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.

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 Physician Impairment: Is Recovery Feasible?

2009 ◽  
Vol 3;12 (3;5) ◽  
pp. 487-491
Author(s):  
Paul J. Christo
Keyword(s):  
Public Health ◽  
Substance Abuse ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Relapse Prevention ◽  
Health Concern ◽  
Public Health Issue ◽  
Professional Judgment ◽  
Prevention Strategies ◽  
Physician Impairment

Background: Physician impairment is a serious public health issue affecting not only physicians, but also their families, colleagues, and patients. Physician impairment is used most often to refer to substance use disorders, which involve both substance abuse and substance dependence and/or addiction. Objective: This article aims to describe the problem of physician impairment within the context of substance use disorders. The concept of recovery and several strategies for effective recovery are explored. Discussion: Experts now define impairment as an enduring condition that if left untreated is not amenable to remission and cure. In terms of functional capacity, impairment renders the physician unable to provide competent medical services, with serious flaws in professional judgment. Herein, we define the scope of the problem, consider several theories to explain the reason physicians may be prone to develop substance use disorders, discuss diagnosis and reporting, as well as treatment and prognosis, and identify several relapse prevention strategies. Conclusion: Physician impairment is a real and significant public health concern; however, recovery is feasible and the data support favorable odds of recovery and a return to clinical practice among those seeking appropriate treatment, counseling, and relapse prevention strategies. Key words: Physician impairment, substance use disorder, prevention, relapse, recovery, dependence, substance abuse, Physician Health Programs (PHPs).

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.

A Study of Drugs and Substance Abuse among Adolescents of Slum Dwellers

2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr. Mridula Sharma ◽  
Moni Chaudhary
Keyword(s):  
Public Health ◽  
Substance Abuse ◽  
Substance Use ◽  
Substance Abusers ◽  
Slum Area ◽  
Health Crisis ◽  
Targeted Interventions ◽  
Public Health Crisis ◽  
Slum Dwellers ◽  
The World

Drugs and substance abuse and dependence has become a worldwide public health crisis. The abuse of drug is an international problem, which affects almost every country in the world, both developed and developing. The present study was carried out with the objective: To study the prevalence and patterns of drugs and substance abuse among adolescents, living in slum of Meerut. A survey was conducted on slum area of Nauchandi compound, Meerut District. Sample was collected from 110 boys of 12 to 16 years old. The survey was based on drug addiction habits. Results shows that 46.36 % adolescents of the slum area used substance like Gutkha, Tobacco, Smoking, Alcohol, Afeem, Ganja, Thinner and Marijuana. 54.91% admitted to using one time, 23.53% admitted rarely, 15.68% admitted occasionally and 5.88%   admitted that they have craving for drugs, so use frequently. The most common substances used were Gutkha 46.36%, tobacco 40.91%, smoking 37.27%, and alcohol 13.63%.  8.18% substance abusers used multiple substances. Synthetic narcotics and LSD were not used by any of the abusers. Our study revealed that prevalence of substance use among adolescents is high and cause significant problem in this population, therefore there is necessity of targeted interventions to reduce this huge burden.

Investigating a Substance Abuse Screening in a Trauma Setting

2021 ◽  
pp. 000313482110241
Author(s):  
Rahul Tuli ◽  
Stephanie Anne Romero ◽  
Cesar Figueroa ◽  
Erika Tay ◽  
Soheil Saadat ◽  
...  
Keyword(s):  
At Risk ◽  
Substance Abuse ◽  
Drug Abuse ◽  
Alcohol Consumption ◽  
Drug Use ◽  
Brief Intervention ◽  
Illicit Drugs ◽  
Statistical Tests ◽  
Screening And Brief Intervention ◽  
Patients At Risk

