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https://www.readbyqxmd.com/read/27897470/faculty-development-efforts-to-promote-screening-brief-intervention-and-referral-to-treatment-sbirt-in-an-internal-medicine-faculty-resident-practice
#1
Alanna Stone, Maria Wamsley, Patricia O'Sullivan, Jason Satterfield, Derek D Satre, Katherine Julian
BACKGROUND: Screening, brief intervention, and referral to treatment (SBIRT) is a practical means to address substance misuse in primary care. Important barriers to implementing SBIRT include adequacy of training and provider confidence as well as logistical hurdles and time constraints. A faculty development initiative aimed at increasing SBIRT knowledge and treatment of substance use disorders (SUDs) should lead to increased use of SBIRT by faculty and the residents they teach. This study examined how a faculty development program to promote SBIRT influenced faculty practice and resident teaching...
November 29, 2016: Substance Abuse
https://www.readbyqxmd.com/read/27863165/a-brief-ehealth-tool-delivered-in-primary-care-to-help-parents-prevent-childhood-obesity-a-randomized-controlled-trial
#2
J L S Byrne, T Cameron Wild, K Maximova, N E Browne, N L Holt, A J Cave, P Martz, C Ellendt, G D C Ball
OBJECTIVES: To determine the feasibility and preliminary impact of an electronic health (eHealth) screening, brief intervention and referral to treatment (SBIRT) delivered in primary care to help parents prevent childhood obesity. METHODS: Parents of children (5-17 years) were recruited from a primary care clinic. Children's measured height and weight were entered into the SBIRT on a study-designated tablet. The SBIRT screened for children's weight status, block randomized parents to one of four brief interventions or an eHealth control and provided parents with a menu of optional obesity prevention resources...
November 10, 2016: Pediatric Obesity
https://www.readbyqxmd.com/read/27857880/sbirt-based-interventions-to-improve-pediatric-oral-health-behaviors-and-outcomes-considerations-for-future-behavioral-sbirt-interventions-in-dentistry
#3
Josué Cuevas, Donald L Chi
Dental caries is the most common chronic disease in children and is caused by poor oral health behaviors. These behaviors include high-sugar diet, inadequate exposure to topical fluorides, and irregular use of professional dental care services. A number of behavioral intervention approaches have been used to modify health behaviors. One example is the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model, which has been widely used to reduce substance abuse in both adults and children. SBIRT is a promising behavior change approach that could similarly be used to address problematic oral health behaviors...
September 2016: Current Oral Health Reports
https://www.readbyqxmd.com/read/27831605/-barriers-to-implementing-screening-brief-intervention-and-referral-to-treatment-for-substance-use-in-hiv-aids-health-services-in-peru
#4
Kim A Hoffman, Jessica Beltrán, Javier Ponce, Lisset García-Fernandez, María Calderón, John Muench, Carlos Benites, Leslie Soto, Dennis McCarty, Fabián Fiestas
Objectives.: Screening and treatment for substance use among people living with HIV/AIDS (PLWHA) is highly recommended. Nevertheless, in Peru healthcare for PLWHA does not include a standardized or systematic assessment to identify substance use. The aim of this study was to assess the feasibility of implementing screening, brief intervention and referral to treatment (SBIRT) in healthcare settings attending people living with PLWHA. Materials and methods.: After providing training in SBIRT for PLWHA's healthcare personnel (including nurses and physicians) focus groups were conducted to explore knowledge, beliefs and perceived barriers to implementation and interviews were conducted to assess the barriers and facilitators of two tertiary hospitals in Lima, Peru...
July 2016: Revista Peruana de Medicina Experimental y Salud Pública
https://www.readbyqxmd.com/read/27544318/talking-about-screening-brief-intervention-and-referral-to-treatment-for-adolescents-an-upstream-intervention-to-address-the-heroin-and-prescription-opioid-epidemic
#5
Brett R Harris
Overdose deaths from heroin and prescription opioids have reached epidemic proportions in recent years. Deaths specifically involving heroin have more than tripled since 2011, and for the first time, drug overdose deaths have exceeded deaths resulting from motor vehicle accidents. This epidemic has been receiving attention among policymakers and the media which has resulted in efforts to provide training and education on prescribing practices, increase the use of naloxone, and expand the availability and use of Medication-Assisted Treatment (MAT)...
