Addiction, substance dependence Mental and Behavioural Disorders
Conditions
Interventions
The iHOST toolkit comprises:
1. A ‘My Meds’ card. A prototype card has been developed with people who use opioids (PWUO). This provides information for hospital staff to prioritise and expedite medici
hospital pharmacy staff (n=~10).
- We will conduct 1 additional workshop at Rele
Sponsors
London School of Hygiene & Tropical Medicine
Eligibility
Sex/Gender
All
Age
18 Years to 110 Years
Inclusion criteria
Inclusion criteria: PWUO: 1. People who have a history of opioid use for non-medical reasons AND/OR are prescribed OST in a community setting for illicit opioid dependence 2. Aged 18 years or over 3. Assessed as capable to consent (not in debilitating withdrawal or intoxicated) 4. Presenting at A&E, an acute admissions ward or inpatient at one of the hospital sites OR a client at one of the linked drug treatment services Providers: 1. Healthcare staff involved in the prescribing, supply or administration of medicines to patients within A&E, acute admissions and high-burden inpatient wards 2. Staff at linked drug treatment services
Exclusion criteria
Exclusion criteria: 1. People who are under 18 years of age 2. In secure services 3. Lacking capacity for informed consent 4. No history of opioid dependence 5. (For providers) are not involved in OST-related service provision
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measured using patient records: 1. Discharge against medical advice (measured at hospital discharge) 2. Emergency readmission at any hospital in England (measured in the 28 days after discharge). | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured using patient records: 1. Provision of opioid substitution therapy (OST) 2. Dose of OST 3. Duration between admission and provision of OST 4. Records of illicit substance use while admitted to hospital | — |
Countries
England, United Kingdom
Outcome results
None listed