scholarly journals Assessment of Screening, Brief Intervention, and Referral to Treatment Training to Interprofessional Health-Care Students

2019 ◽  
Vol 5 ◽  
pp. 237796081983413 ◽  
Author(s):  
Helen C. Pervanas ◽  
Eric Landry ◽  
Douglas R. Southard ◽  
Pamela P. DiNapoli ◽  
Paula Smith ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Substance Abuse ◽  
Substance Use ◽  
Substance Use Disorder ◽  
Brief Intervention ◽  
Health Care Professionals ◽  
Interprofessional Education ◽  
The United States ◽  
Health Care Students

Substance abuse and addiction are responsible for an assortment of health and financial concerns in the United States. Tools to identify and assist at-risk persons before they develop a substance use disorder are necessary. Screening, brief intervention, and referral to treatment (SBIRT) can be utilized by health-care professionals to identify those at risk to minimize health-related complications and the potential of developing a substance use disorder. The primary objective of this study was to provide educational training sessions on SBIRT to health-care students utilizing interprofessional education activities and assess perceptions of the training sessions and activities with regard to confidence to utilize SBIRT in at-risk patients and overall student satisfaction with SBIRT instruction. The research protocol enrolled students of pharmacy, nursing, medicine, behavioral health, and physician assistant studies who received interprofessional SBIRT training. Students completed an anonymous posttraining online survey, measuring student perceptions of knowledge gained and confidence to utilize training. A total of 303 students completed the SBIRT training. Approximately 70% of students were satisfied with the training materials, instruction, quality, and experience. After training, 78% were confident that they could perform screening for substance abuse, conduct a brief intervention (80%), and when to refer to treatment (71%). A total 73% of students reported that the asynchronous online-based activity was extremely effective in increasing knowledge of the roles and responsibilities of other disciplines and providing opportunities to interact with students from other health professions. Interprofessional education-trained students from multiple health-care disciplines feel comfortable performing SBIRT to identify persons at risk for substance misuse in practice.

scholarly journals Empowering Health Care Professionals: An Interprofessional Education Model Implementation and Evaluation

2019 ◽  
Author(s):  
Jessica Shank Coviello
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Interprofessional Education ◽  
Healthcare Professionals ◽  
The United States ◽  
Healthcare Systems ◽  
World Health ◽  
Institute Of Medicine ◽  
Care Needs ◽  
Ensure Patient Safety

In 2016, the Institute of Medicine (IOM) reported medical error as the 3rd leading cause of death in healthcare systems in the United States. Effective communication of patient care needs across healthcare disciplines is critical to ensure patient safety, quality of care, and to improve operational efficiencies in healthcare systems. Ineffective collaboration and communication among healthcare professionals within the procedural areas increases the potential of harm as a patient moves from one healthcare professional to another. Health care systems are thus encouraged to train employees with a focus on interprofessional education (IPE) and collaborative practice. IOM and World Health Organization (WHO) recommend the use of IPE to help improve communication and collaboration. However the current educational structure in many institutions does not include IPE. As such, healthcare professionals work in silos, with little or no collaboration with one another, which may result in service duplication, increased service cost, and poor health outcomes for patients.

Integration of the Screening, Brief Intervention, and Referral to Treatment Screening Instrument Into School Nurse Practice

2021 ◽  
pp. 105984052110095
Author(s):  
Anna Bourgault ◽  
LuAnn Etcher
Keyword(s):  
Public Health ◽  
At Risk ◽  
Substance Abuse ◽  
Substance Use ◽  
Brief Intervention ◽  
Health Problem ◽  
Self Efficacy ◽  
Public Health Problem ◽  
School Nurse ◽  
School Nurses

Substance abuse in adolescents has been recognized as a public health problem at the national and global levels. Adolescents are at risk for experimenting with substances. School nurses in secondary schools are well positioned to screen and counsel students on substance use. In this project, school nurses’ self-efficacy levels increased in using the Screening, Brief Intervention, and Referral to Treatment (SBIRT) process posteducation, and SBIRT was integrated into school nurses’ practice. Initiatives aimed at stopping or preventing substance use are beneficial for a healthy society.

