{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T20:29:02Z","timestamp":1793305742226,"version":"4.5.0"},"reference-count":35,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:00:00Z","timestamp":1760918400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:00:00Z","timestamp":1760918400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of the Pacific at Stockton"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J GEN INTERN MED"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The prevalence of substance use disorders (SUDs) is high among hospitalized patients, yet adoption of evidence-based practices to address SUDs in this population is limited. Substance use navigators (SUNs) are a promising intervention for improving patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to quantify the impact of SUN consultations on medications for opioid use disorder (MOUD) and medications for alcohol use disorder (MAUD) initiation and 30-day unplanned readmissions in hospitalized patients with SUDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A retrospective observational cohort study at a rural hospital in Northern California following adoption of the CA Bridge model of using SUNs to provide low-threshold, evidence-based treatment for SUDs. Patient data were extracted from electronic medical records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Hospitalized patients with a primary or secondary diagnosis of alcohol use disorder or opioid use disorder in 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Measures<\/jats:title>\n                    <jats:p>The two outcomes of interest were MOUD and MAUD initiation and 30-day unplanned readmission. Propensity score matching was used to estimate risk ratios comparing outcomes for patients who did vs. did not receive SUN consultation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Results<\/jats:title>\n                    <jats:p>Among 781 patients, 26.6% received a SUN consultation and the most common primary diagnosis was sepsis (9%). MOUD and MAUD were initiated among 15.7% of patients who had a SUN consultation and 7% who did not, and the 30-day unplanned readmission rate was 4% for patients who had a SUN consultation and 10.9% for those who did not. In the propensity score matched analysis, having a SUN consultation was associated with a twofold increase in MOUD\/MAUD initiation (RR 2.29, 95%CI 1.27\u20134.11) and a 64% reduction in risk of 30-day unplanned readmission (RR 0.36, 95%CI 0.17\u20130.80).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Adoption of SUNs may be an effective strategy for improving quality of care for patients with SUDs and reducing costs associated with unplanned readmissions at community-based hospitals without addiction medicine consult services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11606-025-09902-y","type":"journal-article","created":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:32:30Z","timestamp":1760967150000},"page":"1598-1604","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impact of Substance Use Navigators on Initiation of Treatment for Substance Use Disorders and 30-Day Unplanned Readmission"],"prefix":"10.1007","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8489-8695","authenticated-orcid":false,"given":"Arianna","family":"Campbell","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison D.","family":"Rosen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven J.","family":"Shoptaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew A.","family":"Herring","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Jay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aimee","family":"Moulin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliet","family":"LaMers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Samuels","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay","family":"Gietzen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,20]]},"reference":[{"issue":"8","key":"9902_CR1","doi-asserted-by":"publisher","first-page":"672","DOI":"10.1056\/NEJMp2204687","volume":"387","author":"H Englander","year":"2022","unstructured":"Englander H, Davis CS. 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This study was reviewed by the University of the Pacific IRB and deemed quality improvement and was considered not human subjects research.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval and Consent to Participate"}},{"value":"The authors declare that they do not have a conflict of interest.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}