• Login
    View Item 
    •   UMB Digital Archive
    • School of Nursing
    • Doctor of Nursing Practice (DNP) Projects
    • View Item
    •   UMB Digital Archive
    • School of Nursing
    • Doctor of Nursing Practice (DNP) Projects
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Screening, Brief Intervention and Referral to Treatment in an Emergency Room

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Labe_TreatmentInER_2020.pdf
    Size:
    293.6Kb
    Format:
    PDF
    Download
    Author
    Labe, Christopher L.
    Advisor
    Rawlett, Kristen
    Date
    2020-05
    Type
    DNP Project
    
    Metadata
    Show full item record
    Other Titles
    SBIRT in an Emergency Room
    Abstract
    Background: Alcohol and substance use are leading causes of hospitalizations, injury and death. Individuals increasingly use the emergency room to seek help for their alcohol and substance use related concerns. The purpose of this quality improvement project was to implement a Screening, Brief Intervention and Referral to Treatment intervention (SBIRT) to effectively evaluate at-risk or current individuals with alcohol or substance use in a high-volume emergency room in rural Maryland. Methods: The project was implemented over a 12-week period and included every adult 18 years and older with alcohol or substance use related concerns. All encounters were screened by the Behavioral Health Response Team (BHRT) using the Cut, Annoyed, Guilty, Eye (CAGE) screening tool. The Brief Intervention (BI) included Motivational Interviewing (MI) and was elicited with individuals scoring a 2 or higher on the CAGE screening. Individuals were asked their readiness to change score post-MI intervention. All encounters were referred or given information to access inpatient or outpatient substance use treatment facilities for the next level of care. An Excel spreadsheet and monthly run charts were performed to analyze trends towards percentages of patients receiving motivational interviewing, referrals to treatment and completed SBIRTs. Results: There were 54 (62.7%) males compared to 32 (37.3%) females that completed the SBIRT protocol. The number of individuals who completed the SBIRT process was 86 out of 112 who were eligible (76.7%), a noted increase from the internal data indicating evidence of 54.0% that were properly enrolled in treatment. Conclusion: Successful systematic implementation of an SBIRT can increase access to substance use programs, increase engagement and readiness to change and improve better outcomes in recovery management.
    Keyword
    Cut Annoyed Guilty Eye (CAGE)
    Screening, Brief Intervention, and Referral to Treatment (SBIRT)
    Motivational Interviewing
    Substance-Related Disorders
    Emergency Service, Hospital
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/13015
    Collections
    Doctor of Nursing Practice (DNP) Projects

    entitlement

     
    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.