Emergency departments can offer opioid treatment, but not all do

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Emergency departments can offer opioid treatment, but not all do
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The overdose crisis is prompting more hospitals to initiate opioid addiction treatment in emergency rooms — a change welcomed by many behavioral health experts.

introduced a bill this year that would require emergency departments to evaluate their ability to initiate medication-assisted treatment and connect patients to programs.The concern for providers is, "What if I initiate this medication but the patient doesn't have anywhere to go and we don’t have resources in our community?" said Marla Oros, president of, which has helped more than 70 hospitals integrate buprenorphine treatment training and protocols.

Scott Weiner, an ER physician at Brigham and Women's Hospital, told Axios that hospitals can coordinate with local treatment centers or establish relationships with treatment providers to make referrals if they can't establish their own bridge clinic in-house like his facility. Those connections are not always a given and referrals are only as good as the providers offering treatment in the community, Weiner said.

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