Greg interviews Dr. Darin Neven, an emergency department physician practicing at Providence Sacred Heart Medical Center in Spokane, Washington. Dr. Neven explores the need to change the culture and practice in terms of treatment for substance use disorders in general and opioid addiction in particular. He points to one effective method to identifying a problem is through Washington’s state-wide tracking of patients’ ED visits, following their appearance pattern and historyListen to the podcast to discover how the issue of opioid addiction treatment is shifting and success is being found with Suboxone.