Emergency Department-Substance Use Screening, Motivational Interviewing and Active Referral Targeting Substance Use Disorder and Overdose Prevention

ED-SMART: Emergency Department-Substance Use Screening, Motivational Interviewing and Active Referral Targeting Substance Use Disorder and Overdose Prevention

The purpose of this research study is to learn if an emergency department screening and telehealth intervention reduces substance use among individuals receiving emergency department treatment at The Ohio State University Wexner Medical Center.

Inclusion Criteria:

• Adult at least 18 years of age
• Capacity and willingness to participate (including reliable phone or internet access for counseling session)
• Lower or Moderate Risk score on one or more substance use types on National Institute on Drug Abuse (NIDA)-Modified Alcohol, Smoking, and Substance Use Involvement Test (ASSIST). Participants may also endorse alcohol use in conjunction with substance use as indicated by an Alcohol Use Disorder Identification Test-Concise (AUDIT-C) score of Moderate Risk.

Exclusion Criteria:

• A priori participant request for participation
• Previously enrolled in this or other study of substance use disorder prevention
• Language other than English
• Expected/actual ED disposition of hospitalization or non-independent status
• Prisoner at time of enrollment
• Known to be pregnant at time of enrollment
• Past substance use disorder or substance use treatment
• High risk score for one or more substances on the NIDA-Modified ASSIST or problematic alcohol use alone