Revisiting our review of Screening, Brief Intervention and Referral to Treatment (SBIRT): meta‐analytical results still point to no efficacy in increasing the use of substance use disorder services

Glass, Joseph E.; Hamilton, Ashley M.; Powell, Byron J.; Perron, Brian E.; Brown, Randall; Ilgen, Mark A.

doi:10.1111/add.13146

Cited by 25 publications

(16 citation statements)

References 14 publications

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“…17 Importantly, brief alcohol use screening tools have high validity for identifying the risk of alcohol use among youth with chronic conditions. 5 Screening, coupled with brief interventions, has revealed promise for reducing alcohol use among adults 18,19 and may be a highly efficient and impactful intervention strategy for youth in care for a chronic illness. These youth have strong ties to their medical providers, 20 regular health care encounters, 21 and a strong motivation to protect their health.…”

Section: Discussionmentioning

confidence: 99%

Alcohol Use and Alcohol-Interactive Medications Among Medically Vulnerable Youth

Weitzman

Magane²,

Wisk

et al. 2018

Pediatrics

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Section: Discussionmentioning

confidence: 99%

Alcohol Use and Alcohol-Interactive Medications Among Medically Vulnerable Youth

Weitzman

Magane²,

Wisk

et al. 2018

Pediatrics

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“…Moreover, the identified studies did not provide sufficient data to examine an association between post-SBI treatment utilization and clinical outcomes. In a subsequent editorial the authors re-analyzed these studies along with additional trial data and found the same results [67]. …”

Section: Introductionmentioning

confidence: 87%

Rethinking alcohol interventions in health care: a thematic meeting of the International Network on Brief Interventions for Alcohol & Other Drugs (INEBRIA)

Glass

Andréasson

Bradley

et al. 2017

Addict Sci Clin Pract

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In 2016, the International Network on Brief Interventions for Alcohol & Other Drugs convened a meeting titled “Rethinking alcohol interventions in health care”. The aims of the meeting were to synthesize recent evidence about screening and brief intervention and to set directions for research, practice, and policy in light of this evidence. Screening and brief intervention is efficacious in reducing self-reported alcohol consumption for some with unhealthy alcohol use, but there are gaps in evidence for its effectiveness. Because screening and brief intervention is not known to be efficacious for individuals with more severe unhealthy alcohol use, recent data showing the lack of evidence for referral to treatment as part of screening and brief intervention are alarming. While screening and brief intervention was designed to be a population-based approach, its reach is limited. Implementation in real world care also remains a challenge. This report summarizes practice, research, and policy recommendations and key research developments from our meeting. In order to move the field forward, a research agenda was proposed to (1) address evidence gaps in screening, brief intervention, and referral to treatment, (2) develop innovations to address severe unhealthy alcohol use within primary care, (3) describe the stigma of unhealthy alcohol use, which obstructs progress in prevention and treatment, (4) reconsider existing conceptualizations of unhealthy alcohol use that may influence health care, and (5) identify efforts needed to improve the capacity for addressing unhealthy alcohol consumption in all world regions.

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“…As with HIV and other conditions, issues of linking people from testing or screening steps to those of evaluation and treatment arise for substance misuse and SUDs (39, 45, 46). SBIRT and related interventions are important efforts to improve and expand screening and link identified people to care.…”

Section: Discussionmentioning

confidence: 99%

“…Significant experience in HIV, HCV, and TB care suggests that processes of passive referral to treatment after screening yield inferior linkage outcomes compared to systems of active linkage (18, 47, 48). This issue may be particularly relevant to the evaluation of SBIRT implementation efforts, as studies have identified gaps in engagement in treatment post-referral, and the proportion successfully linked to further evaluation and treatment could be well monitored through appropriately developed substance-related continuum analyses (39, 45, 46). …”

Section: Discussionmentioning

confidence: 99%

Considerations for the Development of a Substance-Related Care and Prevention Continuum Model

Perlman

Jordan

2017

Front. Public Health

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There are significant gaps in the identification and engagement in care and prevention services of people who use illicit substances. Care continuum models have proven to be useful tools in the evaluation of care for HIV and other conditions; numerous issues in substance-related care and prevention resemble those identified in other continua models. Systems of care for substance misuse and substance use disorders (SUDs) can be viewed as consisting of a prevention and care continuum, reflecting incidence and prevalence of substance misuse and SUDs, screening and identification, medical and psychosocial evaluation for treatment, engagement in evidence-based treatment, treatment retention, relapse prevention, timeliness of step completion, and measures of overall and substance use-related specific morbidity and mortality. Care and prevention continuum models could potentially be applied at program, local, regional, state, and national levels. We discuss important lessons that can be drawn from applications of continuum models in other fields. The development and use of a substance-related care and prevention continuum may yield significant patient care, program evaluation and improvement, and population-level benefits.

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Revisiting our review of Screening, Brief Intervention and Referral to Treatment (SBIRT): meta‐analytical results still point to no efficacy in increasing the use of substance use disorder services

Cited by 25 publications

References 14 publications

Alcohol Use and Alcohol-Interactive Medications Among Medically Vulnerable Youth

Alcohol Use and Alcohol-Interactive Medications Among Medically Vulnerable Youth

Rethinking alcohol interventions in health care: a thematic meeting of the International Network on Brief Interventions for Alcohol & Other Drugs (INEBRIA)

Considerations for the Development of a Substance-Related Care and Prevention Continuum Model

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