Sustaining Screening of Key Health Risk Factors in New York State Mental Health Clinics After Implementation of the Health Indicator Initiative

Abstract

Significant associations were found between demographic and clinical risk factors and obesity, smoking, and improvements in smoking and obesity outcomes. Continued work is needed to identify critical points of intervention to prevent weight gain and promote weight loss and smoking cessation in this population.

Substance use disorder screening and brief intervention in routine clinical practice in specialist adult mental health services: A systematic review

“…Only one study (Chan et al, 2013) reported a structured patient flow diagram; however, several recent studies identified routine screening from EHR data in large populations, for tobacco (Plever et al, 2020; Radigan et al, 2016) and for alcohol (Richards et al, 2020). Five of the studies reported SUD diagnoses but only one study reported treatment outcomes (Radigan et al, 2016). There was no reference standard in 12 studies, with routine SUD diagnosis usually the reference when one was used, reflecting clinical practice.…”

“…Descriptions of screening and brief intervention care pathways, usually either screening and brief intervention or screening, assessment, diagnosis and treatment were inconsistent and limited, as were reports of outcomes and of patient flow along pathways. Only one study (Chan et al, 2013) reported a structured patient flow diagram; however, several recent studies identified routine screening from EHR data in large populations, for tobacco (Plever et al, 2020; Radigan et al, 2016) and for alcohol (Richards et al, 2020). Five of the studies reported SUD diagnoses but only one study reported treatment outcomes (Radigan et al, 2016).…”