Screening Brief Intervention An Referral To Treatment Sbirt Implementation In Vermont Medial Settings
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| Author | : Brooke Evans |
| Publisher | : |
| Total Pages | : 226 |
| Release | : 2019 |
| Genre | : Substance abuse |
| ISBN | : |
Unhealthy alcohol consumption and other substance use are serious public health concerns that take a large toll on the U.S. health care system. Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based process to identify and provide early intervention for patients engaged in unhealthy drinking and/or other substance use. It is currently being adopted and implemented around the country and in Vermont. While numerous studies substantiate the efficacy of SBIRT in medical settings, more research is needed regarding the process of implementing and sustaining it into routine clinical practice. The findings from this study contribute to the SBIRT implementation evidence base, and lessons learned from this research offer important policy and practice implications for scaling up, expanding, and sustaining SBIRT. This research highlights improvement and development areas for organizational, administrative, and clinical leaders working to implement SBIRT. Findings also suggest system-level reform and transformation areas for policymakers. This dissertation illustrates the story of SBIRT implementation in one state and discusses important implications for how best to move the clinical process forward.
| Author | : Kelli Marie Thoele |
| Publisher | : |
| Total Pages | : 266 |
| Release | : 2020 |
| Genre | : |
| ISBN | : |
More than 20 million people in the United States have a substance use disorder, resulting in negative individual and societal outcomes. An evidence-based intervention, Screening, Brief Intervention, and Referral to Treatment (SBIRT), involves screening patients to assess for substance use and then providing a brief intervention and referral to treatment when indicated. This evidence-based intervention is underutilized in healthcare settings. The purpose of this dissertation was to contribute to the body of evidence regarding the implementation of SBIRT in healthcare settings. Specifically, the aims of this dissertation were to 1) provide an overview of the evidence regarding the use of implementation strategies to facilitate the implementation of SBIRT, 2) describe implementation of SBIRT by nurses in acute care hospitals, and 3) examine individual and organizational characteristics associated with the intra-organizational adoption of SBIRT. To review the literature, a scoping review was completed on 18 articles that met the inclusion criteria. The review found that leaders often train and educate stakeholders to facilitate the implementation of SBIRT, but less attention has been given to adapting the intervention or engaging patients. Additionally, implementation efforts led to increases in screening, but the evidence regarding the effect on brief intervention is inconclusive, and evidence regarding referral to treatment is scarce. Eighteen nurses participated in a qualitative descriptive study of the implementation of SBIRT, and data were analyzed using content analysis. Participants identified barriers and facilitators associated with the nurses' attitudes and beliefs about SBIRT, organizational factors, and patients' response to the SBIRT process. Participants indicated that SBIRT was a useful intervention that was best implemented by providing a clear process and incorporating SBIRT into an established workflow. To examine factors related to intra-organizational adoption of a tool to screen patients for substance use, two hundred twenty-two nurses participated in a crosssectional study. Results of this study indicate that training and the perception of peer usage of the intervention were significantly related to individual nurses' use of the intervention in practice. The findings of this dissertation can inform research and practice regarding the implementation of SBIRT in healthcare settings.
| Author | : U. S. Department Of Health And Human Services |
| Publisher | : |
| Total Pages | : |
| Release | : 2013 |
| Genre | : |
| ISBN | : 9781304146526 |
| Author | : C.R. Macchi |
| Publisher | : Springer |
| Total Pages | : 244 |
| Release | : 2018-08-22 |
| Genre | : Psychology |
| ISBN | : 3319788507 |
This unique trainer’s resource offers a comprehensive blueprint for preparing clinicians for practice in the changing and challenging environment of integrated care. Based firmly in new evidence-based models of behavioral care in medicine, it sets out the aims and objectives of modern integrated care delivery in a streamlined pedagogy-to-practice framework. Teaching strategies for developing core skills and competencies, suitable across diverse educational and workforce development settings, are presented with data-based rationales and guidelines for design and implementation. Chapters also cover the range of essentials, from research support to business acumen to program evaluation methods, needed to meet bedrock goals of improved quality of care, clinical outcomes, and patient satisfaction. The book’s comprehensive coverage: Reviews the evidence base for integrating medical and behavioral care. Provides empirically sound guidelines for training learners in integrated practice. Breaks down skill development into critical training objectives. Offers detailed content of a current degree program in integrative behavioral medicine. Recommends measures to support responsive, patient-centered, and sustainable training programs. A robust guide to a more inclusive and effective future, Training to Deliver Integrated Care expands the healthcare horizon to accommodate trainers working in health psychology, general practice, primary care medicine, and consulting, as well as supervision and coaching professionals.
