Clinical Pathways

One model, five points of entry—same standard of care.

Emergency Department Consults

Trigger:
Patient presents for overdose, intoxication, or withdrawal.

Workflow:
Peer engagement → Rapid medical evaluation → MOUD initiation → Crisis CBT/MI → Follow-up linkage.

Outcome:
Stabilization, discharge with bridge prescription, and a next-day therapy appointment.

In-Patient Medicine Consults

Trigger:
Hospitalized patient with known or suspected SUD.

Workflow:
Peer and nursing team provide continuity → PMHNP manages withdrawal and medication → Coordinated discharge planning.

Outcome:
Integrated plan and seamless transition to outpatient recovery.

Behavioral Health Unit Consults

Trigger:
Behavioral health patient with co-occurring SUD.

Workflow:
Peer support → PMHNP management → Integrated addiction treatment within psychiatric care.

Outcome:
Stabilization and follow-up with BBAMS outpatient services.

Obstetric (Perinatal) Consults

Trigger:
Pregnant or postpartum patient with identified SUD.

Workflow:
Peer engagement → Perinatal medical and behavioral support → Family therapy → Postpartum continuity.

Outcome:
Healthier moms, babies, and families.

SAFE Program Detainee Evaluations

Trigger:
Recent release or diversion from detention.

Workflow:
Peer engagement → SUD exam and management → Counseling → Ongoing peer follow-up.

Outcome:
Connection to treatment instead of reincarceration.

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Emergency

If you or someone you know is experiencing a true medical emergency related to substance use disorder (SUD) such as trouble breathing, chest pain, seizure, loss of consciousness, or suspected overdose call 911 immediately.

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Suicide Hotline

If you are struggling with thoughts of suicide, hopelessness, or feeling like you can’t go on especially if you are also coping with substance use disorder please reach out to the Suicide and Crisis Lifeline by calling or texting 988 or visiting 988lifeline.org.

Dial 988 Now

NC Peer Warmline

A free, private phone number you can call day or night to talk with someone who understands. You’ll be connected to someone who has personal experiences with mental health or substance use disorders. You can call 1-855-PEERS-NC any time you're feeling sad, stressed, lonely, or just need to talk. You don't need to be in crisis to call.

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