scholarly journals Assessment of Students Support Services Centre Approach to Screening, Brief Intervention and Referral to Treatment of Substance Abuse Management in a Private Institution of Higher Learning

2020 ◽  
Vol 12 (12) ◽  
pp. 9
Author(s):  
Okondu Ogechukwu Emmanuel ◽  
Lazarus Phebe Victoria ◽  
Okondu Emmanuel Confidence ◽  
Khadija Abubakar ◽  
Banjo Oluwafikayomi Opeyemi ◽  
...  
Keyword(s):  
Public Health ◽  
At Risk ◽  
Substance Abuse ◽  
Substance Use ◽  
Brief Intervention ◽  
Public Health Issue ◽  
Management Approach ◽  
Research Information ◽  
Screening Process ◽  
Key Informants

Substance abuse among young adults is a major public health issue which can cause significant damage to their mental health. The screening, brief, interventions and referral to treatment (SBIRT) is a public health prevention tool used in identifying persons at risk of substance use and abuse. This study assessed the approach to screening, brief intervention and referral to treatment of substance abuse management in a higher institution of learning. The study adopted a qualitative key informant’s interviewer assessment method. Key informants from the Student Support Service (SSS) Centre were interviewed to assess the SBIRT management approach of substance abuse in a university setting. The interview guide had a total of 5 themes with 8 questions and 14 follow-up questions. Interviews and observation of key informants was used to obtain research information. Data was analyzed using thematic analysis. This study revealed that the study population utilized reliable drug tests, students’ performance, behavior and appearance of the students as an approach to screening students for substance abuse. Management was dependent on level of risk of the student determined from the screening process. Substance use disorders varying from moderate to high risk were given counselling therapy; patients with severe risk dependency were referred to specialty treatment (rehabilitation) for further treatment. The SBIRT approach in the treatment of students at risk of substance abuse have been found to be useful. There are however challenges with students complying to treatment which needs to be addressed.

Abstract 15131: National Rates and Trends of Tobacco and Substance Use Disorders Among Atrial Fibrillation Hospitalizations in the United States

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
devina adalja ◽  
Rajkumar P Doshi ◽  
Mihir Dave ◽  
Monil Majmundar ◽  
Ashish Kumar ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Substance Abuse ◽  
Socioeconomic Status ◽  
Substance Use ◽  
Substance Use Disorder ◽  
The United States ◽  
P Value ◽  
Lower Socioeconomic Status ◽  
Lower Socioeconomic ◽  
Increased Risk

Introduction: Atrial Fibrillation (AF) has been associated with various behavioral risk factors such as tobacco, alcohol, and/or substance abuse. Hypothesis: The main objective is to describe the national trends and burden of tobacco and substance abuse in AF hospitalizations. Methods: The National Inpatient Sample database from 2007 to 2015 was utilized and the hospitalizations with AF were identified using the international classification of disease, Ninth Revision, Clinical Modification (ICD-9-CM) code 427.31 in the primary diagnosis column. They were stratified into without abuse, tobacco use disorder (TUD), substance use disorder (SUD), alcohol use disorder (AUD), and drug use disorder (DUD). We used the Jonckheere-Terpstra trend test to analyze the trend in this study. Results: Out of 3,631,507 AF hospitalizations, 852,110 (23.46%) had TUD, 1851,170 (5.1%) had SUD, 155,681 (4.29%) had AUD and 42,667 (1.17%) had DUD. The trends of all increased substantially during the study period (Figure) . The prevalence of TUD, SUD, AUD, and DUD was substantially increased across all age groups, races, and gender during the study period. Female sex was associated with lower odds TUD (0.57 (0.56-0.57), P-value <0.001), SUD (0.27 (0.26-0.27), P-value <0.001), AUD (0.22 (0.22-0.22), P-value <0.001), and DUD (0.51 (0.5-0.52), P-value <0.001). Among AF hospitalizations, the black race was associated with higher odds of SUD (1.12 (1.1-1.14), P-value <0.001), and DUD(1.42 (1.38-1.47), P-value <0.001). The younger age group (18-35 years), male, Medicare/Medicaid as primary insurance, and lower socioeconomic status were associated with increased risk of both TUD and SUDs. Conclusions: Tobacco and substance use disorder among hospitalized AF patients in the US mainly affects males, younger individuals, white more than black, and those of lower socioeconomic status which demands the development of preventive strategies to address multilevel influences.

