Alcohol Screening, Brief Intervention, and Referral to Treatment Conducted by Emergency Nurses: An Impact Evaluation

Désy, Pierre; Howard, Patricia Kunz; Perhats, Cydne; Li, Suling

doi:10.1016/j.jen.2009.09.011

Cited by 61 publications

(57 citation statements)

References 18 publications

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“…The costs involved in hiring or contracting specialists may also prove prohibitive without external funding. Finally, although research has generally supported the efficacy of SBI in primary care settings, the evidence is equivocal for emergency room settings [37,39,40].…”

Section: Discussionmentioning

confidence: 99%

Screening, brief intervention and referral to treatment (SBIRT): implementation barriers, facilitators and model migration

et al. 2017

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Aims To identify barriers and facilitators associated with initial implementation of a US alcohol and other substance use Screening, Brief Intervention, and Referral to Treatment (SBIRT) grant program, and to identify modifications in program design that addressed implementation challenges. Design A mixed-method approach used quantitative and qualitative data, including SBIRT provider ratings of implementation barriers and facilitators, staff interview responses and program documentation. Setting Multiple sites within the first seven programs funded in a national demonstration program in the United States. Participants One hundred and two SBIRT providers were surveyed; 221 SBIRT stakeholders and staff were interviewed. Measurements Mean ratings of barriers and facilitators were calculated using provider survey responses. An inductive content analysis of interview responses identified factors perceived to support and challenge implementation; program modifications that occurred over time were recorded. Findings Providers rated pre-selected implementation facilitators higher than barriers. Content analysis of interview responses revealed six themes: committed leaders; intra-and inter-organizational communication/collaboration; provider buy-in and model acceptance; contextual factors; quality assurance; and grant requirements. Over time, programs tended to: adopt more efficient 'pre-screen' item sets; screen for risk factors in addition to alcohol/substance use; use contracted specialists to deliver SBIRT services; conduct services in high-volume emergency department and trauma center settings; and implement on-site and telephonic treatment delivery. Conclusions Screening, Brief Intervention and Referral to Treatment program implementation in the United States is facilitated by committed leadership and the use of substance use specialists, rather than medical generalists, to deliver services. Many implementation challenges can be addressed by an adequate start-up phase focused on comprehensive education and training, and on the development of intra-and inter-organizational communication and collaboration; opinion leader support; and practitioner and host site buy-in.

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Section: Discussionmentioning

confidence: 99%

Screening, brief intervention and referral to treatment (SBIRT): implementation barriers, facilitators and model migration

et al. 2017

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“…Mixed results are also reported when examining the effectiveness of brief interventions delivered in EDs or other hospital inpatient settings. Some studies have shown that brief interventions delivered in EDs can lead to decreased alcohol consumption (Désy, Howard, Perhats, & Li, 2010;Liu et al, 2011) and reduced recidivism (Gentilello et al, 1999), while other studies have shown no effect in consumption (Havard, Shakeshaft, & Sanson-Fisher, 2008;McQueen, Howe, Allan, Mains, & Hardy, 2011;Nilsen et al, 2008;Saitz et al, 2007). Results on the effectiveness of brief interventions delivered to patients presenting in EDs for illicit drug use are also mixed.…”

Section: Introductionmentioning

confidence: 99%

An Examination of the Workflow Processes of the Screening, Brief Intervention, and Referral to Treatment (SBIRT) Program in Health Care Settings

Kaiser

Karuntzos

2016

Journal of Substance Abuse Treatment

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“…A recently published US study using ED nurses to perform a brief motivational intervention and referral with ED patients, reported decreased alcohol consumption in 70% of the intervention group and fewer recurring ED visits compared to the usual care group (20% versus 31% respectively) (Desy et al, 2010). The advantage of this intervention is that it is a nursing intervention and takes 10-15 min to complete.…”

Section: Screening Advising and Interveningmentioning

confidence: 99%

Is alcohol more dangerous than heroin? The physical, social and financial costs of alcohol

Lee

Forsythe

2011

International Emergency Nursing

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Alcohol Screening, Brief Intervention, and Referral to Treatment Conducted by Emergency Nurses: An Impact Evaluation

Cited by 61 publications

References 18 publications

Screening, brief intervention and referral to treatment (SBIRT): implementation barriers, facilitators and model migration

Screening, brief intervention and referral to treatment (SBIRT): implementation barriers, facilitators and model migration

An Examination of the Workflow Processes of the Screening, Brief Intervention, and Referral to Treatment (SBIRT) Program in Health Care Settings

Is alcohol more dangerous than heroin? The physical, social and financial costs of alcohol

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