The Addiction Consult Service improves the quality of care for hospitalized patients with substance use disorders and transitions them to post-hospitalization substance use treatment. The program’s services include the initiation of medication to treat addictions, pain management recommendations, and assistance transitioning to community-based addiction treatment programs.

The Addiction Consult Service is available to patients admitted to the hospital. Please discuss with your or your loved one’s inpatient care team if you would like to speak to the Consult Service.

Conditions We Treat

Treatments & Services

  • Medication management and initiation recommendations for inpatients
  • Methadone initiation and referral to community-based Opioid Treatment Program
  • Motivational support and coaching from our Recovery and Wellness Advocate

Our Team

Sarah M Bagley, MD

Primary Care Physician

Special Interests

Substance use disorder, opioid use disorders

Michael Fischer, MD, MS

Primary Care Physician

Special Interests

Improving Healthcare Quality and patient outcomes

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Sarah L Kimball, MD

Primary Care Physician

Special Interests

Immigrant and Refugee Health, Addiction medicine

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Christine A Pace, MD, MSc

Primary Care Physician

Special Interests

Primary care, opioid dependence, addiction medicine, behavioral health

Jeffrey H Samet, MD, MA, MPH

Primary Care Physician

Special Interests

Substance use in medical settings, substance use and HIV infection, health professional substance use education

Research Overview

Inpatient Addiction Consult Service: Expertise for Hospitalized Patients with Complex Addiction Problems - Weinstein ZM, Wakeman SE, Nolan S. Med Clin North Am. 2018;102(4):587-601. doi:10.1016/j.mcna.2018.03.001

Addiction consultation services - Linking hospitalized patients to outpatient addiction treatment - Trowbridge P, Weinstein ZM, Kerensky T, et al. J Subst Abuse Treat. 2017;79:1-5. doi:10.1016/j.jsat.2017.05.007

Residency and Fellowship Information

Addiction Medicine Fellowship

Mission of the Grayken Fellowship in Addiction Medicine is to train physician addiction medicine leaders in clinical care, research, education, public health, and advocacy to improve addiction care for people vulnerable to health inequities due to race, ethnicity, gender, poverty, age, disability or stigmatizing illness.

The Grayken Addiction Medicine Fellowship Program is a 1 or 2 year fellowship. There is also a 3-year combined Infectious Disease-Addiction Medicine Fellowship and a 2-year Fellowship in Maternal Health Addiction. Fellows are mentored by our multidisciplinary faculty from Internal Medicine, Infectious Disease, Emergency Medicine, Obstetrics & Gynecology and Addiction Psychiatry. The Grayken Fellowship in Addiction Medicine is accredited by the ACGME. Click here to learn more

Addiction Nursing Fellowship

Nurses are often on the front lines of caring for patient with substance use disorders (SUD) and often interact with these patients when they are most distressed, in the throes of withdrawal, or with altered behaviors due to intoxication. Addiction nursing fellows spend one day per week participating in clinical and educational activities that are focused on SUD. The fellowship spans six months, with two nurse fellows per cycle. The fellowship is based on a mixture of experiential and didactic learning opportunities to engage fellows in settings that are focused primarily on treatment and harm reduction. Click here to learn more

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