Emergency department-based intervention with adolescent substance users: 12-month outcomes

Tait, Robert J.; Hulse, Gary Kenneth; Robertson, Suzanne I.; Sprivulis, Peter

doi:10.1016/j.drugalcdep.2005.03.015

Cited by 38 publications

(34 citation statements)

References 15 publications

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“…One study [47] additionally included individuals who screened 8 or higher on the Alcohol Use Disorders Identification Test (AUDIT) (23.7% of the total sample). Another study also included adolescents who presented to the ED following a drug-related event [33] . However, the majority (77%) of the sample reported having used alcohol prior to the ED visit.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…Six studies [31,32,44,[46][47][48] tested the effectiveness of a brief motivational intervention (BMI), thereby applying an approach based on the principles of motivational interviewing (MI) [49] . In 6 of the 7 studies, the primary intervention goal was harm reduction with regard to alcohol use, whereas 1 study [33] primarily targeted motivating patients to seek further alcohol-related treatment. Interventionists were either trained counsellors and psychologists [44,[46][47][48] or research staff [31][32][33] most of whom had received special training in MI [31,32,44,[46][47][48] with durations ranging from 15 h [48] to 30 h [47] .…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…In 6 of the 7 studies, the primary intervention goal was harm reduction with regard to alcohol use, whereas 1 study [33] primarily targeted motivating patients to seek further alcohol-related treatment. Interventionists were either trained counsellors and psychologists [44,[46][47][48] or research staff [31][32][33] most of whom had received special training in MI [31,32,44,[46][47][48] with durations ranging from 15 h [48] to 30 h [47] . In 4 studies, interventionists additionally attended regular clinical supervisions [31,32,47,48] .…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…The alcohol-related hospitalisation is assumed to create a teachable moment for alcohol interventions [29,30] . Ahmed and Mackway-Jones [27] reported findings of 2 US-American [31,32] and 1 Australian trial [33] . The author interpreted findings as generally supporting effectiveness of BIs in this context.…”

Section: Introductionmentioning

confidence: 99%

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Brief in Person Interventions for Adolescents and Young Adults Following Alcohol-Related Events in Emergency Care: A Systematic Review and European Evidence Synthesis

et al. 2015

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Background: Increasing numbers of youth in need of emergency medical treatment following alcohol intoxication have been a major public health concern in Europe in recent years. Brief interventions (BIs) in the emergency department (ED) could prevent future risky drinking. However, effectiveness and feasibility of this approach are currently unclear. Method: A systematic literature search on controlled trials including participants aged 12-25 years treated in an ED following an alcohol-related event was conducted. Additionally, a grey literature search was conducted to support findings from the systematic review with evidence from practice projects and uncontrolled trials. Data on effectiveness, acceptance, implementation and reach were extracted. Results: Seven randomised controlled trials (RCT), 6 practice projects, 1 non-randomised pilot study and 1 observational study were identified. Six RCTs found reductions of alcohol use for all participants. Four RCTs found effects on alcohol consumption, alcohol-related risk-behaviour or referral to treatment. Participation and referral rates varied strongly, whereas data on acceptance and implementation were rarely assessed. Conclusion: Heterogeneity of study designs and effects limit conclusions on effectiveness of BIs for young ED patients following an alcohol-related event. However, the number of practice projects in Europe indicates a need perceived by practitioners to address this population.

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Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Brief in Person Interventions for Adolescents and Young Adults Following Alcohol-Related Events in Emergency Care: A Systematic Review and European Evidence Synthesis

et al. 2015

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“…Promising treatment results have been shown in studies investigating the effectiveness of BIs among cocaine, heroin, and amphetamine users in non-ED-based settings. [56][57][58][59] Stotts et al 58 found positive results from a brief MI delivered to cocaine users in a BI outpatient detoxification treatment program. Bashir et al 60 found positive results from a BI delivered by a primary care provider.…”

Section: Drugsmentioning

confidence: 99%

Alcohol, Tobacco, and Other Drugs: Future Directions for Screening and Intervention in the Emergency Department

Cunningham

Bernstein

Walton

et al. 2009

Academic Emergency Medicine

102

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This article is a product of a breakout session on injury prevention from the 2009 Academic Emergency Medicine consensus conference on ''Public Health in the ED: Screening, Surveillance, and Intervention.'' The emergency department (ED) is an important entry portal into the medical care system. Given the epidemiology of substance use among ED patients, the delivery of effective brief interventions (BIs) for alcohol, drug, and tobacco use in the ED has the potential to have a large public health impact. To date, the results of randomized controlled trials of interventional studies in the ED setting for substance use have been mixed in regard to alcohol and understudied in the area of tobacco and other drugs. As a result, there are more questions remaining than answered. The work group developed the following research recommendations that are essential for the field of screening and BI for alcohol, tobacco, and other drugs in the ED. 1) Screening-develop and validate brief and practical screening instruments for ED patients and determine the optimal method for the administration of screening instruments. 2) Key components and delivery methods for intervention-conduct research on the effectiveness of screening, brief intervention, and referral to treatment (SBIRT) in the ED on outcomes (e.g., consumption, associated risk behaviors, and medical psychosocial consequences) including minimum dose needed, key components, optimal delivery method, interventions focused on multiple risk behaviors and tailored based on assessment, and strategies for addressing polysubstance use. 3) Effectiveness among patient subgroups-conduct research to determine which patients are most likely to benefit from a BI for substance use, including research on moderators and mediators of intervention effectiveness, and examine special populations using culturally and developmentally appropriate interventions. 4) Referral strategiesa) promote prospective effectiveness trials to test best strategies to facilitate referrals and access from the ED to preventive services, community resources, and substance abuse and mental health treatment; b) examine impact of available community services; c) examine the role of stigma of referral and followup; and d) examine alternatives to specialized treatment referral. 5) Translation-conduct translational and cost-effectiveness research of proven efficacious interventions, with attention to fidelity, to move ED SBIRT from research to practice.

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Brief, Personality-Targeted Coping Skills Interventions and Survival as a Non–Drug User Over a 2-Year Period During Adolescence

Conrod¹,

Castellanos‐Ryan²,

Strang³

2010

Arch Gen Psychiatry

231

196

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Emergency department-based intervention with adolescent substance users: 12-month outcomes

Cited by 38 publications

References 15 publications

Brief in Person Interventions for Adolescents and Young Adults Following Alcohol-Related Events in Emergency Care: A Systematic Review and European Evidence Synthesis

Brief in Person Interventions for Adolescents and Young Adults Following Alcohol-Related Events in Emergency Care: A Systematic Review and European Evidence Synthesis

Alcohol, Tobacco, and Other Drugs: Future Directions for Screening and Intervention in the Emergency Department

Brief, Personality-Targeted Coping Skills Interventions and Survival as a Non–Drug User Over a 2-Year Period During Adolescence

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