Substance Use Treatment and Recovery Team (START) (START)
Opioid-use Disorder, Opioid-Related Disorders, Alcohol Use Disorder
About this trial
This is an interventional treatment trial for Opioid-use Disorder focused on measuring Collaborative Care, Hospital, Addiction, Opioid Use Disorder, Alcohol Use Disorder
Eligibility Criteria
Inclusion Criteria:
- Inpatient at CSMC
- Age 18 and older
- Screens positive for moderate to severe OAUDs based on the alcohol and opioid questions on the
- World Health Organization (WHO) Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST).
- Speaks English as primary language
- The usual attending physician agrees to patient's participation
- Has decision-making capacity and is not gravely disabled
Exclusion Criteria:
- Currently receiving FDA-approved medication treatment for an opioid or alcohol use disorder
- Gravely disabled (per clinical judgement)
- Does not have decision-making capacity (per clinical judgement)
Sites / Locations
- Cedars-Sinai Medical Center
Arms of the Study
Arm 1
Arm 2
Active Comparator
No Intervention
START
Usual Care
START is a model of care based on Collaborative Care. START is team driven, population-focused, measurement based, and focused on promoting adoption of evidence-based interventions. The purpose of this model is to increase adoption of evidence-based interventions for opioid and alcohol use disorders, and to increase linkage to aftercare. The components of the START intervention are as follows: Triage Engage, Assess, and Plan Treat Communicate and Coordinate Follow up Monitor
Usual care for people with alcohol or opioid use disorder.