Author:
Publisher:
ISBN:
Category : Drinking and traffic accidents
Languages : en
Pages :
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Book Description
Almost 50% of patients at trauma centers can have positive blood alcohol concentrations. Despite the prevalence of alcohol-related risk and problems, trauma centers do not currently provide screening and effective brief intervention as part of routine care. Because excessive drinking is a significant risk factor for injury, it is vital for trauma centers to have protocols in place to identify and help patients. They are in an ideal position to take advantage of the teachable moment generated from an injury by implementing screening and brief intervention (SBI) for at-risk and dependent drinkers. Brief alcohol interventions conducted in trauma centers have been shown to reduce trauma recidivism by as much as 50%. Such interventions also reduce rates of arrest for driving under the influence and cut health care costs. For these reasons, routine care in trauma centers should include screening patients for alcohol misuse, providing brief interventions for patients who screen positive, and, when needed, referring patients to specialty assessment and treatment.
Author: Richard Saitz
Publisher:
ISBN: 9781003420309
Category : MEDICAL
Languages : en
Pages : 0
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Book Description
Get a better understanding of what is known and what is not known in this widespread practice Screening and brief intervention (SBI) has been around for over 40 years and is a widely recognized practice. Alcohol/Drug Screening and Brief Intervention: Advances in Evidence-Based Practice provides a valuable exploration of the present literature, the effectiveness and cost-effectiveness of screening and brief intervention, and methodological challenges in studying these practices. Respected leaders in the field discuss ways to measure the use of screening and brief intervention in practice, the multiple risk factor context in which unhealthy alcohol use occurs, clinician training issues, effective strategies to screen adolescents, which patients are most likely to change from SBI, and what research is needed in the future. Screening and brief intervention are presently being used in numerous settings such as hospitals, primary care settings, trauma centers, and college health services. Alcohol/Drug Screening and Brief Intervention: Advances in Evidence-Based Practice examines in detail original research and cutting edge research issues in these settings to provide an important review of what is known and what is not known about the practice. Methodological issues are extensively discussed. This valuable book provides crucial information on the detection of small effects, standards of analysis, reporting, interpretation, the risks of bias, and the need to ensure that results have the potential to be applied in practice. Health professionals and addiction specialists get an important critical re-evaluation of the growing practice and are provided direction for future research. Other topics in Alcohol/Drug Screening and Brief Intervention: Advances in Evidence-Based Practice include: results of research on screening, brief intervention, and referral to treatment (SBIRT) exploration of data assessing the effectiveness of screening and brief alcohol intervention evaluation of clinical alcohol screening with the AUDIT-C cost-effectiveness and cost-benefit of SBI in medical settings research into SBIRT for Emergency Departments data on primary care patients with multiple risk factors research on feasibility and efficacy of "no-contact" interventions and more! Alcohol/Drug Screening and Brief Intervention: Advances in Evidence-Based Practice is essential reading for alcohol and drug researchers, screening and brief intervention program practitioners, physicians, nurses, health promotion advocates, Public Health Practitioners, and the State Departments of Public Health.
Author: Mark Galanter
Publisher: CRC Press
ISBN: 1000939774
Category : Medical
Languages : en
Pages : 174
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Book Description
Get a better understanding of what is known and what is not known in this widespread practice Screening and brief intervention (SBI) has been around for over 40 years and is a widely recognized practice. Alcohol/Drug Screening and Brief Intervention: Advances in Evidence-Based Practice provides a valuable exploration of the present literature, the effectiveness and cost-effectiveness of screening and brief intervention, and methodological challenges in studying these practices. Respected leaders in the field discuss ways to measure the use of screening and brief intervention in practice, the multiple risk factor context in which unhealthy alcohol use occurs, clinician training issues, effective strategies to screen adolescents, which patients are most likely to change from SBI, and what research is needed in the future. Screening and brief intervention are presently being used in numerous settings such as hospitals, primary care settings, trauma centers, and college health services. Alcohol/Drug Screening and Brief Intervention: Advances in Evidence-Based Practice examines in detail original research and cutting edge research issues in these settings to provide an important review of what is known and what is not known about the practice. Methodological issues are extensively discussed. This valuable book provides crucial information on the detection of small effects, standards of analysis, reporting, interpretation, the risks of bias, and the need to ensure that results have the potential to be applied in practice. Health professionals and addiction specialists get an important critical re-evaluation of the growing practice and are provided direction for future research. Other topics in Alcohol/Drug Screening and Brief Intervention: Advances in Evidence-Based Practice include: results of research on screening, brief intervention, and referral to treatment (SBIRT) exploration of data assessing the effectiveness of screening and brief alcohol intervention evaluation of clinical alcohol screening with the AUDIT-C cost-effectiveness and cost-benefit of SBI in medical settings research into SBIRT for Emergency Departments data on primary care patients with multiple risk factors research on feasibility and efficacy of no-contact interventions and more! Alcohol/Drug Screening and Brief Intervention: Advances in Evidence-Based Practice is essential reading for alcohol and drug researchers, screening and brief intervention program practitioners, physicians, nurses, health promotion advocates, Public Health Practitioners, and the State Departments of Public Health.