October 2016: Preventive Medicine
https://www.readbyqxmd.com/read/27450908/age-moderates-the-association-of-depressive-symptoms-and-unhealthy-alcohol-use-in-the-national-guard
#6
Ethan Sahker, Laura Acion, Stephan Arndt
Unhealthy drinking is a significant problem contributing to poor health and performance of military personnel. The Iowa Army National Guard and the Iowa Department of Public Health have collaborated with the Substance Abuse and Mental Health Administration to better identify unhealthy substance use via Screening, Brief Intervention, and Referral to Treatment program (SBIRT). Yet, little research has been conducted on the Guard's use of SBIRT. This study examined depression, age, deployment status, and sex as factors contributing to unhealthy drinking...
December 2016: Addictive Behaviors
https://www.readbyqxmd.com/read/27393643/usability-testing-of-a-national-substance-use-screening-tool-embedded-in-electronic-health-records
#7
Anne Press, Catherine DeStio, Lauren McCullagh, Sandeep Kapoor, Jeanne Morley, Joseph Conigliaro
BACKGROUND: Screening, brief intervention, and referral to treatment (SBIRT) is currently being implemented into health systems nationally via paper and electronic methods. OBJECTIVE: The purpose of this study was to evaluate the integration of an electronic SBIRT tool into an existing paper-based SBIRT clinical workflow in a patient-centered medical home. METHODS: Usability testing was conducted in an academic ambulatory clinic. Two rounds of usability testing were done with medical office assistants (MOAs) using a paper and electronic version of the SBIRT tool, with two and four participants, respectively...
2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27387524/interprofessional-screening-brief-intervention-and-referral-to-treatment-sbirt-education-for-registered-nurses-and-behavioral-health-professionals
#8
Kathryn Puskar, Irene Kane, Heeyoung Lee, Ann M Mitchell, Susan Albrecht, Linda Frank, Holly Hagle, Dawn Lindsay, Martin P Houze
Although substance use is prevalent in the United States, the majority of people who misuse substances do not receive appropriate treatment. This paper describes, (1) an interprofessional education (IPE) program for health professionals to provide Screening Brief Intervention and Referral to Treatment to rural substance use patients, and (2) compares registered nurses' [RNs] and behavioral health professionals' [BHPs] attitudes to work with those patients and their perceptions on IPE. A data analysis of 62 RNs and 36 BHPs shows statistically significant increases in both attitudes and perceptions...
July 7, 2016: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/27373599/the-role-of-screening-brief-intervention-and-referral-to-treatment-sbirt-in-the-perinatal-period
#9
Tricia E Wright, Mishka Terplan, Steven J Ondersma, Cheryl Boyce, Kimberly Yonkers, Grace Chang, Andreea A Creanga
Substance use during pregnancy is at least as common as many of the medical conditions screened for and managed during pregnancy. While harmful and costly, it is often ignored or managed poorly. Screening, Brief Intervention and Referral to treatment (SBIRT) is an evidence-based approach to manage substance use. In September 2012, the US Centers for Disease Control and Prevention convened an Expert Meeting on Perinatal Illicit Drug Abuse to help address key issues around drug use in pregnancy in the United States...
June 30, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27370526/impact-of-a-computer-assisted-screening-brief-intervention-and-referral-to-treatment-on-reducing-alcohol-consumption-among-patients-with-hazardous-drinking-disorder-in-hospital-emergency-departments-the-randomized-brevalco-trial
#10
David Duroy, Isabelle Boutron, Gabriel Baron, Philippe Ravaud, Candice Estellat, Michel Lejoyeux
OBJECTIVE: To assess the impact of a computer-assisted Screening, Brief Intervention, and Referral to Treatment (SBIRT) on daily consumption of alcohol by patients with hazardous drinking disorder detected after systematic screening during their admission to an emergency department (ED). DESIGN: Two-arm, parallel group, multicentre, randomized controlled trial with a centralised computer-generated randomization procedure. SETTING: Four EDs in university hospitals located in the Paris area in France...
