Implementation of a Brief Treatment Counseling Toolkit in Federally Qualified Healthcare Centers: Patient and Clinician Utilization and Satisfaction

Brooks, Adam C.; Chambers, Jaclyn E.; Lauby, Jennifer; Byrne, Elizabeth M.; Carpenedo, Carolyn M.; Benishek, Lois A.; Medvin, Rachel B.; Metzger, David S.; Kirby, Kimberly C.

doi:10.1016/j.jsat.2015.08.005

Cited by 8 publications

(6 citation statements)

References 47 publications

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“…These aspects are common in other SBIRT programmes, and are often delivered utilising a motivational interviewing style, as in the Teachable Moment programme [ 38 ]. In evaluation studies including SBIRT recipients in various healthcare settings, the screening and feedback was seen as helpful by the majority of patients receiving the programme [ 24 , 39 , 40 ]. Additionally, the barriers to attending further sessions reported in this study are commonly cited factors influencing access to mental health and substance use care in LMICs [ 41 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

“…In this study the caring, supportive style of the counsellors was central to patients’ positive perception of the SBIRT service. While few other studies have included SBIRT recipients in evaluation research and interrogated the style of the counsellor, some studies report SBIRT recipients appreciating being able to speak with a non-judgemental SBIRT provider [ 25 , 39 ]. Although we didn’t examine the association between recipients’ perception of the counselling relationship and outcome, there is evidence from other studies that counsellor empathy and collaboration is associated with better client outcomes [ 48 , 49 ].…”

Section: Discussionmentioning

confidence: 99%

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Patient outcomes and experience of a task-shared screening and brief intervention service for problem substance use in South African emergency centres: a mixed methods study

Westhuizen

Malan

Naledi

et al. 2021

Addict Sci Clin Pract

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Background Screening, brief intervention and referral to treatment (SBIRT) programmes have resulted in generally positive outcomes in healthcare settings, particularly for problem alcohol use, yet implementation is hampered by barriers such as concerns regarding the burden on healthcare professionals. In low-resourced settings, task-sharing approaches can reduce this burden by using non-professional healthcare workers, yet data are scarce regarding the outcomes and acceptability to patients within a SBIRT service. This study aims to evaluate patient-reported outcomes, patient acceptability, perceived benefits and recommendations for improving a task-shared SBIRT service in South African emergency centres (ECs). Methods This mixed methods study incorporates quantitative substance use screening and patient satisfaction data collected routinely within the service at three hospitals, and qualitative semi-structured interviews with 18 EC patient beneficiaries of the programme exploring acceptability and perceived benefits of the programme, as well as recommendations to improve the service. Approximately three months after the acute EC visit, a sub-sample of patients were followed up telephonically to assess patient-reported satisfaction and substance use outcomes. Results Of the 4847 patients eligible for the brief intervention, 3707 patients (76%) used alcohol as their primary substance and 794 (16%) used cannabis. At follow-up (n = 273), significant reductions in substance use frequency and severity were noted and over 95% of patients were satisfied with the service. In the semi-structured interviews, participants identified the non-judgemental caring approach of the counsellors, and the screening and psychoeducation components of the intervention as being the most valuable, motivating them to decrease substance use and make other positive lifestyle changes. Study participants made recommendations to include group sessions, market the programme in communities and extend the programme’s reach to include a broader age group and a variety of settings. Conclusions This task-shared SBIRT service was found to be acceptable to patients, who reported several benefits of a single SBIRT contact session delivered during an acute EC visit. These findings add to the SBIRT literature by highlighting the role of non-professional healthcare workers in delivering a low-intensity SBIRT service feasible to implement in low-resourced settings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Patient outcomes and experience of a task-shared screening and brief intervention service for problem substance use in South African emergency centres: a mixed methods study

Westhuizen

Malan

Naledi

et al. 2021

Addict Sci Clin Pract

View full text Add to dashboard Cite

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“…A substantial amount of research across Australia, Canada, and North America has indicated that clients are typically highly satisfied with SST services (Boyhan, 1996; Brooks et al, 2016; Hoyt & Talmon, 2014; Hymmen, Stalker, & Cait, 2013; O'Neill, 2015; Rodda et al, 2015) and a significant number of clients report improvements in their psychological functioning as a result of attending a single session (Ewen et al, 2018).…”

mentioning

confidence: 99%

Examining the Incidence and Clients’ Experiences of Single Session Therapy in Italy: A Feasibility Study

