From the Department of Medicine, University of California, San Francisco, San Francisco, CA (MM, LWD); San Francisco General Hospital, San Francisco, CA (MM, LWD, HRS, DS); Department of Family and Community Medicine, University of California, San Francisco, CA (HRS); Department of Nursing, San Francisco General Hospital, San Francisco, CA (LH, GO); Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, CA (DS).
J Addict Med. 2023;17(1):10-12. doi: 10.1097/ADM.0000000000001046. Epub 2022 Aug 2.
In-hospital substance use is common among patients with addiction because of undertreated withdrawal, undertreated pain, negative feelings, and stigma. Health care system responses to in-hospital substance use often perpetuate stigma and criminalization of people with addiction, long etched into our culture by the racist War on Drugs. In this commentary, we describe how our hospital convened an interprofessional workgroup to revise our in-hospital substance use policy. Our updated policy recommends health care workers respond to substance use concerns by offering patients adequate pain control, evidence-based addiction treatment, and supportive services instead of punitive responses. We provide best-practice recommendations for in-hospital substance use policies.
住院期间的物质使用在成瘾患者中很常见，这是因为戒断治疗不足、疼痛治疗不足、负面情绪和污名化。医疗保健系统对住院期间物质使用的反应往往会延续对成瘾者的污名化和刑事化，这在我们的文化中由来已久，可追溯到种族主义的毒品战争时期。在这篇评论中，我们描述了我们的医院如何召集一个跨专业工作组来修订我们的住院期间物质使用政策。我们更新的政策建议医护人员通过提供充分的疼痛控制、基于证据的成瘾治疗和支持性服务来应对物质使用问题，而不是采取惩罚性措施。我们为住院期间物质使用政策提供了最佳实践建议。
