
How Do You Refer to Treatment for Substance Use Disorder?
Yale instructors use a case study of Annabeth, a 37-year-old woman with severe cocaine use disorder, to teach the RIPTEAR framework for matching patients to appropriate levels of addiction care. Part of Yale's Addiction Treatment: Clinical Skills for Healthcare Providers course, the lesson walks through assessing risk factors, housing instability, cravings, and treatment history to decide between outpatient, residential, or recovery housing options. An actor-performed patient scenario grounds the discussion, showing how social determinants of health and patient preferences shape a stepped-care treatment plan. The lecture is aimed at clinicians learning to move a patient through screening, diagnosis, and referral, treating addiction as a chronic but manageable condition. It is a practical, clinically focused segment rather than a general survey, built around one worked case and a named assessment tool.