Using Virtual Patient Simulations to Prepare Primary Health Care Professionals to Conduct Substance Use and Mental Health Screening and Brief Intervention

2017 ◽  
Vol 24 (3) ◽  
pp. 247-259 ◽  
Author(s):  
Glenn Albright ◽  
Craig Bryan ◽  
Cyrille Adam ◽  
Jeremiah McMillan ◽  
Kristen Shockley
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Substance Use ◽  
Primary Health Care ◽  
Brief Intervention ◽  
Health Care Professionals ◽  
Role Playing ◽  
Brief Interventions ◽  
Screening And Brief Intervention ◽  
Primary Health

BACKGROUND: Primary health care professionals are in an excellent position to identify, screen, and conduct brief interventions for patients with mental health and substance use disorders. However, discomfort in initiating conversations about behavioral health, time concerns, lack of knowledge about screening tools, and treatment resources are barriers. OBJECTIVE: This study examines the impact of an online simulation where users practice role-playing with emotionally responsive virtual patients to learn motivational interviewing strategies to better manage screening, brief interventions, and referral conversations. DESIGN: Baseline data were collected from 227 participants who were then randomly assigned into the treatment or wait-list control groups. Treatment group participants then completed the simulation, postsimulation survey, and 3-month follow-up survey. RESULTS: Results showed significant increases in knowledge/skill to identify and engage in collaborative decision making with patients. CONCLUSIONS: Results strongly suggest that role-play simulation experiences can be an effective means of teaching screening and brief intervention.

scholarly journals Substance Use Disorder: A Model for Integration in Undergraduate Medical Education

2021 ◽  
Vol 8 ◽  
pp. 238212052110258
Author(s):  
Haritha Pavuluri ◽  
Nicolas Poupore ◽  
William Michael Schmidt ◽  
Samantha Gabrielle Boniface ◽  
Meenu Jindal ◽  
...  
Keyword(s):  
Medical Education ◽  
Substance Use ◽  
South Carolina ◽  
Substance Use Disorder ◽  
The United States ◽  
University Of South Carolina ◽  
Community Recovery ◽  
School Of Medicine ◽  
Treatment Gaps ◽  
The University

Substance Use Disorder (SUD) is a debilitating chronic illness with significant morbidity and mortality across the United States. The AAMC and LCME have supported the efforts for more effective medical education of SUD to address the existing stigma, knowledge, and treatment gaps. The Coronavirus 2019 (COVID-19) pandemic and associated social, economic, and behavioral impacts have added to this urgency. The University of South Carolina School of Medicine Greenville (USCSOMG), in collaboration with community organizations, has successfully implemented an integrated SUD education curriculum for medical students. Students learn about SUD in basic sciences, receive case-based education during clinical exercises, and are provided the opportunity to become a recovery coach and participate in the patient and family recovery meetings through this curriculum during preclinical years. During the clinical years, SUD education is enhanced with exposure to Medication for Addition Treatment (MAT). Students also partake in the care coordination of patients with SUD between the hospital and community recovery organizations. All students receive MAT waiver training in their final year and are prepared to prescribe treatment for SUD upon graduation. The experiences in this integrated curriculum integration can perhaps assist other organizations to implement similar components and empower the next generation of physicians to be competent and effective in treating patients with SUD.

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