Introduction Drug and alcohol consumption are often associated with trauma-related injuries. Various studies have been conducted which have shown the benefits of screening and brief intervention (SBI) tools for alcohol consumption. Despite their success, there are few SBI tools utilized for substance use and minimal reports of computerized versions. We hypothesized that a computerized SBI tool for drug use would be effective at identifying patients at risk of substance abuse in a trauma setting. Methods This was a prospective evaluation of a computerized alcohol and drug screening and brief intervention survey derived from the National Institute on Drug Abuse. The survey was given to all eligible trauma patients at UCI’s Level 1 trauma facility between February 2019 and March 2020. Based on self-reported answers, a substance involvement (SI) score was generated which classified a patient’s drug abuse risk as none (0), low (1-3), moderate (4-26), or high (27+). Statistical tests were then used to examine associations between demographic variables and risk categorization. Results A total of 1801 patients completed the entire survey. Of those, 346 (19.3%) patients reported use of illicit drugs: 10 for non-medical prescription use (.6%), 308 (17.1%) for non-prescription drug use, and 28 (1.6%) for both. Secondary analysis revealed a greater number of males were eligible for further SI assessment (25.1% vs 11.0%, P < .001). Of those, a greater proportion of men were classified as moderate/high risk (81.6% vs 61.5%, P < .001). Further breakdown revealed a greater proportion of patients ≤25 years old reported use of drugs compared to >85 years old (37.0% vs .5%, P < .001). In contrast to the self-reported data, there was an overall positive rate of toxicology of 48.51%. Conclusion The analysis shows that the electronic survey identifies patients at risk of drug abuse, allowing for real-time intervention. Furthermore, it is granular enough to specify at-risk groups. However, a lower self-reported rate, as expected, was elucidated. Further studies to evaluate for improved screening and targeted intervention are warranted.

The association between childhood irritability and liability to substance use in early adolescence: a 2-year follow-up study of boys at risk for substance abuse

1995 ◽  
Vol 39 (3) ◽  
pp. 253-261 ◽  
Author(s):  
Ralph E. Tarter ◽  
Timothy Blackson ◽  
Janet Brigham ◽  
Howard Moss ◽  
Gian Vittorio Caprara
Keyword(s):  
At Risk ◽  
Substance Abuse ◽  
Substance Use ◽  
Early Adolescence ◽  
Follow Up Study

Mental disorders as a worldwide public health issue

2012 ◽  
pp. 10-13
Author(s):  
Benedetto Saraceno
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Care ◽  
Substance Use ◽  
Mental Disorders ◽  
Communicable Diseases ◽  
Health Priorities ◽  
Public Health Issue ◽  
Treatment Gap ◽  
Brain Disorder

The twentieth century has witnessed significant improvements in somatic health in most countries. A number of key public health threats have been eradicated or brought under control under the leadership of WHO. Priority was given to communicable diseases in view of their inherent potential to spreading. At the present time, a focus on non-communicable diseases and mental health would now appear as the next natural step in public health priorities. In the case of mental health, this is due to the capacity of mental disorders to proliferate not only as a result of complex and multiple biological, psychological but also social determinants. WHO estimates that at any given time 450 million people suffer from some form of mental or brain disorder, including alcohol and substance use disorders. In other words, one in four of the world’s population suffer from different forms of mental, behavioural, and neurological disorders. This chapter looks at the economic and social costs of mental disorders, global resources for mental health, the treatment gap for mental disorders, and improving mental health care.

Screening, Brief Intervention, and Referral to Treatment (SBIRT) as a Public Health and Prevention Strategy to Address Substance Misuse and Addiction

2019 ◽  
pp. 77-94 ◽  
Author(s):  
Alexandra Nowalk ◽  
Janice Pringle
Keyword(s):  
Public Health ◽  
Substance Use ◽  
Brief Intervention ◽  
Substance Misuse ◽  
High Risk Patient ◽  
Public Health Approach ◽  
Medical Settings ◽  
Risk Levels ◽  
Treatment And Prevention ◽  
Increasing Risk

SBIRT (screening, brief intervention, and referral to treatment) is a comprehensive and integrated public health approach that aims to address hazardous and harmful substance use in patients through universal screening for substance misuse risk and the subsequent delivery of appropriate evidence-based interventions to reduce this risk. SBIRT has been implemented throughout all 50 states in a wide variety of medical settings. Thus far, over one million people across the country have been screened for substance use using SBIRT practices. SBIRT has also been implemented internationally. SBIRT is predicated on the premise that, like other chronic diseases, substance use falls along a clinical spectrum ranging from low to high risk. Patient substance use can be stratified across increasing risk levels that correlate with an appropriate disease state extending from abstinence to a diagnosable substance use disorder. Implications for treatment and prevention programs are discussed.

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