Low-Burden Universal Substance Use Screening in a Primary Care Clinic to Lower Implementation Barriers

Universal substance use screening in primary care can proactively identify patients for intervention, though implementation is challenging. This project developed a strategy for universal low time- and labor-cost screening, brief intervention, and referral for treatment (SBIRT) in an HIV primary car...

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Veröffentlicht in:	The journal of behavioral health services & research Jg. 50; H. 1; S. 108 - 118
Hauptverfasser:	Konkle-Parker, Deborah, Williams, Daniel, McAfee, Nicholas, Schumacher, Julie A., Parker, Jefferson
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	United States Springer Nature B.V 01.01.2023 Springer US
Schlagworte:	Addictive behaviors Alcohol Behavior Brief interventions Chronic illnesses Drug abuse Drug use Evidence-based nursing Health care industry Health services HIV Human immunodeficiency virus Humans Intervention Interviews Mass Screening - methods Medical referrals Medical screening Medical treatment Mental health care Motivation Motivational interviewing Motivational Interviewing - methods Nurse practitioners Patients Primary care Primary Health Care - methods Psychiatry Referral and Consultation Ryan White Comprehensive AIDS Resources Emergency Act 1990-US Substance abuse Substance abuse treatment Substance-Related Disorders - therapy Tests Screening Substance abuse SBIRT Primary care
ISSN:	1094-3412, 1556-3308, 1556-3308
Online-Zugang:	Volltext
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Zusammenfassung:	Universal substance use screening in primary care can proactively identify patients for intervention, though implementation is challenging. This project developed a strategy for universal low time- and labor-cost screening, brief intervention, and referral for treatment (SBIRT) in an HIV primary care clinic at an academic medical center in the Southeastern USA. Screening was implemented using a tablet computer that calculated results in real time and suggested motivational language for provider response. A brief intervention (BNI) was conducted by a trained professional as needed, preventing the need for all clinic providers to be competent in motivational interviewing (MI). More than 1868 patients were screened in 12 months, with an MI intervention conducted for 101 patients with higher risk use. Forty-four patients were referred for in-clinic treatment, compared to nine in the previous year. Computer-based, self-administered screening with real-time linkage to a BNI can allow recommended screening with low provider burden.
Bibliographie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
ISSN:	1094-3412 1556-3308 1556-3308
DOI:	10.1007/s11414-022-09814-3