Harbor: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 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: 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: MAT Consult Line.pdf

BUP/MAT Treatment and Discharge Pathway

Patient Discharge Handout

BUP Home Initiation

Patient MAT/Buprenorphine Follow Up Options

Insurance Clinic Hours
DHS Empaneled and DHS Eligible (not Harbor Family Medicine) Primary Care & Diagnostic Center (PCDC) - Basement Clinic C

1000 W. Carson St
Torrance, CA 90502
(424) 306-4546

Schedule as "HAR PC MAT New" or

Walk-In: Monday AM or Thursday AM
For questions, please message Chris O. Brown, MD via ORCHID/Outlook

DHS Empaneled and DHS Eligible Lomita Clinic

1430 W Lomita Blvd, 2nd Floor
Harbor City, CA 90710
(310) 602-2600
(424) 306-4193 - SUD Counselor

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
Los Angeles, CA 90033
(323) 409-1000

Walk-In:

Tuesday-Thursday & Saturday
8am-7pm

All Patients Tarzana Treatment Center

5190 Atlantic Blvd
Long Beach, CA 90805
(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