Improving Screening for Alcohol Use During Pregnancy: The Massachusetts ASAP Program
| Autor: | Ellen Hutchins, Jeanne Mahoney, Norma Finkelstein, Cheryl Kennedy |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
medicine.medical_specialty Referral Epidemiology Psychological intervention Prenatal care Substance abuse prevention Pregnancy Surveys and Questionnaires Humans Mass Screening Medicine Program Development business.industry Public health Public Health Environmental and Occupational Health Obstetrics and Gynecology Prenatal Care medicine.disease Pregnancy Complications Substance abuse Alcoholism Massachusetts Fetal Alcohol Spectrum Disorders Prenatal Exposure Delayed Effects Pediatrics Perinatology and Child Health Community health Female Medical emergency Brief intervention business |
| Zdroj: | Maternal and Child Health Journal. 8:137-147 |
| ISSN: | 1092-7875 |
| DOI: | 10.1023/b:maci.0000037647.78420.e3 |
| Popis: | Objective: To motivate prenatal care staff in public and private settings to universally screen for risk of alcohol and drug use and to conduct a brief intervention with follow-up referral when appropriate during a routine office visit. Methods: The ASAP Project methods were engagement of site staff; staff training; self-administered questionnaires embedded with a relational and broad catch screening tool; a brief intervention protocol; unique clinical decision tree/protocols for each site; identification of treatment and referral resources; and ongoing technical assistance and consultation. Sites were located in four regions of the state and included four community health centers, a network of multi-specialty private practices and a teaching hospital. Results: Across 16 sites, 118 prenatal staff were trained on use of the screening tool and 175 staff on the brief intervention. The ASAP Project resulted in 95% of pregnant women being screened for alcohol use and 77% of those screening positive for at least one risk factor receiving a brief intervention during a routine office visit. Conclusions: Screening and brief interventions for alcohol use can be delivered effectively within a routine prenatal care visit by prenatal staff by utilizing and building on existing office systems with practice staff, screening for any use not only at risk use, providing training with skills building sessions and information delivered by physicians, offering easy-to-access community treatment resources, and providing ongoing technical assistance. |
| Databáze: | OpenAIRE |
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