Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: Comparison at intake and 6 months later
Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: Comparison at intake and 6 months later
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DOI：
10.1016/j.drugalcdep.2008.08.003
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发表时间：
2009-01-01
影响因子：
4.2
通讯作者：
Clark, H. Westley
中科院分区：
文献类型：
--
作者：
Madras, Bertha K.;Compton, Wilson A.;Clark, H. Westley
目的：在医疗环境中进行酒精筛查和简单干预可以显着减少酒精使用。有关非法药物使用的相应数据很少。联邦政府资助的筛查，简短的干预。转介治疗（SBIRT）服务计划是迄今为止最大的此类计划，由物质滥用和精神卫生服务管理局（SAMHSA）在各种医疗环境中发起。我们比较了非法药物的使用，在摄入量和6个月后，药物筛选和干预措施administer.Design：SBIRT服务，在一系列的医疗环境，在六个州实施。不同的患者人群（阿拉斯加原住民、美洲印第安人、非洲裔美国人）。白人、西班牙裔），并提供基于评分的渐进干预水平（短期干预、短期治疗、转诊至专科治疗）。在SBIRT服务项目的二次分析中，在随机选择的人群（10%）的样本中，在基线筛查阳性的情况下，在摄入量和6个月随访时比较了药物使用数据。结果：在459，599例筛查患者中，22.7%的患者筛查阳性，用于使用范围（风险/问题，滥用/成瘾）。大多数患者被建议进行短暂干预（15.9%），较小比例的患者被建议进行短暂治疗（3.2%）或转诊至专科治疗（3.7%）。在报告基线非法药物使用的患者中，6个月随访时的药物使用率（6个研究中心中的4个）降低了67.7%（p < 0.001），重度酒精使用率降低了38.6%（p < 0.001），不同研究中心、性别、种族/民族、年龄亚组的结果相似。在建议接受短期治疗或转诊至专科治疗的患者中，（p < 0.001），心理健康（p < 0.001），就业（p < 0.001），住房状况（p < 0.001），犯罪行为（P < 0.001）。SBIRT的实施是可行的，6个月时自我报告的患者状态表明与基线相比有显著改善，对于非法药物使用和重度酒精使用，在一系列卫生保健环境和一系列患者中，功能域得到改善。出版社：Elsevier爱尔兰Ltd.
Objectives: Alcohol screening and brief interventions in medical settings can significantly reduce alcohol use. Corresponding data for illicit drug use is sparse. A Federally funded screening, brief interventions. referral to treatment (SBIRT) service program, the largest of its kind to date, was initiated by the Substance Abuse and Mental Health Services Administration (SAMHSA) in a wide variety of medical settings. We compared illicit drug use at intake and 6 months after drug screening and interventions were administered.Design: SBIRT services were implemented in a range of medical settings across six states. A diverse patient population (Alaska Natives, American Indians, African-Americans. Caucasians, Hispanics), was screened and offered score-based progressive levels of intervention (brief intervention, brief treatment, referral to specialty treatment). In this secondary analysis of the SBIRT service program, drug use data was compared at intake and at a 6-month follow-up, in a sample of a randomly selected population (10%) that screened positive at baseline.Results: Of 459,599 patients screened, 22.7% screened positive for a spectrum of use (risky/problematic, abuse/addiction). The majority were recommended for a brief intervention (15.9%), with a smaller percentage recommended for brief treatment (3.2%) or referral to specialty treatment (3.7%). Among those reporting baseline illicit drug use, rates of drug use at 6-month follow-up (4 of 6 sites), were 67.7% lower (p < 0.001) and heavy alcohol use was 38.6% lower (p < 0.001), with comparable findings across sites, gender, race/ethnic, age subgroups. Among persons recommended for brief treatment or referral to specialty treatment, self-reported improvements in general health (p < 0.001), mental health (p < 0.001), employment (p < 0.001), housing status (p < 0.001), and criminal behavior (P < 0.001) were found.Conclusions: SBIRT was feasible to implement and the self-reported patient status at 6 months indicated significant improvements over baseline, for illicit drug use and heavy alcohol use, with functional domains improved, across a range of health care settings and a range of patients. Published by Elsevier Ireland Ltd.