TY - JOUR
T1 - Development of a substance abuse consultation and referral service in an academic medical center
T2 - Challenges, achievements and dissemination
AU - Murphy, Mary K.
AU - Chabon, Brenda
AU - Delgado, Arelis
AU - Newville, Howard
AU - Nicolson, Stephen E.
N1 - Funding Information:
There are some challenges to the establishment and maintenance of a successful Addiction Psychiatry Service that are worth noting to anyone who may be interested in trying to develop their own similar program. APS was originally developed under a two-year Health Resources and Services Administration (HRSA) grant in the Department of Family and Social Medicine at Montefiore Medical Center as a demonstration project to integrate primary care, HIV and substance abuse treatment. At the end of this demonstration grant and subsequent loss of funding, from 1994 to 1998 the service was downsized until 1999 when the Division of Substance Abuse was moved under the umbrella of the Department of Psychiatry. New hospital leadership provided renewed commitment to the service and permanent department funding was secured which allowed the service to expand to include a full time social worker, clinical health psychologist, and a part time physician (today full time). This history highlights that funding for APS programs (or general consultation liaison services) are scarce and sometimes represent a barrier to implementing and maintaining such a program.
PY - 2009/3
Y1 - 2009/3
N2 - Approximately 25% of US hospital beds are occupied by individuals with active substance use disorders (SUD). Acute medical hospitalization provides an opportunity to address SUDs and provide patient-centered intervention and referral for treatment. Nationally, some hospitals have developed substance abuse consultation departments to improve the care of hospitalized substance users. In this paper we describe the Addiction Psychiatry Service (APS) in a large urban hospital which provides bed-side SUD consultation, screening, intervention and referral to treatment. APS utilizes the multiple disciplines of psychology, social work and medicine to integrate substance abuse services throughout the hospital and educate future generations of medical and psychology trainees. We conclude with how the APS service is informing the development of similar programs in other academic departments within our hospital and best practice recommendations to further disseminate this service model.
AB - Approximately 25% of US hospital beds are occupied by individuals with active substance use disorders (SUD). Acute medical hospitalization provides an opportunity to address SUDs and provide patient-centered intervention and referral for treatment. Nationally, some hospitals have developed substance abuse consultation departments to improve the care of hospitalized substance users. In this paper we describe the Addiction Psychiatry Service (APS) in a large urban hospital which provides bed-side SUD consultation, screening, intervention and referral to treatment. APS utilizes the multiple disciplines of psychology, social work and medicine to integrate substance abuse services throughout the hospital and educate future generations of medical and psychology trainees. We conclude with how the APS service is informing the development of similar programs in other academic departments within our hospital and best practice recommendations to further disseminate this service model.
KW - Consultation service
KW - Hospitalized substance users
KW - SBIRT
KW - Substance abuse
UR - http://www.scopus.com/inward/record.url?scp=63449130516&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=63449130516&partnerID=8YFLogxK
U2 - 10.1007/s10880-009-9149-8
DO - 10.1007/s10880-009-9149-8
M3 - Article
C2 - 19219627
AN - SCOPUS:63449130516
SN - 1068-9583
VL - 16
SP - 77
EP - 86
JO - Journal of Clinical Psychology in Medical Settings
JF - Journal of Clinical Psychology in Medical Settings
IS - 1
ER -
