Screening and Brief Intervention in High Schools: School Nurses’ Practices and Attitudes in Massachusetts

Lunstead, Julie; Weitzman, Elissa R.; Kaye, Dylan; Levy, Sharon

doi:10.1080/08897077.2016.1275926

Cited by 16 publications

(10 citation statements)

References 13 publications

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“…Seventeen studies focused on community and public health under the screenings/referral/follow-up ( n = 12), health education ( n = 2), surveillance ( n = 2) components, and under the overall umbrella of the community/public health principle ( n = 1). The majority of studies included screenings/referrals/follow-up on a variety of topics including anxiety (Allison, Nativio, Mitchell, Ren, & Yuhasz, 2014; Muggeo et al, 2017), body mass index (BMI; Lee & Kubik, 2015; Stalter, Chaudry, & Polivka, 2011), depression (Allison et al, 2014), somatic symptoms (e.g., headache, nausea, and heart racing) and general functioning (home, school, and peers; Muggeo et al, 2017), psychiatric evaluations and referrals to the emergency department (Grudnikoff, Taneli, & Correll, 2015), vision (Kemper, Helfrich, Talbot, & Patel, 2012), hearing (Sekhar et al, 2014), posture (Magee, Kenney, & Mullin, 2012), alcohol use (Lunstead, Weitzman, Kaye, & Levy, 2016), female athlete triad syndrome (Kroshus et al, 2015), acanthosis nigricans (Scott & Hall, 2012), and adolescent dating violence (Khubchandani et al, 2013).…”

Section: Resultsmentioning

confidence: 99%

Exploring School Nurse Interventions and Health and Education Outcomes: An Integrative Review

Best

Oppewal

Travers

2017

The Journal of School Nursing

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School nurses intervene with students, parents, and school staff to advance the health and academic success of students. We conducted an integrative literature review of published research to describe the types of school nurse interventions and health and education outcome measures and to examine how school nurse interventions were linked to student outcomes. Sixty-five studies met the inclusion criteria. We used the National Association of School Nurses' Framework for 21st Century School Nursing Practice to categorize school nurse interventions and health and education outcome measures. The majority of interventions were categorized under the care coordination principle, most commonly, motivational interviewing and counseling. In 17 studies, school nurse interventions were linked to improved student outcomes. Most studies (80%) were descriptive. To advance school nursing science, researchers can build on this foundation with more rigorous research methods to evaluate the impact of school nurse interventions and activities on student health and education outcomes.

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Section: Resultsmentioning

confidence: 99%

Exploring School Nurse Interventions and Health and Education Outcomes: An Integrative Review

Best

Oppewal

Travers

2017

The Journal of School Nursing

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“…Although not all states have large rural areas and limited access to care, this study applies to at least 18 other states that have a similar percentage of rural area within their borders [ 16 ]. A comprehensive SBIRT model has the potential to address alcohol and other substance use outside of clinical settings, which may be particularly important within rural communities.…”

Section: Discussionmentioning

confidence: 99%

“…SBIRT is most often used in the primary care setting, but the model can be readily adapted to use in community settings. A recent study of high school nurses found that most (64%) reported screening students with suspected substance use and more than 77% of said nurses favored universal alcohol screening in schools [ 16 ]. However, only a minority (18%) of school nurses report using a validated screening tool.…”

Section: Introductionmentioning

confidence: 99%

Reducing Alcohol and Opioid Use Among Youth in Rural Counties: An Innovative Training Protocol for Primary Health Care Providers and School Personnel

