LVN 2.9 FTE | | | Assess people with unhealthy alcohol use for alcohol use disorder Assess interest in naltrexone for alcohol use disorder and nicotine replacement therapy, varenicline or bupropion for tobacco use disorder Refer to California Smokers’ Hotline and groups Communicate with primary teams when patients express interest in medications for alcohol or tobacco use disorder Provide motivational interviewing for substance use Request ACT patient navigator, fellow and/or attending consult when patient requires specialty motivational interviewing, outpatient linkage, initiation of medication for stimulant or opioid use disorder or extended-release naltrexone Administer extended-release naltrexone
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Patient navigator 1.0 FTE | | | Use motivational interviewing to evoke patient goals and guide patients towards healthier behaviours Provide harm reduction counselling Refer to outpatient primary care and addiction treatment including peer support groups, harm reduction, intensive outpatient and residential treatment programmes Provide postdischarge navigation support for barriers encountered by providing patients ACT phone number Follow-up with patients who have a phone once via phone after discharge to check in regarding care transition Communicate and coordinate plans with primary teams and outpatient programmes Refer to outpatient mental/behavioural health services Call patients who have a phone once after discharge to check in regarding care transition
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Fellow 0.75 FTE | SUD evaluation and diagnosis Motivational interviewing and counselling Treatment recommendations Staff and provider education
| | Conduct comprehensive substance use evaluation Make or confirm SUD diagnosis Motivational interviewing Model non-stigmatising language and behaviour Recommend medications to treat substance withdrawal symptoms and evidence-based medications for addiction treatment based on patient preferences Work with patient navigator and primary team on discharge planning Educate staff and providers Lead daily interprofessional huddles
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Attending 0.5 FTE | Supervision Motivational interviewing Treatment recommendations Staff and provider education Billing
| | Support ACT members Supervise fellow Carry fellow responsibilities as above when fellow absent Educate rotating fellows and trainees and ACT members Lead brief multidisciplinary teaching at daily huddles .
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