Table 2. Recovery goals and barriers for patients consulted by the CRS service in the TJUH emergency department in Philadelphia, stratified by drug of choice.
Drug use (n, %) | Alcohol use (n, %) | |
Prior recovery modalitiesa | ||
Inpatient | 78 (59.1) | 28 (60.9) |
Mutual support meetings | 7 (5.3) | 1 (2.2) |
Outpatient buprenorphine | 7 (5.3) | n/a |
Outpatient methadone | 15 (11.4) | n/a |
Outpatient naltrexone | 1 (0.8) | 0 (0) |
Recovery housing | 1 (0.8) | 1 (2.2) |
None | 14 (10.6) | 12 (26.1) |
Other | 9 (6.8) | 4 (8.7) |
Goals for after this visitb | ||
Inpatient treatment | 73 (54.9) | 24 (52.2) |
Mutual support meetings | 0 (0) | 4 (8.7) |
Outpatient buprenorphine | 5 (3.8) | 0 (0) |
Outpatient methadone | 8 (6) | n/a |
Outpatient naltrexone | 1 (0.8) | 0 (0) |
Recovery housing | 2 (1.5) | 0 (0) |
None | 16 (12) | 8 (17.4) |
Other | 28 (21.1) | 10 (21.7) |
Living situation following dischargec | ||
Family residence | 28 (16.3) | 11 (19.6) |
Friend residence | 4 (2.3) | 0 (0) |
Personal residence | 41 (23.8) | 23 (41) |
Shelter | 1 (0.6) | 2 (3.6) |
Undomiciled | 43 (25) | 9 (16.1) |
Other | 11 (6.4) | 1 (1.8) |
Barriers to treatmentd | ||
Difficulty navigating system | 32 (24.1) | 11 (23.9) |
Employment obligations | 0 (0) | 1 (2.2) |
Family obligations | 3 (2.3) | 1 (2.2) |
Medical comorbidities | 52 (39.1) | 18 (39.1) |
Prior poor experiences | 6 (4.5) | 6 (13) |
Stigma from medical system | 7 (5.3) | 0 (0) |
Transportation needs | 4 (3) | 0 (0) |
Other | 29 (21.8) | 9 (19.6) |