Cannistrà¹,

Piccirilli²,

D’Alia³

et al. 2020

ANZ J of Family Therapy

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Single session therapy (SST) postulates that one session can be sufficient for a client to take charge of the process and work toward their own solutions. Research has been conducted worldwide corroborating SST assumptions with several mental health conditions, but not in Italy. For the first time in Italy, this paper aims to explore: (1) if the most frequent number of sessions in traditional psychotherapy (not SST) is one (Study 1); and (2) the satisfaction of clients who attend SST services and the number who consider one session sufficient to address their presenting problem (Study 2). In Study 1, the records of 476 voluntary clients referred to three different traditional (not SST) psychological services in the west-central region of Latium, Italy, were retrospectively screened, and the number of sessions attended by each client recorded. In Study 2, 85 consecutive clients who voluntarily asked for SST with seven mental health professionals across Italy received a link to an online ad hoc survey, 1-3 weeks after the consultation, evaluating their experience. Study 1 found that the most frequent number of traditional psychotherapeutic (not intentionally SST) sessions was one (124 out of 476 clients (26%). Study 2 found that 44 out of 85 clients (52%) considered one session to be enough, as they felt better or much better and chose not to attend further sessions. Of those who asked for a second session (41 clients), 33 clients (80.5%) indicated that the first session was not enough and 8 clients (19.5%) wanted to address a new problem. These results converge with previous international studies and provide encouragement for the use of SST in both private and public psychological services to address the demand for timely mental health services in Italy. Further research is needed to support the efficacy of SST and to evaluate its cost-effectiveness.

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“…Although SBIRT training strategies have been developed and are feasible, several challenges remain to the optimal provision of training to nurses, although nurses are well positioned to deliver such an intervention (Cook et al, 2018; Mitchell et al, 2017). Furthermore, Brooks et al (2016) commented that typical continuing education workshops are insufficient for creating change in staff implementation of new skills (such as administering SBIRT), especially if not followed up with coaching, feedback, or supervision. SBIRT trainings need to include flexible, time-limited training sessions that are followed by coaching and feedback.…”

Section: Introductionmentioning

confidence: 99%

Utilization of Nurse-Administered Screening, Brief Intervention, and Referral to Treatment in a Brief Psychiatric Inpatient Unit

Kracher,

Bayette,

Young

et al. 2023

UJAN

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Background: Screening, Brief Intervention, and Referral to Treatment (SBIRT) has been established as an effective screening tool for providing interventions for patients with risky substance use. Objectives: The objectives of this project were to train and coach staff nurses in the use of SBIRT, offer SBIRT to all admissions of a brief psychiatric inpatient unit, and decrease readmission rates. Design: Using the Iowa Model for Implementing Evidence-Based Practices, SBIRT was implemented on the unit. Data were collected on the frequency of patients offered SBIRT and readmission rates. Results: Fifty-nine percent of all admissions were offered SBIRT. The average readmission rates decreased by 18.3% for the first 2 months of implementation and by 67.5% for Days 16-31 postdischarge. Conclusions: SBIRT is an effective tool for nurses on psychiatric units to address substance use and to decrease readmission rates.

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Implementation of a Brief Treatment Counseling Toolkit in Federally Qualified Healthcare Centers: Patient and Clinician Utilization and Satisfaction

Cited by 8 publications

References 47 publications

Patient outcomes and experience of a task-shared screening and brief intervention service for problem substance use in South African emergency centres: a mixed methods study

Patient outcomes and experience of a task-shared screening and brief intervention service for problem substance use in South African emergency centres: a mixed methods study

Examining the Incidence and Clients’ Experiences of Single Session Therapy in Italy: A Feasibility Study

Utilization of Nurse-Administered Screening, Brief Intervention, and Referral to Treatment in a Brief Psychiatric Inpatient Unit

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