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The EMBED (Emergency Department-initiated BuprenorphinE for opioid use Disorder) Score identifies patients presenting to the emergency department with opioid use disorder (OUD) who are most likely to be engaged in addiction treatment at 30 days following brief ED buprenorphine initiation + facilitated addiction treatment referral. Derived from the landmark Yale EMBED-1 trial (D'Onofrio et al. 2015). Provides prognostic information to guide shared decision-making about ED-initiated MOUD.
Patient expresses motivation or readiness to reduce/stop opioid use
Prior addiction treatment engagement (any prior MAT, residential, IOP, or formal treatment)
Currently employed or in school
Stable housing (own home, family home, or rented — not homeless)
Positive social support (family or friends supportive of recovery)
Has health insurance (including Medicaid) covering addiction treatment
No concurrent cocaine or methamphetamine use in past 30 days
Has reliable phone for follow-up contact
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