Screening and brief intervention in the emergency department.
نویسندگان
چکیده
Many patients visiting hospital emergency departments (EDs) or admitted to trauma centers have alcohol problems. Therefore, it is plausible that all ED and trauma patients should be screened for unhealthy alcohol use so that optimal care can be provided and treatment initiated, if necessary, for these patients. In addition, brief interventions offered directly in the ED or trauma unit could be useful for many patients. Some studies have found such interventions to be feasible and effective in this setting. However, all efforts in this regard must take into consideration the specific challenges associated with screening and intervention in EDs, such as time constraints, ethical and legal issues, and concerns regarding insurance coverage. Innovative approaches to screening may address at least some of these problems, although more research is needed to determine how screening can be better incorporated and implemented in the ED setting.
منابع مشابه
Electronic screening, brief intervention, and referral to treatment for poly-drug users in emergency services (the eSBIRTes Project)
Objective The general objective of the eSBIRTes project (http:// www.esbirtes.eu) was to identify and develop effective tools for screening, brief interventions and referral to treatment for adults presenting at the emergency department (ED) with problems related to poly-drug use. The electronic screening brief intervention and referral to treatment (SBIRT) was pilot tested in four EDs in gener...
متن کاملDevelopment of a New Vernacular Tool for Diagnosis of Alcohol Dependence in the Emergency
Background: Alcohol dependence (AD) is a major reason for morbidity and visits to emergency medical settings. However, the detection of AD is often difficult or overlooked. This study aimed to develop a brief screening questionnaire in Hindi language for detection of AD in an emergency medical setting. Methods: The authors in consultation devised a set of questions related to AD in the Hindi l...
متن کاملEffectiveness of SBIRT for Alcohol Use Disorders in the Emergency Department: A Systematic Review
INTRODUCTION Alcohol use disorders (AUD) place a significant burden on individuals and society. The emergency department (ED) offers a unique opportunity to address AUD with brief screening tools and early intervention. We undertook a systematic review of the effectiveness of ED brief interventions for patients identified through screening who are at risk for AUD, and the effectiveness of these...
متن کاملFinancial sustainability of screening, brief intervention, and referral to treatment programs in emergency department settings (part of Economics of SBI symposium)
Background Substance misuse is a leading public health concern in the United States. Emergency departments (EDs) are thought to be an efficient environment in which to deliver screening, brief intervention, and referral to treatment (SBIRT) because a relatively high proportion of patients present with substance misuse. We developed a discrete event simulation model to track SBIRT program costs ...
متن کامل[Screening and brief intervention for alcoholic patients treated at emergency rooms: prospects and challenges].
The purpose of this article was to present the general principles, concepts, and main elements of brief intervention, with a literature review on its use for alcoholic patients treated at emergency rooms. It also presents the applicability of screening as a first step to the brief intervention process and the use of validated standard instruments that allow useful information for consistent fee...
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ورودعنوان ژورنال:
- Alcohol research & health : the journal of the National Institute on Alcohol Abuse and Alcoholism
دوره 28 2 شماره
صفحات -
تاریخ انتشار 2004