Substance Use Screening, Brief Intervention, and Referral to Treatment in Pediatric Practice: A Quality Improvement Project in the Maryland Adolescent and Young Adult Health Collaborative Improvement and Innovation Network
| Autor: | Rachel H. Alinsky, Kayla Percy, Diana Fertsch, Maria Trent, Hoover Adger |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Quality management Adolescent Motivational Interviewing Article 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Medicine Electronic Health Records Humans Mass Screening 030212 general & internal medicine Young adult Referral and Consultation Reproductive health Pediatric practice Maryland business.industry Referral to treatment Quality Improvement United States Substance Abuse Detection Family medicine Pediatrics Perinatology and Child Health Female Brief intervention Substance use business |
| Zdroj: | Clin Pediatr (Phila) |
| ISSN: | 1938-2707 |
| Popis: | The American Academy of Pediatrics recommends pediatric providers routinely screen for, assess, and treat substance use and substance use disorders among adolescents, a process called “Screening, Brief Intervention, and Referral to Treatment,” or “SBIRT.” Because there are limited data on how Maryland pediatric practices have adopted SBIRT, a quality improvement initiative was developed within the Maryland Adolescent and Young Adult Health Collaborative Improvement and Innovation Network using a “Plan/Do/Study/Act” approach. A 2-part provider training was conducted regarding screening and motivational interviewing, and the “CRAFFT” screening tool was integrated into the practice’s electronic medical record. Results from evaluation demonstrated significant improvements in provider knowledge, attitudes, and screening behavior. The association between substance use and sexual behavior suggests a need for further expansion of this model with inclusion of sexual health screening. Overall, this study demonstrates that SBIRT implementation into a general pediatric practice is highly feasible, acceptable, and shows preliminary effectiveness. |
| Databáze: | OpenAIRE |
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