Articles

Housing-Linked Care Transitions: Preventing Relapse When Detox or Inpatient Discharge Is Into Instability
Discharge into homelessness or unstable housing undermines medication continuity, follow-up attendance, and safety planning. This article explains how systems design housing-linked transitions with coordinated roles, rapid placement workflows, and measurable accountability across providers and housing partners. Read more...
Reducing People Leaving Against Medical Advice: Transition-First Workflows for Early Detox and Inpatient Exits
AMA and early exits from detox or inpatient care are often driven by predictable operational friction, not sudden “noncompliance.” This article explains how systems design transition-first workflows that secure medication continuity and warm handoffs even when discharge timing is uncertain. Read more...
Preventing Repeat ED Use After Discharge: Care Transition Follow-Up That Actually Reduces Avoidable Returns
Repeat ED use after detox, inpatient, or overdose discharge is often driven by predictable transition failures: medication gaps, unmanaged withdrawal, and no follow-up owner. This article explains how systems design follow-up that reduces avoidable ED returns using escalation routines and measurable accountability. Read more...
Fixing Weekend and After-Hours Discharges: 24/7 Care Transition Coverage for Detox, ED, and Inpatient Settings
Care transitions often fail on weekends and after-hours, when community services and pharmacies are harder to access. This article explains how systems build 24/7 transition coverage with on-call workflows, medication bridging, and accountable escalation that prevents avoidable crises. Read more...
Building Hospital SUD Consult-to-Community Pathways: Ensuring Warm Handoffs Before the Patient Leaves
Hospital SUD consult teams can initiate care during admission, but outcomes depend on whether the handoff to community services is executed before discharge. This article explains how hospitals build consult-to-community pathways with accountable workflows, shared information, and measurable continuity. Read more...
Preventing Medication Drop-Off After Inpatient SUD Care: Bridge Prescribing, Pharmacy Controls, and 14-Day Continuity
Inpatient SUD care often stabilizes patients clinically, but discharge fails when medication access collapses in the first two weeks. This article explains how systems design bridge prescribing, pharmacy reliability controls, and follow-up cadence that protects continuity after inpatient discharge. Read more...
ED-to-Community Handoffs After Nonfatal Overdose: Turning a Crisis Visit Into a Reliable Treatment Start
After a nonfatal overdose, the ED is often the only reachable point — but most handoffs fail due to weak follow-up design. This article explains how systems build ED-to-community transitions with warm handoffs, rapid starts, and measurable accountability. Read more...
Designing Safe Discharge Pathways from Detox to Community Care Without Immediate Relapse or Readmission
Detox discharge is a high-risk transition where treatment gaps, medication breaks, and unstable handoffs drive relapse and ED returns. This article explains how systems design detox-to-community transitions with governed workflows, accountable roles, and measurable continuity. Read more...