Implementing and Evaluating SBIRT for Alcohol Use at a Level 1 Trauma Center: A Behavioral Medicine Approach
Autor: | Kelly L. Gilrain, Steven E. Ross, Anastasia J. Bullock, Philip Fizur, Alexa M. Hays, Victoria A. Grunberg |
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Rok vydání: | 2019 |
Předmět: |
050103 clinical psychology
medicine.medical_specialty Alcohol Drinking Substance-Related Disorders Psychological intervention Alcohol Behavioral Medicine 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Trauma Centers Humans Mass Screening Medicine 0501 psychology and cognitive sciences 030212 general & internal medicine Referral and Consultation Elevated blood-alcohol business.industry 05 social sciences Trauma center Case management Alcoholism Clinical Psychology Health psychology chemistry Family medicine Behavioral medicine Brief intervention business Delivery of Health Care |
Zdroj: | Journal of Clinical Psychology in Medical Settings. 27:376-384 |
ISSN: | 1573-3572 1068-9583 |
Popis: | To facilitate the early identification and treatment of alcohol misuse among trauma patients, the American College of Surgeons (ACS) requires ACS-accredited level 1 trauma centers to have an active alcohol screening and brief intervention program. The development, implementation, and evaluation of a screening, brief intervention, and referral to treatment as a new institutional standard of care for alcohol misuse at a level 1 trauma center is described. The Division of Behavioral Medicine, a health psychology-based service, was nominated to manage this initiative as a result of clinical training and expertise in assessment, evidence-based psychological interventions, and case management. Trauma patients with elevated blood alcohol concentrations were screened at the time of admission and several months post-hospitalization. Clinical data suggest that screening for alcohol misuse can help identify patients at risk for, and struggling with, alcohol use disorders, encourage positive changes in alcohol consumption patterns, and increase access to treatment. Recommendations for enhancing the effectiveness of this process, associated challenges and limitations, and considerations for future clinical and research endeavors are discussed. |
Databáze: | OpenAIRE |
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