Evaluation of the Washington State Screening, Brief Intervention, and Referral to Treatment Project

Estee, Sharon; Wickizer, Thomas M.; He, Lijian; Shah, Melissa Ford; Mancuso, David

doi:10.1097/mlr.0b013e3181bd498f

Cited by 71 publications

(66 citation statements)

References 41 publications

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“…These implementation costs could be recovered numerous times over, however, if SBIRT-A were proven to prevent a substantial proportion of at-risk youth from progressing toward SUD in young adulthood and beyond (see Cohen & Picquaro, 2009; Griffin, Ramchand, Edelen, McCaffery, & Morral, 2011). Among adult SBIRT recipients in medical settings, cost-benefits have been documented in the form of reduced health care service utilization and other costs to society (Barbosa, Cowell, Bray, & Aldridge, 2015; Estee et al, 2010). In recognition of these types of public health benefits, financial coverage for SBIRT is a priority under the ACA (Ghitza & Tai, 2014; Tai & Volkow, 2013) and as well as within the managed care industry (Rahm et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

SBIRT-A: Adapting SBIRT to Maximize Developmental Fit for Adolescents in Primary Care

Ozechowski

Becker

Hogue

2016

Journal of Substance Abuse Treatment

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The Screening, Brief Intervention and Referral to Treatment (SBIRT) model is widely recommended as part of routine visits in pediatric primary care despite a dearth of evidence on its effectiveness, feasibility, and developmental appropriateness for adolescents in this setting. The purpose of this article is to explicate ways that SBIRT may be tailored to better serve adolescents in primary care under a set of recommended adaptations that we refer to collectively as SBIRT-A or Screening, Brief Intervention, and Referral to Treatment for Adolescents. Each component of the SBIRT-A framework incorporates recommendations to optimize developmental fit with adolescents based on extant empirical research, developmental theory, and well-documented barriers to service delivery in primary care. Commonalities across proposed adaptations include reliance upon proactive methods to identify and engage youth; innovation in service delivery aimed at improving the consistency and reach of interventions; and a family-focused approach to engagement, assessment, and intervention. Specific recommendations include taking advantage of every clinical encounter with the family to screen, involving caregivers in assessments and brief interventions, leveraging technology to administer brief interventions and booster sessions, and patient- and family-centered procedures for treatment referral and engagement. The adaptations proposed in this article have the potential to enhance the detection of adolescents with SU problems in primary care, the consistency of intervention provision, and engagement of this typically recalcitrant population into appropriate treatment.

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Section: Discussionmentioning

confidence: 99%

SBIRT-A: Adapting SBIRT to Maximize Developmental Fit for Adolescents in Primary Care

Ozechowski

Becker

Hogue

2016

Journal of Substance Abuse Treatment

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“…Recognizing the effectiveness of Screening, Brief Intervention, and Referral to Treatment (SBIRT) approaches for alcohol (3)(4)(5)(6)(7), the US Preventive Services Task Force and the Joint Commission have recommended routine alcohol screening during medical encounters (8, 9). There are fewer published studies regarding the efficacy of SBIRT with drug use, but there is a growing body of literature, which is promising (10)(11)(12)(13)(14).…”

Section: Introductionmentioning

confidence: 98%

Developing and Implementing a Multispecialty Graduate Medical Education Curriculum on Screening, Brief Intervention, and Referral to Treatment (SBIRT)

et al. 2012

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The authors sought to evaluate the feasibility and acceptability of initiating a Screening, Brief Intervention, and Referral to Treatment (SBIRT) for alcohol and other drug use curriculum across multiple residency programs. SBIRT project faculty in the internal medicine (traditional, primary care internal medicine, medicine/pediatrics), psychiatry, obstetrics and gynecology, emergency medicine, and pediatrics programs were trained in performing and teaching SBIRT. The SBIRT project faculty trained the residents in their respective disciplines, accommodating discipline-specific implementation issues and developed a SBIRT training Web site. Post-training, residents were observed performing SBIRT with a standardized patient. Measurements included number of residents trained, performance of SBIRT in clinical practice, and training satisfaction. One hundred and ninety-nine residents were trained in SBIRT: 98 internal medicine, 35 psychiatry, 18 obstetrics and gynecology, 21 emergency medicine, and 27 pediatrics residents. To date, 338 self-reported SBIRT clinical encounters have occurred. Of the 196 satisfaction surveys completed, the mean satisfaction score for the training was 1.60 (1 = very satisfied to 5 = very dissatisfied). Standardized patient sessions with SBIRT project faculty supervision were the most positive aspect of the training and length of training was a noted weakness. Implementation of a graduate medical education SBIRT curriculum in a multispecialty format is feasible and acceptable. Future efforts focusing on evaluation of resident SBIRT performance and sustainability of SBIRT are needed.

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“…The savings was highest ($829 per member per month) when patients had presented because of injury. 4 Therefore, prevention strategies could actually save money in the long run, possibly encouraging insurance policies to increase coverage of such preventive services.…”

Section: Health Care Costsmentioning

confidence: 99%

Screening, Brief Intervention, and Referral to Treatment in the Adolescent Trauma Population

Noffsinger

Cooley²

2012

Journal of Trauma Nursing

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Adolescence is a critical stage in human development in which individuals gain independence from parents. This vulnerable period of life often involves experimentation with intoxicating substances and other risky behaviors. This combination of factors may lead to traumatic injury that requires emergency department treatment and hospitalization. This scenario presents an opportunity for screening, education and treatment regarding substance abuse. Policies that support such measures have been shown to be poorly followed. The aim of this manuscript is to identify and discuss some of the barriers to implementation of an alcohol and drug screening policy for adolescent trauma patients admitted for inpatient hospital care.

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Evaluation of the Washington State Screening, Brief Intervention, and Referral to Treatment Project

Cited by 71 publications

References 41 publications

SBIRT-A: Adapting SBIRT to Maximize Developmental Fit for Adolescents in Primary Care

SBIRT-A: Adapting SBIRT to Maximize Developmental Fit for Adolescents in Primary Care

Developing and Implementing a Multispecialty Graduate Medical Education Curriculum on Screening, Brief Intervention, and Referral to Treatment (SBIRT)

Screening, Brief Intervention, and Referral to Treatment in the Adolescent Trauma Population

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