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In-hospital Substance Use Policies: An Opportunity to Advance Equity, Reduce Stigma, and Offer Evidence-based
Marlene Martin1, Hannah R Snyder, Gillian Otway
1From the Department of Medicine, University of California, San Francisco, San Francisco, CA (MM, LWD); San Francisco General Hospital, San Francisco, CA (MM, LWD, HRS, DS); Department of Family and Community Medicine, University of California, San Francisco, CA (HRS); Department of Nursing, San Francisco General Hospital, San Francisco, CA (LH, GO); Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, CA (DS).
In-hospital substance use requires compassionate care. Updated policies prioritize pain control, addiction treatment, and support over punishment for patients with substance use disorders.
Area of Science:
- Health policy
- Addiction medicine
- Hospital administration
Background:
- In-hospital substance use is prevalent due to undertreated withdrawal, pain, and stigma.
- Current healthcare responses often criminalize patients with addiction, influenced by historical policies like the War on Drugs.
Purpose of the Study:
- To describe the revision of an in-hospital substance use policy.
- To advocate for a shift from punitive measures to supportive care for patients with substance use concerns.
Main Methods:
- Convening an interprofessional workgroup.
- Revising the existing in-hospital substance use policy.
Main Results:
- The updated policy recommends healthcare workers offer adequate pain control, evidence-based addiction treatment, and supportive services.
- The revised approach aims to reduce stigma and criminalization associated with in-hospital substance use.
Conclusions:
- Hospitals should adopt policies that treat in-hospital substance use with evidence-based, compassionate care.
- Best-practice recommendations are provided for developing effective in-hospital substance use policies.
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