Author:
Publisher:
ISBN:
Category : Alcoholics
Languages : en
Pages : 16
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Book Description
Author: Antoni Gual
Publisher: Frontiers Media SA
ISBN: 2889198871
Category : Medicine (General)
Languages : en
Pages : 85
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Book Description
Alcohol is the sixth leading risk factor for disability and premature death all over the world, and one of the leading causes of premature mortality in western societies; it is a leading risk factor for death in young and middle-age males. Heavy drinking accounts for about two thirds of the burden of disease attributable to alcohol. In the early 1980s, screening and brief interventions (SBI) in primary health care settings were proposed as effective strategies to identify risky drinkers and to help them reduce their drinking. Since then, a growing body of evidence, including several meta-analysis and Cochrane reviews, has shown the efficacy and effectiveness of SBI in primary health settings. However, demonstrating the effectiveness of SBI has not been insufficient to facilitate its general implementation in the routines of primary health care physicians, and in fact the dissemination of SBI has proven to be a difficult business. Qualitative and quantitative research has identified most of the facilitators and barriers for its implementation, and publicly funded research has been earmarked to address the dissemination problems worldwide. Some examples are the World Health Organization Phase III and Phase IV studies on the identification and management of alcohol-related problems in primary care, EU funded projects (PHEPA, AMPHORA, ODHIN, BISTAIRS), the UK SIPS trials and the SBIRT developments sponsored by the Substance Abuse & Mental Health Services Administration (SAMHSA) in the USA. The efficacy and effectiveness of SBI in primary health is now well established, but there are still some questions that remain unsolved: which practitioners should deliver them; what length should they be; is there a need for booster sessions; is there added value of a motivational approach? These questions, together with other relevant aspects of SBI, need ongoing research. In recent years, SBIs have been tested in settings other than primary health care, including hospitals, accident and emergency rooms, criminal justice, colleges and universities, social services and pharmacies. In some of those areas, the evidence is scarce (for example, pharmacies) while in others it is very promising (for example, students and hospitals). New technologies have also offered the possibility of online tools, and, in the last few years, different digital-based applications have been tested successfully as new ways to deliver effective SBIs to larger amounts of people. Brief interventions have also spread to drugs other than alcohol. This book aims to be an update of the state-of-the art of brief advice. It is a compilation of articles published by some of the most relevant researchers in the field in Frontiers in Psychiatry between 2014 and 2016.
Author: John Higgins-Biddle
Publisher:
ISBN:
Category :
Languages : en
Pages : 42
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Book Description
Author: Maryam Hosseini Farahabadi
Publisher:
ISBN: 9781321020823
Category :
Languages : en
Pages : 58
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Book Description
Alcohol Screening, Brief Intervention (SBI) has been widely implemented in medical facilities since 2010 when it became mandatory in all level 1 trauma centers. Many studies have evaluated the effectiveness of SBI by following up on patients screened to be at-risk drinkers. Most of these studies have reported a large loss to follow-up as their main limitation but few have tried to investigate the characteristics of those non-compliant to follow-up. This retrospective study analyzed demographic characteristics, Alcohol Use Disorder Identification Test (AUDIT) and readiness to change scores for 190 lost-to-follow-up and 221 completed follow-up patients who had undergone SBI at the University of California, Irvine (UCI) Emergency Department between June 2006 and May 2007. Comparing the association between baseline characteristics and completing follow-up, those 30 and older have lower odds of completing follow-up in comparison to those 18-29 years of age. AUDIT and readiness to change scores were not significantly different between two groups. Those lost to follow-up had experienced more negative consequences of alcohol than those completed follow-up. Using linear regression, after adjusting for sex, language, ethnicity, and readiness to change scores, experiencing more negative effects of alcohol was still associated with less completed follow-up. These results demonstrate differences between those lost and those compliant to follow-up in such studies, which suggest a need for a more tailored approach to patients. This can result in more effective motivational intervention and commitment to change for those lost to follow-up, which also improves the internal validity, and generalizability of study results.
Author: Michelle M. Silvers
Publisher:
ISBN:
Category : Evidence-based nursing
Languages : en
Pages : 54
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Book Description
Author: Ursula Whiteside
Publisher: Elsevier Inc. Chapters
ISBN: 0128066075
Category : Psychology
Languages : en
Pages : 34
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Book Description
Author: Margaux Verjus
Publisher: Nova Science Publishers
ISBN: 9781629485447
Category : Drugged driving
Languages : en
Pages : 0
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Book Description
Only a small fraction of the impaired drivers who are at risk for alcohol-impaired-driving crashes are arrested. These include drivers who drink regularly or occasionally to intoxication before they drive. Researchers have estimated the probability of being arrested while driving while intoxicated (DWI) with a blood alcohol concentration at or above .10 g/dL to be about 1 in 200. A similar study reported that only 23% of alcohol-positive drivers admitted to trauma units and emergency departments following crashes are convicted of DWI. This book provides an overview of the use of Screening and Brief Intervention (SBI) as a countermeasure for those who have displayed, or could potentially display, harmful/hazardous drinking behaviours, including drinking and driving. This book endeavours to acquaint the highway safety community with an overview of the development of SBI, the context in which SBI is employed, the efficacy and limitations of this approach, and the policy implications for traffic safety.