August 1, 2016: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/27325638/substance-use-screening-brief-intervention-and-referral-to-treatment
#11
(no author information available yet)
The enormous public health impact of adolescent substance use and its preventable morbidity and mortality show the need for the health care sector, including pediatricians and the medical home, to increase its capacity related to substance use prevention, detection, assessment, and intervention. The American Academy of Pediatrics published its policy statement "Substance Use Screening, Brief Intervention, and Referral to Treatment for Pediatricians" in 2011 to introduce the concepts and terminology of screening, brief intervention, and referral to treatment (SBIRT) and to offer clinical guidance about available substance use screening tools and intervention procedures...
July 2016: Pediatrics
https://www.readbyqxmd.com/read/27325634/substance-use-screening-brief-intervention-and-referral-to-treatment
#12
Sharon J L Levy, Janet F Williams
The enormous public health impact of adolescent substance use and its preventable morbidity and mortality highlight the need for the health care sector, including pediatricians and the medical home, to increase its capacity regarding adolescent substance use screening, brief intervention, and referral to treatment (SBIRT). The American Academy of Pediatrics first published a policy statement on SBIRT and adolescents in 2011 to introduce SBIRT concepts and terminology and to offer clinical guidance about available substance use screening tools and intervention procedures...
July 2016: Pediatrics
https://www.readbyqxmd.com/read/27311990/attitudes-perceptions-and-practice-of-alcohol-and-drug-screening-brief-intervention-and-referral-to-treatment-a-case-study-of-new-york-state-primary-care-physicians-and-non-physician-providers
#13
B R Harris, J Yu
OBJECTIVES: Screening, Brief Intervention, and Referral to Treatment (SBIRT) has been endorsed by the United States Preventive Services Task Force as an evidence-based strategy to address risky alcohol use among adults in primary care. Nevertheless, very few healthcare professionals report using SBIRT in their practice. The purpose of this study was to explore attitudes regarding addressing substance use; perceptions of effectiveness, role responsibility, and self-efficacy; and current SBIRT practice among primary care physicians, nurse practitioners, and physician assistants to identify factors which may impact routine delivery of SBIRT in primary care...
June 13, 2016: Public Health
https://www.readbyqxmd.com/read/27295396/interprofessional-collaborative-practice-incorporating-training-for-alcohol-and-drug-use-screening-for-healthcare-providers-in-rural-areas
#14
Kathy Puskar, Ann M Mitchell, Susan A Albrecht, Linda R Frank, Irene Kane, Holly Hagle, Dawn Lindsay, Heeyoung Lee, Marie Fioravanti, Kimberly S Talcott
Interprofessional collaborative practice expands resources in rural and underserved communities. This article explores the impact of an online education programme on the perceptions of healthcare providers about interprofessional care within alcohol and drug use screening for rural residents. Nurses, behavioural health counsellors, and public health professionals participated in an evidence-based practice (screening, brief intervention, and referral to treatment-SBIRT) model that targets individuals who use alcohol and other drugs in a risky manner...
July 2016: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/27272992/part-2-screening-brief-intervention-and-referral-to-treatment-plus-recovery-management-a-proposed-model-for-recovery-oriented-primary-care
#15
Katherine S Fornili
Part 1 of this two-part series (The Theoretical Basis for Recovery-Oriented Management of Substance Use Disorders in the Primary Care) explored the theoretical foundations for evidence-based substance Screening, Brief Intervention and Referral to Treatment (SBIRT) services. The aim was to produce possible explanations for why traditional SBIRT works well for individuals with unhealthy alcohol use but not as well for individuals who have more serious substance use disorders, including drug use and alcohol/drug dependence...
