Assessing screening, brief intervention, and referral to treatment (SBIRT) compliance and disparities for pediatric inpatients at a tertiary care facility

Roubil, John G.; Hazeltine, Max D.; Bludevich, Bryce M.; Aidlen, Jeremy T.; Pustis, Nicole; Ferrante, Catherine; Hirsh, Michael; Cleary, Muriel A.

doi:10.1016/j.jpedsurg.2021.09.048

Cited by 2 publications

(3 citation statements)

References 29 publications

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“…A growing body of research demonstrates using the CRAFFT and similar screening tools. Our findings were consistent with those of other institutions that sought to integrate electronic health record screening tools (Choudhary et al, 2020; Roubil et al, 2022). With the increase in telehealth screenings post COVID-19, many healthcare providers have searched for ways to digitize their screening processes (Kamath et al, 2022).…”

Section: Discussionsupporting

confidence: 91%

“…A multidisciplinary model, including collaboration across services and ongoing communication, will be pivotal in increasing and maintaining the effectiveness of SBIRT screening efforts, providing brief and continuous staff education and intervention, and connecting patients with longer-term treatment and resources after discharge. As with any quality measure, routine assessments will be necessary for process improvement and achieving established goals, including continued engagement of stakeholders, education of staff and care providers, and regular tracking to monitor benchmarks (Roubil et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

“…The onset of substance use at an early age correlates with a higher likelihood of developing substance dependency, potentially increasing the risk of mental health disorders later in life (Brook et al, 2002). Rising emergency department visits due to alcohol consumption burden the healthcare system (White et al, 2018), with more than 30% of adolescent trauma patients testing positive for alcohol and drug use (Roubil et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

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Integration of Substance Use Screening Into the Electronic Health Record for Adolescent Trauma Patients: A Quality Improvement Project

Troncoso-Munoz,

Davis

2024

Journal of Trauma Nursing

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BACKGROUND: Adolescent substance abuse is a well-acknowledged and increasing concern. Screening brief intervention and referral to treatment for alcohol and drug use in adolescent trauma is a requirement, but program implementation remains a challenge for many trauma centers. OBJECTIVE: This study aims to examine the effect of an integrated electronic health record screening tool and staff training on screening, brief intervention, and referral to treatment compliance in adolescent trauma. METHODS: This is a single-center, pre- and postintervention study of substance use screening compliance in adolescent trauma patients (age 12–21) conducted at a Level I pediatric trauma center in the Southeastern United States following the integration of the CRAFFT substance abuse screening tool into the electronic health record. The study compared 12 months of preintervention data (January 2021 through January 2022) to 15 months of postintervention data (February 2022 through May 2023). RESULTS: A total of N = 241 patients met inclusion criteria, of which most were male, n = 168 (69.7%), White n = 185 (76.8%), and Hispanic n = 179 (74.3%). Screening compliance increased from preintervention 81% to postintervention 92%. CONCLUSION: Our study demonstrates that integrating a digital screening tool into the electronic health record resulted in an average increased screening compliance of 11%.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Integration of Substance Use Screening Into the Electronic Health Record for Adolescent Trauma Patients: A Quality Improvement Project

Troncoso-Munoz,

Davis

2024

Journal of Trauma Nursing

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Adolescent Suicide—Understanding Unique Risks and Opportunities for Trauma Centers to Recognize, Intervene, and Prevent a Leading Cause of Death

et al. 2022

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Purpose of Review This provides up-to-date epidemiology of adolescent suicide and risk factors for suicide and highlights the overlap of risks for suicide and injury. It reviews signs and symptoms, and the up-to-date evidence on screening for depression, post-traumatic stress disorder (PTSD), suicide, substance abuse, and lethal means, and offers strategies of implementation in trauma centers. Recent Findings The incidence of adolescent suicide has continued to rise in the USA to 6.5 per 100,000, with notable racial disparities. The risk factors are complex, but many pre-existing risk factors and sequela after injury such as exposures to violence, suicidal behaviors, substance abuse, depression and post-traumatic stress disorder, and specific injuries including traumatic brain injury and spinal cord injury have further emerged as risks. Studies show rates of suicidality as high as 30% in the acute care setting. There are short screening instruments that can be used to universally screen for depression and suicidality in adolescent trauma patients. Step-up models of care for PTSD are promising to increase screening and services after injury. Lethal means counseling, secure firearm storage practices, and firearm safety policies can reduce the risk of suicide. Summary Suicide is the second leading cause of death in US adolescents, and trauma patients have significant risk factors for mental illness and suicidality before and after injury. Trauma centers should strongly consider screening adolescents, establish strategies for mental health support and referrals, and provide lethal means counseling to help prevent suicide.

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Assessing screening, brief intervention, and referral to treatment (SBIRT) compliance and disparities for pediatric inpatients at a tertiary care facility

Cited by 2 publications

References 29 publications

Integration of Substance Use Screening Into the Electronic Health Record for Adolescent Trauma Patients: A Quality Improvement Project

Integration of Substance Use Screening Into the Electronic Health Record for Adolescent Trauma Patients: A Quality Improvement Project

Adolescent Suicide—Understanding Unique Risks and Opportunities for Trauma Centers to Recognize, Intervene, and Prevent a Leading Cause of Death

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