{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T19:22:02Z","timestamp":1790277722761,"version":"4.1.0"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["#UL1 TR001872"],"award-info":[{"award-number":["#UL1 TR001872"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Subst\ufffdAbuse"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patients experiencing homelessness have higher rates of substance use and related mortality, often driven by opioid overdose. Conversely, opioid use disorder (OUD) is a leading risk factor for homelessness. Our goal was to test the efficacy of an electronic health record (EHR) screen in identifying this vulnerable population during hospitalization and to assess the feasibility of a bundled intervention in improving opioid safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We assessed patients\u2019 housing status, substance use, previous MOUD treatment, barriers to MOUD treatment and readiness to take MOUD in and out of the hospital. For each post discharge follow up call, patients were asked about their MOUD status, barriers accessing treatment, current substance use, and housing status. We also assessed team members perceptions and experiences of the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We enrolled 32 patients with housing insecurity and OUD. The mean age was 44, the majority self-identified as male (78%), and mostly as White (56%) or Black (38%). At each follow up within the 6-months post-discharge, reach rates were low: 40% of enrollees answered at least 1 call and the highest reach rate (31% of patients) occurred at week 4. At the third and sixth-month follow ups, &gt;50% of subjects still taking MOUD were also using opioids.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our clinician augmented EHR screen accurately identified inpatients experiencing OUD and PEH. This intervention showed high rates of attrition among enrolled patients, even after providing cellphones. The majority of patients who were reached remained adherent to MOUD though they reported significant barriers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11782218231166382","type":"journal-article","created":{"date-parts":[[2023,4,7]],"date-time":"2023-04-07T01:10:16Z","timestamp":1680829816000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A Focused Screening and Clinical Intervention with Streamlined Outpatient Linkage for Hospitalized Patients with Opioid Use Disorder Experiencing Homelessness"],"prefix":"10.1177","volume":"17","author":[{"given":"Sandra","family":"Oreper","sequence":"first","affiliation":[{"name":"Division of Hospital Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Bond","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilyn","family":"Bazinski","sequence":"additional","affiliation":[{"name":"Center for Nursing Excellence and Innovation, University of California, San Francisco, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Tierney","sequence":"additional","affiliation":[{"name":"School of Nursing, University of California, San Francisco, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Fang","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujatha","family":"Sankaran","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aksharananda","family":"Rambachan","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,4,6]]},"reference":[{"key":"bibr1-11782218231166382","unstructured":"Ahmad FB, Cisewski JA, Rossen LM, Sutton P. Provisional drug overdose death counts. National Center for Health Statistics. Accessed May 9, 2022. https:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/drug-overdose-data.htm"},{"key":"bibr2-11782218231166382","unstructured":"Jung Y. Tracking San Francisco\u2019s drug overdose epidemic. Accessed May 9, 2022. https:\/\/www.sfchronicle.com\/projects\/2021\/san-francisco-drug-overdoses-map\/"},{"key":"bibr3-11782218231166382","unstructured":"COVID-19 cases and deaths | San Francisco. Accessed May 9, 2022. https:\/\/sf.gov\/data\/covid-19-cases-and-deaths#total-cases-and-deaths"},{"key":"bibr4-11782218231166382","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2014.302248"},{"key":"bibr5-11782218231166382","unstructured":"Pfefferle SG, Karon SS, Wyant B. Choice Matters: Housing Models that May Promote Recovery for Individuals and Families Facing Opioid Use Disorder. ASPE. Accessed May 5, 2022. https:\/\/aspe.hhs.gov\/reports\/choice-matters-housing-models-may-promote-recovery-individuals-families-facing-opioid-use-disorder-0"},{"key":"bibr6-11782218231166382","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2021.108717"},{"key":"bibr7-11782218231166382","doi-asserted-by":"publisher","DOI":"10.1186\/s13722-019-0149-1"},{"key":"bibr8-11782218231166382","doi-asserted-by":"publisher","DOI":"10.1186\/s13722-021-00237-7"},{"key":"bibr9-11782218231166382","doi-asserted-by":"publisher","DOI":"10.1186\/s13722-019-0139-3"},{"key":"bibr10-11782218231166382","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2021.108342"},{"key":"bibr11-11782218231166382","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2019.12.008"},{"key":"bibr12-11782218231166382","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2019.305525"},{"key":"bibr13-11782218231166382","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000943"},{"key":"bibr14-11782218231166382","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1753"},{"key":"bibr15-11782218231166382","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2016.07.004"},{"key":"bibr16-11782218231166382","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.0490"},{"key":"bibr17-11782218231166382","doi-asserted-by":"publisher","DOI":"10.1007\/s43678-020-00062-y"},{"key":"bibr18-11782218231166382","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000684"},{"key":"bibr19-11782218231166382","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2020.01472"}],"container-title":["Substance Abuse: Research and Treatment"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11782218231166382","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11782218231166382","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11782218231166382","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:30:54Z","timestamp":1777692654000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11782218231166382"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":19,"alternative-id":["10.1177\/11782218231166382"],"URL":"https:\/\/doi.org\/10.1177\/11782218231166382","relation":{},"ISSN":["1178-2218","1178-2218"],"issn-type":[{"value":"1178-2218","type":"print"},{"value":"1178-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"11782218231166382"}}