BOX. Assertive Linkage Strategies to Link People With Substance Use Disorders to Care.
Strategy Type | Assertive Linkage Strategy | Description | Programs Utilizing Strategy by Type | Studies Describing Strategy |
---|---|---|---|---|
Engagement | Proactive outreach | Data or police referrals are used to identify and contact individuals by phone or in person | Prebooking (n = 2)Postoverdose (n = 21) | 23,35–40,42,43 |
Location-based (n = 1) | ||||
Hybrid (n = 1) | ||||
On-site providers | Providers are present at designated places for drop-in linkage requests or they rapidly travel to meet individuals identified for linkage by police | Prebooking (n = 1) | 19,23,39,41,42 | |
Location-based (n = 4) | ||||
Secure transport | Individuals are transported to designated places where providers can engage them directly | Prebooking (n = 3) Postoverdose (n = 1) |
32–34,38 | |
Treatment/service connection | Case management | Providers help individuals access various types of care | Prebooking (n = 5) | 23–27,31,32,35,39–43 |
Postoverdose (n = 2) | ||||
Location-based (n = 2) | ||||
Hybrid (n = 1) | ||||
Patient navigation | Providers help individuals access SUD treatment | Postoverdose (n = 2) | 19,36–48 | |
Location-based (n = 1) | ||||
Peer support | Peer support or recovery specialists are deployed to enhance service connections | Postoverdose (n = 1) | 36,37,41,42 | |
Location-based (n = 2) | ||||
Motivational interviewing | Providers inspire treatment readiness and address motivational barriers | Prebooking (n = 2) | 23,36–38,42 | |
Postoverdose (n = 2) | ||||
Location-based (n = 1) | ||||
Low-threshold access | Efforts are made to increase ease of access for individuals and providers | Prebooking (n = 4) | 28–30,33,34,36,37,41,43 | |
Postoverdose (n = 1) | ||||
Hybrid (n = 1) | ||||
External pressure | Efforts are made to encourage or force treatment or service connections | Prebooking (n = 4) | 23–31,33,34,38 | |
Postoverdose (n = 5-7) | ||||
Location-based (n = 1) |
Abbreviation: SUD, substance use disorder.