The document discusses Screening, Brief Intervention, and Referral to Treatment (SBIRT), which is used to identify individuals with substance use disorders or at risk of disorders. It summarizes a randomized controlled trial studying the effectiveness of SBIRT in an emergency department in Poland. The results showed decreases in at-risk drinking behaviors and negative consequences in those receiving assessment or brief intervention. The document emphasizes the importance of nurses and nurse practitioners being skilled in using SBIRT to identify those needing treatment.
The document discusses Screening, Brief Intervention, and Referral to Treatment (SBIRT), which is used to identify individuals with substance use disorders or at risk of disorders. It summarizes a randomized controlled trial studying the effectiveness of SBIRT in an emergency department in Poland. The results showed decreases in at-risk drinking behaviors and negative consequences in those receiving assessment or brief intervention. The document emphasizes the importance of nurses and nurse practitioners being skilled in using SBIRT to identify those needing treatment.
The document discusses Screening, Brief Intervention, and Referral to Treatment (SBIRT), which is used to identify individuals with substance use disorders or at risk of disorders. It summarizes a randomized controlled trial studying the effectiveness of SBIRT in an emergency department in Poland. The results showed decreases in at-risk drinking behaviors and negative consequences in those receiving assessment or brief intervention. The document emphasizes the importance of nurses and nurse practitioners being skilled in using SBIRT to identify those needing treatment.
The document discusses Screening, Brief Intervention, and Referral to Treatment (SBIRT), which is used to identify individuals with substance use disorders or at risk of disorders. It summarizes a randomized controlled trial studying the effectiveness of SBIRT in an emergency department in Poland. The results showed decreases in at-risk drinking behaviors and negative consequences in those receiving assessment or brief intervention. The document emphasizes the importance of nurses and nurse practitioners being skilled in using SBIRT to identify those needing treatment.
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Running head: SBIRT
SBIRT Salena Barnes Georgia College and State University
Running head: SBIRT
2 SBIRT
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a comprehensive and
integrated approach to early detection, intervention, and treatment services through universal screening for individuals with substance use disorders and those at risk (Substance Abuse and Mental Health Services Administration, 2014). SBIRT is used in a variety of settings including primary care centers, community health centers, emergency departments, and trauma centers in an attempt to modify behaviors and prevent more severe consequences for at-risk users. The screening tool assesses the severity of abuse and identifies and establishes an appropriate level of treatment. The brief intervertion assists the user recognizing the issues associated with their substance use and aids in motivating them towards a change in their behavior. Lastly, a referral for specialty care is identified and recommended for those with more extensive substance use issues (Substance Abuse and Mental Health Services Administration, 2014). Use of this screening tool is an important part of primary care and essential for nurse practioners to becomre proficient at utilizing. A randomized, controlled trial of SBIRT for drinking among at-risk and dependent drinkers was conducted in an emergency department (ED) in Sosnowiec, Poland (Cherpitel, Moskalewicz, Swiatkiewicz, Ye, & Bond, 2010). All participants were 18 years and older, not currently being treated for alcohol related problems, and signed informed consent to be randomly placed in a group using a two-stage process. Over a 23-week period, from 4:00 pm to midnight, data were collected. Exactly 446 patients were recruited into the study (90% of those who screened positive) and randomized to three conditions following a two-stage process: screened only (n= 147), assessed (n= 152), and received intervention (n= 147). Subjects in the assessment (85%) and intervention (83%) conditions were blindly reassessed at 3 months by phone
Running head: SBIRT
interview. Those in the assessment and intervention groups were contacted by an interviewer (blind to group assignment) via telephone and reassessed at 3 months (Cherpitel et al., 2010). Participants randomized to the intervention condition received a brief motivational intervention by a nurse (trained in SBIRT, using the Brief Negotiated Interview) (Cherpitel et al., 2010). The intervention took about 15-20 minutes to complete and combined the principles of motivational interviewing and readiness to change with specific action, builds on self-efficacy, and uses the patient's existing strengths and resources to enable and maintain positive behavior change. Subjects randomized to the assessment group received were assessed based on the following: estimated BAC, reason for the ED visit, readiness for and stage of change, risk taking/impulsivity and sensation-seeking dispositions, and other factors (Cherpitel et al., 2010). Results indicate that both assessment and intervention conditions showed significant decreases in at-risk drinking, average drinking days per week, drinks per drinking day, maximum drinks per occasion, and negative consequences of drinking (Cherpitel et al., 2010). No differences were noted between the two conditions at the 3-month follow-up. However, some positive outcome were found in the subgroup analysis of the intervention and secondary measures (Cherpitel et al., 2010). The results of this study suggest the importance of utilizing SBIRT in all settings as the opportunity arises. Therefore, as a nurse practioner, it is imperative to be skilled when using this screening tool with all patients in order to identify those at-risk or in need of specialized treatment. SBIRT provides clinicians with the opportunity to identify, reduce and prevent problematic use, abuse, as well as dependance on alcohol and illicit drugs.
References
Running head: SBIRT
Cherpitel, C. J., Moskalewicz, J., Swiatkiewicz, G., Ye, Y., & Bond, J. (2010). Screening, brief intervention, and referral to treatment (SBIRT) in a polish emergency department: Threemonth outcomes of a randomized, controlled clinical trial. Journal of Studies on Alcohol and Drugs, 70(6), 982-990. Substance Abuse and Mental Health Services Administration, S. (2014). About screening, brief intervention, and referral to treatment (SBIRT). from http://www.samhsa.gov/sbirt/about
Impact - Ijranss-1. Ijranss - Length of Stay Reporting in Forensic Secure Care Can Be Augmented by An Overarching Framework To Map Patient Journey in Mentally Disordered Offender Pathway For
Impact - Ijranss-1. Ijranss - Length of Stay Reporting in Forensic Secure Care Can Be Augmented by An Overarching Framework To Map Patient Journey in Mentally Disordered Offender Pathway For