April 2016: Journal of Addictions Nursing
https://www.readbyqxmd.com/read/27272991/part-1-the-theoretical-basis-for-recovery-oriented-management-of-substance-use-disorders-in-primary-care
#16
Katherine S Fornili
There is strong evidence in the literature that screening and brief counseling interventions are effective in detecting alcohol problems and decreasing alcohol consumption among patients in primary care settings but somewhat weaker evidence regarding screening and brief intervention for drug problems. In 2014, two published studies made news and caused concern among proponents of substance Screening, Brief Intervention and Referral to Treatment (SBIRT) programs, when their authors concluded that brief interventions were not effective for decreasing drug use among primary care patients identified through screening, and advised that widespread adoption of screening and brief intervention for drug use was not warranted...
April 2016: Journal of Addictions Nursing
https://www.readbyqxmd.com/read/27221694/substance-use-screening-brief-intervention-and-referral-to-treatment-among-medicaid-patients-in-wisconsin-impacts-on-healthcare-utilization-and-costs
#17
Jason Paltzer, Richard L Brown, Marguerite Burns, D Paul Moberg, John Mullahy, Ajay K Sethi, David Weimer
Unhealthy substance use in the USA results in significant mortality and morbidity. This study measured the effectiveness of paraprofessional-administered substance use screening, brief intervention, and referral to treatment (SBIRT) services on subsequent healthcare utilization and costs. The pre-post with comparison group study design used a population-based sample of Medicaid patients 18-64 years receiving healthcare services from 33 clinics in Wisconsin. Substance use screens were completed by 7367 Medicaid beneficiaries, who were compared to 6751 randomly selected treatment-as-usual Medicaid patients...
May 24, 2016: Journal of Behavioral Health Services & Research
https://www.readbyqxmd.com/read/27191587/social-workers-as-workplace-based-instructors-of-alcohol-and-drug-screening-brief-intervention-and-referral-to-treatment-sbirt-for-emergency-medicine-residents
#18
David K Duong, Patricia S O'Sullivan, Derek D Satre, Philippa Soskin, Jason Satterfield
PROBLEM: Residency education is challenged by a shortage of personnel and time, particularly for teaching behavioral interventions such as screening, brief intervention, and referral to treatment (SBIRT) to reduce hazardous drinking and drug use. However, social workers may be well placed to teach SBIRT in clinical training settings. INTERVENTION: We describe a curriculum with social workers as SBIRT trainers of emergency medicine (EM) residents during actual clinical shifts in an EM residency training program...
July 2016: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/27163655/education-for-the-mind-and-the-heart-changing-residents-attitudes-about-addressing-unhealthy-alcohol-use
#19
Michael A Mitchell, Lauren M Broyles, Janice L Pringle, Kevin L Kraemer, Julie W Childers, Raquel A Buranosky, Adam J Gordon
BACKGROUND: Screening and brief intervention counseling for unhealthy alcohol use are among the top ten recommended clinical preventive services for US adults. While federally-funded training programs in alcohol screening, brief intervention, and referral to treatment (SBIRT) have focused on increasing physicians' professional readiness to address drinking with their patients, programs typically focus on knowledge and skill acquisition, with less attention to attitudinal change. The purpose of this study was to assess the impact of a multi-component SBIRT training program on changes in internal medical residents' professional readiness for working with patients with unhealthy alcohol use...
May 10, 2016: Substance Abuse
https://www.readbyqxmd.com/read/27163224/increasing-follow-up-outcomes-of-at-risk-alcohol-patients-using-motivational-interviewing
#20
Andrew J Wagner, Rachael Garbers, Ann Lang, Andrew J Borgert, Mason Fisher
Our trauma division implemented a screening, brief intervention, and referral to treatment (SBIRT) program in 2009 and has maintained more than 92% screening rate for all inpatient admissions since inception. Brief interventions are proven to be more likely to effect and reinforce change if a follow-up contact is made with patients. This led to discussion regarding whether identified patients were more likely to follow up with our SBIRT wellness specialist using motivational interviewing or with our partners, exercise physiology, who use traditional interviewing techniques...
May 2016: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
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