Francis

Bowers

Buchberger³

et al. 2020

JMIR Res Protoc

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Background Given that youth alcohol use is more common in rural communities, such communities can play a key role in preventing alcohol use among adolescents. Guidelines recommend primary care providers incorporate screening, brief intervention, and referral to treatment (SBIRT) into routine care. Objective The aim is to train primary care providers and school nurses within a rural 10-county catchment area in Pennsylvania to use SBIRT and facilitate collaboration with community organizations to better coordinate substance use prevention efforts. Methods To build capacity to address underage drinking and opioid use among youth aged 9-20 years, this project uses telehealth, specifically Project ECHO (Extension for Community Healthcare Outcomes), to train primary care providers and school nurses to address substance use with SBIRT. Our project will provide 120 primary care providers and allied health professionals as well as 20 school nurses with SBIRT training. Community-based providers will participate in weekly virtual ECHO sessions with a multidisciplinary team from Penn State College of Medicine that will provide SBIRT training and facilitate case discussions among participants. Results To date, we have launched one SBIRT ECHO project with school personnel, enrolling 34 participants. ECHO participants are from both rural (n=17) and urban (n=17) counties and include school nurses (n=15), school counselors (n=8), teachers (n=5), administrators (n=3), and social workers (n=3). Before the study began, only 2/13 (15.5%) of schools were screening for alcohol use. Conclusions This project teaches primary care clinics and schools to use SBIRT to prevent the onset and reduce the progression of substance use disorders, reduce problems associated with substance use disorders, and strengthen communities’ prevention capacity. Ours is an innovative model to improve rural adolescent health by reducing alcohol and opioid use. International Registered Report Identifier (IRRID) DERR1-10.2196/21015

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“…6 In contrast, early risk identification, intervention, and prevention of substance use among adolescents may limit such adverse consequences. 7,8 Internationally, it is reported that healthcare providers can easily fail to detect substance use in adolescents about 75% of the time. 9 Healthcare providers often lack adequate preparation, confidence, and knowledge to identify and manage substance use issues among adolescents, and this may have negative consequences.…”

Section: Introductionmentioning

confidence: 99%

Primary Care Screening, Brief Intervention, and Referral to Treatment for Adolescent Substance Use in Lebanon: A National Cross-sectional Study

et al. 2021

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Introduction: Substance use among adolescents is on the rise globally. Adolescents rarely seek help for problematic substance use and healthcare professionals can easily fail to identify adolescents with risky substance use. There is therefore a significant global need for substance use screening by healthcare professionals followed by appropriate intervention. Screening, brief intervention, and referral to treatment (SBIRT) is an evidence-based practice that enables clinicians to determine adolescents’ risk for substance use and intervene accordingly. However, little effort has been placed on empowering primary care clinicians to use it in Lebanon. We explored the attitudes, perceptions, and practices of primary care nurses and physicians regarding adolescent SBIRT use. Methods: The study used a cross-sectional multisite survey design targeting urban and rural areas in Lebanon. A national sample of 140 physicians and nurses was recruited using random sampling stratified by governorate. Participants completed mailed or online surveys addressing their practices, attitudes, role perceptions, and self-efficacy regarding SBIRT use. Results: This study revealed that 57.8% of healthcare professionals were not familiar with the SBIRT model and that 76.2% did not practice SBIRT in their setting. The majority addressed the problem of substance use through educating and counseling adolescents about the dangers of substance use (84.2%) and encouraged them to stop (82%) but only 2% reported using standardized instruments for substance use screening. Most participants (88.1%) reported their willingness to use SBIRT in their clinical practice and 92.4% expressed an interest in receiving SBIRT training. Overall, the results showed positive attitudes ( M = 4.38, SD = 0.89) and role responsibility ( M = 4.47, SD = 1.62) toward addressing substance use in adolescents, in addition to a high level of perceived self-efficacy in addressing substance use ( M = 4.04, SD = 0.92). Our results showed minimal differences between nurses’ and physicians’ perceptions and self-efficacy regarding SBIRT use. Conclusions: Our study confirms the lack of a standardized approach toward adolescent substance use screening and intervention by primary healthcare providers in Lebanon but revealed the readiness and willingness to receive training and proper support to adopt an evidence-based approach such as SBIRT.

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Screening and Brief Intervention in High Schools: School Nurses’ Practices and Attitudes in Massachusetts

Cited by 16 publications

References 13 publications

Exploring School Nurse Interventions and Health and Education Outcomes: An Integrative Review

Exploring School Nurse Interventions and Health and Education Outcomes: An Integrative Review

Reducing Alcohol and Opioid Use Among Youth in Rural Counties: An Innovative Training Protocol for Primary Health Care Providers and School Personnel

Primary Care Screening, Brief Intervention, and Referral to Treatment for Adolescent Substance Use in Lebanon: A National Cross-sectional Study

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