View source for Harbor:BUP

===[[Harbor:Opiate Withdrawal/MAT/BUP|Opioid Withdrawal MAT/Bup]]===
* Please refer all DHS patients with substance use disorder (SUD) started on medication assisted treatment (MAT) to PVCC/CCC – Har for enrollment in Dr. Brown's addiction clinic
** In the "For referral, specify need" box: "MAT for opiate/alcohol dependency"

'''Qualifying patients'''
* Active withdrawal or post-overdose: start buprenorphine in ED via buprenorphine protocol
* Not in active withdrawal but with opioid use disorder: Rx for home start using home initiation protocol
* Patients with chronic pain and opioid dependence with PMD at Harbor: message PMD AND Christopher Brown AND Gloria Sanchez to link patient to Harbor SUD clinics
* For pregnant patients - once the primary complaint is addressed (or if primary complaint is pregnant and opiate use disorder/withdrawal), if patient has confirmed IUP please send to OB triage for initiation of Suboxone during pregnancy 

'''Consult [[Harbor:Social_work|Social Work]] for ALL patients started on or prescribed buprenorphine in the ED'''

====Narcan Distribution from ED====
*Available for any patient with SUD and would benefit from distribution in hand on discharge
**In Code White cabinet in purple doc box, next to the adult airway cabinet, requires key from either senior resident phones or either attending phones
**Please initial to log the distribution on the clipboard attached, no PHI required
*All patients handed Narcan also need Rx sent to pharmacy for tracking
*Please document as you otherwise would for prescribing Narcan, with the addition of .ednaloxonegiven in your note, which can soon be replaced by .naloxoneEDdistribution

====FM MAT Inpatient Consult Service====
*For patients 16y/o and older
**Mon-Thur 8a-4p x64398
**Call (310) 697-6030
**Message Center: Yvettte Cerna
*Flyer: [[:Media:FM MAT Consult Service.pdf|FM MAT Consult Service.pdf]]

====MAT Provider Consultation Line====
*DHS on-call providers available to help initiate MAT for patients with alcohol and/or opioid use disorder
**(213) 288-9090
**8a-12a, 7 days per week
*Flyer: [[:Media:MAT Consultation Line.pdf|MAT Consult Line.pdf]]

====BUP/MAT Treatment and Discharge Pathway====
*[[:Media:Bup_Protocol_Harbor.pdf|Harbor Bup Protocol.pdf]]

====Patient Discharge Handout====
*[[:Media:Harbor_Bup_Start_Instructions.pdf|Harbor Bup Start.pdf]]

====BUP Home Initiation====
*[[:Media:Bup home Initiation.pdf|Bup Home Start.pdf]]

====Patient MAT/Buprenorphine Follow Up Options==== 
{| class="wikitable"
|-
! Insurance !! Clinic !! Hours
|-
| DHS Empaneled and DHS Eligible (not Harbor Family Medicine) || Primary Care & Diagnostic Center (PCDC) - Basement Clinic C
1000 W. Carson St<br/>
Torrance, CA 90502<br/>
(424) 306-4546<br/>
 || '''Schedule as "HAR PC MAT New"''' or 
'''Walk-In: Monday AM or Thursday AM'''<br/>
For questions, please message Chris O. Brown, MD via ORCHID/Outlook
|-
| DHS Empaneled and DHS Eligible || Lomita Clinic 
1430 W Lomita Blvd, 2nd Floor<br/>
Harbor City, CA 90710<br/>
(310) 602-2600<br/>
(424) 306-4193 - SUD Counselor<br/>
 || '''Walk-In: Tuesday AM or Friday AM'''
For questions, please message Gloria Sanchez, MD via ORCHID/Outlook
|-
| DHS Empaneled, DHS Eligible, MyHealthLA, Uninsured (No OOP) || LAC+USC Urgent Care 
2051 Marengo St, 2nd Floor<br/>
Los Angeles, CA 90033<br/>
(323) 409-1000
 || Walk-In:
Tuesday-Thursday & Saturday<br/>
8am-7pm

|-
| All Patients || Tarzana Treatment Center
5190 Atlantic Blvd<br/>
Long Beach, CA 90805<br/>
(818) 654-3933
 || Walk-In:
24/7
|}
All patients can call the Substance Abuse Service Hotline 24/7 for more help (844) 804-7500

==See Also==
*[[Harbor:Main]]
*[[Harbor:Opiate_Withdrawal/MAT/BUP|Harbor:Opiate Withdrawal/MAT/BUP]]
*[[Harbor:Whole person care|Harbor:Whole Person Care]]

[[Category:Admin]]