| Author | : Nady el-Guebaly |
| Publisher | : Springer Nature |
| Total Pages | : 1512 |
| Release | : 2020-11-03 |
| Genre | : Medical |
| ISBN | : 3030363910 |
Addiction is increasingly being recognized as a major global public health issue, and an ever-growing number of medical specialties, psychological and social science training programs, and professional associations are including addiction as part of their training and continuing education curricula. The first edition of this book presented an overview of the spectrum of addiction-related problems across different cultures around the globe. Sharing the experience and wisdom of more than 260 leading experts in the field, and promoted by the International Society of Addiction Medicine, it compared and contrasted clinical practices in the field of addiction medicine on the basis of neurobiological similarities as well as epidemiological and socio-cultural differences. Building on the success of this inaugural edition, and taking into account the formal and informal comments received as well as an assessment of current need, this textbook presents general updated information while retaining the most requested sections of the first edition as demonstrated by the number of chapter downloads. It also provides a basic text for those preparing for the ISAM annual certification exam. Written by some 220 international experts, it is a valuable reference resource for anyone interested in medicine, psychology, nursing, and social science.
| Author | : National Academies of Sciences, Engineering, and Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 123 |
| Release | : 2021-01-30 |
| Genre | : Medical |
| ISBN | : 0309682681 |
Behavioral health conditions, which include mental health and substance use disorders, affect approximately 20 percent of Americans. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. As many as 80 percent of patients with behavioral health conditions seek treatment in emergency rooms and primary care clinics, and between 60 and 70 percent of them are discharged without receiving behavioral health care services. More than two-thirds of primary care providers report that they are unable to connect patients with behavioral health providers because of a shortage of mental health providers and health insurance barriers. Part of the explanation for the lack of access to care lies in a historical legacy of discrimination and stigma that makes people reluctant to seek help and also led to segregated and inhumane services for those facing mental health and substance use disorders. In an effort to understanding the challenges and opportunities of providing essential components of care for people with mental health and substance use disorders in primary care settings, the National Academies of Sciences, Engineering, and Medicine's Forum on Mental Health and Substance Use Disorders convened three webinars held on June 3, July 29, and August 26, 2020. The webinars addressed efforts to define essential components of care for people with mental health and substance use disorders in the primary care setting for depression, alcohol use disorders, and opioid use disorders; opportunities to build the health care workforce and delivery models that incorporate those essential components of care; and financial incentives and payment structures to support the implementation of those care models, including value-based payment strategies and practice-level incentives. This publication summarizes the presentations and discussion of the webinars.
| Author | : Jerome A. Osheroff, MD, FACP, FACMI |
| Publisher | : HIMSS |
| Total Pages | : 350 |
| Release | : 2012 |
| Genre | : Clinical medicine |
| ISBN | : 1938904206 |
| Author | : Alice A. Kuo |
| Publisher | : Springer Nature |
| Total Pages | : 825 |
| Release | : |
| Genre | : |
| ISBN | : 3031542819 |
| Author | : National Academies of Sciences, Engineering, and Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 171 |
| Release | : 2016-09-03 |
| Genre | : Social Science |
| ISBN | : 0309439124 |
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
| Author | : U.S. Department of Health and Human Services |
| Publisher | : Lulu.com |
| Total Pages | : 208 |
| Release | : 2019-11-19 |
| Genre | : Reference |
| ISBN | : 1794755136 |
Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.
