In collaboration with the Philadelphia Department of Public Health, this session includes a panel of expert presenters discussing motivating factors for self-directed discharges among patients with substance use disorder and how to proactively plan for and support patients for continued care.

Objectives:

1. Describe the motivating factors for patient-directed discharge.
2. Identify important ways to proactively plan for a self-directed discharge.
3. Discuss measures which may prevent patient-directed discharges.

Outline:

Introduction to the Program.......................................................................................
Moderator:
Shoshana V. Aronowitz, PhD, MSHP, FNP-BC
Assistant Professor, Department of Family and Community Health
University of Pennsylvania School of Nursing

Patient-Directed Discharge: Epidemiology and Motivating Factors ....................................
Kara J. Pavone, PhD, RN
University of Rhode Island, College of Nursing

Factors related to Postpartum Self-Directed Discharges...................................................
Caroline Darlington, MSN, WHNP-BC
Nursing PhD Student
University of Pennsylvania School of Nursing

Perspective of those with lived experience..................................................................
Melissa Fryling
Brad Meck

Perspective of hospital clinician who has witnessed/managed SDD....................................
Raagini Jawa, MD, MPH, FASAM
Assistant Professor of Medicine and Clinician Investigator
Department of General Internal Medicine, University of Pittsburgh Medical Center

What has helped, what can be better.........................................................................
Joseph L. D’Orazio, MD, FAAEM, FACMT, FASAM, FCPP
Department of Emergency Medicine, Division of Toxicology and Addiction Medicine
Cooper University Hospital and the Cooper Center for Healing

Wound Care....................................................................................................
Rachel Neuschatz, MSN, RN, CWCN
Harm Reduction Wound Care Field Nurse
Division of Substance Use Prevention and Harm Reduction, Philadelphia Department of Public Health

Other Factors....................................................................................................
Abby Brennan, BSN, RN, CARN
Labor and Delivery Nurse, Boston Medical Center
Inpatient lead RN, Project RESPECT

Postpartum: What Helps?.....................................................................................
Caroline Darlington, MSN, WHNP-BC
Nursing PhD Student
University of Pennsylvania School of Nursing

Discussion, Q and A...........................................................................................
Panel
Moderated by
Shoshana V. Aronowitz, PhD, MSHP, FNP-BC

** Nicole O’Donnell, BA, CRS, provided CRS perspective and additional comments at various points throughout the program.