Event 3: Team Collaboration

Ms. Tatum reclines on a hospital bed wearing a hospital gown and neck brace.
Ms. Tatum in the Emergency Dept

A team-based approach to Mr. Tatum’s care will promote improved pain management and support during this acute stress while helping her maintain her recovery from OUD.

Medical Clinician/Dentist

Diagnose and treat injury, monitor medication responses, and refine plan.

Addiction Specialist and Recovery Coach Consultations

Often not available in all settings; psychiatry, nursing and social work services may also assist

  • Facilitate transition to home buprenorphine/naloxone dose and community-based team care
  • Address anxiety about risk of recurrent use and support continued recovery
  • Include review of protective/risk factors for recurrent use and self-harm/violence
  • Keep informed of discharge plan and follow-up needed

Social Work Involvement

To strengthen supports, help with problem solving.

  • Facilitate transition on discharge with community-based resources

Nurse/Case Manager

For communication and coordination of services

  • Facilitate a unified patient-centered team plan acceptable to patient
  • Post-discharge care plan
  • Provide patient education and counseling
  • Aid in monitoring the safety/efficacy of the plan

Spiritual Care

To promote comfort and support and present a less distressing view of current challenges.


To collaborate with care team to identify medication-related problems, make recommendations as needed, monitor therapy, answer medication questions, serve as a resource for patient education, and ensure access to treatment during hospitalization and upon discharge.

Other team members as appropriate

E.G.: Physical Therapy, Speech-Language Pathology, Nutrition, etc.

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