Table 1.

The AMC Service: Shared and Different Structure & Design Themes

Domain	Commonalties	Differences
Availability & Coverage	When services are delivered • Staffed weekdays but not weekends	Where services are delivered • The emergency department
Team Composition	Diverse team membership • Interprofessional team composition • Inclusion of trainees	Disciplines represented • Nurse practitioners • Social workers • Alcohol & drug counselors • Physician assistants • Psychologists • Peer support specialists
Scope & Responsibility	Three domains of responsibility 1. Education and culture change 2. Psychosocial and medical services • Mental health and SUD assessments; • Psychological intervention; • Medical management of SUDs (i.e., clinical activities related to pharmacotherapy initiation, continuation, and discontinuation of OAT, the management of benzodiazepine and alcohol withdrawal) • Medical management of pain • Linkage to care (i.e., referrals to treatment, care pathways, bridge clinics). 3.Hospital guidance document development	Services available Availability of psychological techniques • Brief intervention, cognitive behavioral therapy, dialectal behavioral therapy, and motivational interviewing. Harm reduction services • Naloxone kit distribution; overdose education, counseling on syringe exchange; allowing patients to smoke
Financing	Nature of funding • Complex and uncertain	Funding sources • External grants, in-house financing, third-party billing revenue, state funding, and addiction medicine fellowship funding