Prevention and Rapid Outreach for Treatment, Engagement, and Care Transition From the Emergency Department

The Prevention and Rapid Outreach for Treatment, Engagement, and Care Transition from the Emergency Department (PROTECT-ED) study evaluates an emergency department-based implementation strategy designed to improve delivery of evidence-based overdose and HIV prevention services during community re-entry.

Inclusion Criteria: * Are 18 years of age or older. * Present to the Johns Hopkins Hospital Emergency Department. * Have been released within the previous 180 days from a prison, jail, juvenile detention facility, immigration detention facility, halfway house, residential reentry center, or other correctional setting. Recent incarceration may be confirmed through participant self-report, electronic medical record documentation, the Victim Information and Notification Everyday (VINE) system, or other available documentation. Participant self-report alone is sufficient to establish eligibility. * Meet criteria for opioid use disorder or hazardous opioid use and are considered appropriate for evaluation for medications for opioid use disorder (MOUD) or are at risk for HIV acquisition. * Able to speak and understand communicate in English sufficiently to provide informed consent and complete study assessments. * Provide informed consent. * Have a reliable telephone number for study follow-up. Exclusion Criteria: * Inability to provide informed consent during the index emergency department encounter. * Lack of a reliable telephone number for study follow-up. * Prior enrollment in the PROTECT-ED study.