ReviewJournal of the American College of Emergency Physicians open2026

Navigating Substance Use Care in the Emergency Department: A Scoping Review.

Aneeqah H Naeem, Jhanavi Kapadia, Jon Soske, Raina Zhang, Tobias Kirchwey, Misha Fan, Sara J Becker, Charlie Merrick, Georgia R Goodman, Elizabeth A Samuels

Abstract readReview
In one paragraph

Review in Journal of the American College of Emergency Physicians open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

10 authors.

Aneeqah H NaeemWarren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Jhanavi KapadiaThe University of New England College of Osteopathic Medicine, Biddeford, Maine, USA.
Jon SoskeDepartment of Infectious Disease, The Miriam Hospital, Providence, Rhode Island, USA.
Raina ZhangDepartment of Emergency Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, USA.
Tobias KirchweyDepartment of Emergency Medicine, SUNY Downstate, Brooklyn, New York, USA.
Misha FanBrown University, Providence, Rhode Island, USA.
Sara J BeckerDepartment of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Charlie MerrickDepartment of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Georgia R GoodmanDepartment of Emergency Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, USA.
Elizabeth A SamuelsDepartment of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Emergency departments (ED) are increasingly implementing community health worker (CHW) and peer recovery specialist (PRS) programs to engage patients with substance use disorders and link them to harm reduction and addiction treatment services. This scoping review aims to provide a broad overview of current research on ED-based CHW and PRS programs in North America. Methods: We conducted a comprehensive database search on PubMed, Embase, MEDLINE/OVID, and World of Science through December 31, 2022. Articles were screened for inclusion by 2 reviewers with conflicts resolved by a third reviewer. Data extraction from full-text articles was completed by 3 reviewers and checked for accuracy by a separate reviewer. Results: We screened 12,187 abstracts, reviewed 398 full-text articles, and selected 64 papers about 35 distinct programs for inclusion. Study design included a mix of retrospective and prospective analyses, including a few randomized control trials. Core program components include services navigation (97.1%), motivational interviewing and/or a brief intervention (65.7%), harm reduction services (42.9%), and case management (28.6%). Most programs evaluating addiction treatment engagement noted comparative increase in treatment engagement after program implementation, which includes initiation of medication for opioid use disorder and outpatient treatment engagement. Programs evaluating ED utilization noted a reduction in ED visits after program implementation. Comparative outcome research about overdose, hospitalizations, mortality, and cost were limited. Conclusion: ED-based CHW and PRS programs varied in design and services provided. Most studies measuring engagement reported favorable effects, although with limited effect size and heterogenous study quality, design, and metrics that limit generalizability. Future research should evaluate program effectiveness and identify key elements of successful ED-based programs to inform implementation.

Indexed as

addiction treatmentpatient navigationpeer recoverysubstance use disorder

Identifiers

PMID41704554
PMCPMC12907702

What OpenQuestion holds

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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.