Equipping Residents to Address Alcohol and Drug Abuse: The National SBIRT Residency Training Project

Abstract

The SBIRT initiative has resulted in rapid development of educational programs and a cohort of residents who utilize SBIRT in practice. Skills verification, program dissemination, and sustainability after grant funding ends remain ongoing challenges.

Social Workers as Workplace-Based Instructors of Alcohol and Drug Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Emergency Medicine Residents

“…[3][4][5][6][7] Strategies to help manage these challenges have included online asynchronous learning modules and simulation. [8][9][10] However, in these approaches trainees are not ensured direct supervision, corrective feedback, or real-world practice opportunities. Although peer-peer teaching may be a partial solution, clinical responsibilities detract from such interactions.…”

Development of the SBIRT checklist for observation in real‐time (SCORe)

“…Three of the original 16 screening items [10,12,16] and four of the original 26 BI items (exercise 1: 1, 7, 26; exercise 2: 4, 7, 26) were excluded. Total agreement scores were based on the percentage of components identified correctly as present or absent across the two certification exercises, the percentage agreement to the BI content components [1][2][3][4][5][6][7][8][9][10][11][12][13][14]25] and percentage agreement to the MI style/spirit elements [15][16][17][18][19][20][21][22][23][24]. At least two provider occurrences of the behavior were required to meet the adherence threshold for MI spirit/style elements.…”

“…medical staff, behavioral health counselors) have also been developed [8]. However, little attention has focused upon how well SBIRT providers, once trained, adhere to evidence-based service delivery models in everyday (i.e.…”

Public Health Measures to Combat the Menace of Drug Abuse

“…Multiple measures such as identifying the socio-cultural and psychological determinants that may determine the use of illicit drugs [24,39]; creating awareness about drug abuse and their adverse consequences through aid of appropriate mass media tools [6,38]; delivering customized information suitable to the target audience in a culturally sensitive manner [40]; developing family prevention programs in the form of multi-dimensional family therapy and individual cognitive behavioral therapy [41,42]; enabling community to address the issues of substance abuse through training programs [43]; promoting free education and implementing innovative strategies to minimize the rates of school drop-outs [40,44]; inculcating self-confidence in school students [16]; employing nurses in schools to safeguard the students [45]; facilitating community and school prevention campaigns [17]; advocating timely and complete management of drug abuse victims [46]; sensitizing clinicians to identify patients at risk for nonprescription drug abuse [21]; strengthening preclinical assessment to predict substance abuse liability [47]; encouraging exercises as a potential treatment for drug abuse [48]; developing a standardized strategy to monitor response to treatment [48]; building mechanisms for tracking and monitoring prescription drug abuse [38]; improving data collection on drug overdose fatalities [6,38]; capacity building for the tools and methods desired for toxicological screening [49]; involving all stakeholders including the pharmacists to work together as a team [7,50]; fostering linkages between local, national and international agencies in the field of development, organization, monitoring and evaluation of treatment and other services [7]; formulating strategies in collaboration with international agencies to monitor the sale of over-the-counter drugs and through internet [22]; and enforcing stricter penalties for individuals who are involved in trade of illicit drugs [1,6]; have been proposed to assist families, health professionals, schools and ot...…”