Transforming Addiction Care: From the ER to Systems Change | Arianna Campbell

What if the biggest barrier to addiction treatment isn’t that we lack evidence—but that patients can’t reach the care we already know works? In this episode of *PA Mindset Matters**, Mercedes Dodge and Jessica Spissinger talk with **Arianna Campbell, DMSc, MPH, PA-C, CAQ-EM, DFAAPA* about transforming addiction care from the emergency department to the healthcare system. With more than 25 years in emergency medicine and nearly a decade in addiction medicine, Arianna shares how asking one straightforward question—**“What are we doing when we identify opioid use disorder?”**—helped lead to a much larger effort to improve access to evidence-based treatment. We explore: • Emergency department initiation of buprenorphine • Opioid use disorder as a time-sensitive medical condition • California Bridge and CA Bridge Connect • Harm reduction and naloxone access • Stigma and changing clinician behavior • Why treatment success can begin with simply keeping someone alive and engaged • The growing role of PAs in addiction medicine • The developing Addiction Medicine CAQ • Systems thinking, leadership, and clinician resilience A central message from this conversation: *“We need to make it easier for people to get care.”* Subscribe to *PA Mindset Matters* for clinician-to-clinician conversations about psychiatry, addiction medicine, behavioral health, leadership, and whole-person care. #PAMindsetMatters #AddictionMedicine #PhysicianAssociate #SubstanceUseDisorder #Buprenorphine