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. 2022 Sep 23;28(6):S302–S310. doi: 10.1097/PHH.0000000000001611

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) 23,3540,42,43
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)
3234,38
Treatment/service connection Case management Providers help individuals access various types of care Prebooking (n = 5) 2327,31,32,35,3943
Postoverdose (n = 2)
Location-based (n = 2)
Hybrid (n = 1)
Patient navigation Providers help individuals access SUD treatment Postoverdose (n = 2) 19,3648
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) 23,3638,42
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) 2830,33,34,36,37,41,43
Postoverdose (n = 1)
Hybrid (n = 1)
External pressure Efforts are made to encourage or force treatment or service connections Prebooking (n = 4) 2331,33,34,38
Postoverdose (n = 5-7)
Location-based (n = 1)

Abbreviation: SUD, substance use disorder.