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The objective of this research was to identify habits of material usage at entry and after release among hospitalized clients with material use problems who saw an ACS. Prospective cohort research. We utilized latent transition analysis of material use scores during the time of medical center entry and 30 to 90days posthospitalization. From 2015 to 2018, 486 people consented to engage. More than half of paon in hospitalized patients with material use disorders and