Inpatient Initiation Model
In the inpatient initiation model, a patient is identified and begins medication for opioid use
disorder (MOUD) during a hospital stay. Following discharge, the patient continues MOUD outside of
the hospital, such as in a primary care setting through office-based opioid treatment (OBOT). Some
patients may need a “bridge” clinic to help stabilize treatment before moving to primary care or
another treatment setting.
Inpatient initiation of MOUD is important because it may help identify patients experiencing complex
health issues, such as co-occurring behavioral health conditions, cognitive impairments, and other
substance use, for whom substance use disorder may be overlooked by other providers.
Rural programs will need to work closely with hospitals to garner support for inpatient initiation of
MOUD. In particular, hospitals may need to develop internal processes and designate staff to screen
patients. Following initiation of treatment and referral to external treatment settings, it can help
to share information and data on patients that have continued treatment following discharge from the
Resources to Learn More
Induction for Opioid Use Disorder
Describes the buprenorphine team (BT) approach for offering hospitalized patients with opioid use
disorder (OUD) the opportunity to begin buprenorphine medication-assisted treatment (MAT) during
their stay. Discusses the characteristics hospital staff should look for prior to referring a patient
to the BT. Identifies common misconceptions about the MAT program.
Organization(s): University of Texas at Austin