Development of a substance abuse consultation and referral service in an academic medical center: Challenges, achievements and dissemination

Mary K. Murphy, Brenda Chabon, Arelis Delgado, Howard Newville, Stephen E. Nicolson

Research output: Contribution to journalArticle

5 Scopus citations


Approximately 25% of US hospital beds are occupied by individuals with active substance use disorders (SUD). Acute medical hospitalization provides an opportunity to address SUDs and provide patient-centered intervention and referral for treatment. Nationally, some hospitals have developed substance abuse consultation departments to improve the care of hospitalized substance users. In this paper we describe the Addiction Psychiatry Service (APS) in a large urban hospital which provides bed-side SUD consultation, screening, intervention and referral to treatment. APS utilizes the multiple disciplines of psychology, social work and medicine to integrate substance abuse services throughout the hospital and educate future generations of medical and psychology trainees. We conclude with how the APS service is informing the development of similar programs in other academic departments within our hospital and best practice recommendations to further disseminate this service model.

Original languageEnglish (US)
Pages (from-to)77-86
Number of pages10
JournalJournal of Clinical Psychology in Medical Settings
Issue number1
StatePublished - Mar 1 2009



  • Consultation service
  • Hospitalized substance users
  • Substance abuse

ASJC Scopus subject areas

  • Clinical Psychology

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