Abstract
Medical hospitalizations are common among people with substance use disorders (SUD) and represent important opportunities for engagement, treatment initiation, and linkage to follow-up care. However, hospitalizations are also destabilizing events marked by an elevated risk of death and readmission in the period immediately following hospital discharge. There is currently no consensus on the best way to support patients with SUD as they transition from the hospital to follow-up care in the community after discharge. Care transitions span multiple care settings and are influenced by a wide array of medical, psychosocial, and environmental factors. Given their complexity, it is crucial to engage a diverse array of partners to collaboratively set research priorities, define outcomes, and design interventions to improve care in this area. Key partners include people with lived substance use experience, hospital-based clinicians, social workers, addiction specialists, peer navigators, primary care clinicians, and more. A community-engaged research framework is essential to promote equitable contribution from this diverse group of collaborators. In this article, we share our protocol for a community engagement project called COmmunity Network to Navigate and Enhance Care Transitions and describe how we integrated core principles of community-engaged research into its design.