Screening, Brief Intervention and Referral to Treatment (SBIRT) Questions and Answers Already Passed

Screening, Brief Intervention and Referral to Treatment (SBIRT) Questions and Answers Already Passed This is the leading way to help patient/client reduce the impact of unhealthy alcohol use: SBIRT - Screening, Brief Intervention and Referral to Treatment The Core Components of SBIRT include: Screening, Brief Intervention, Intensive Intervention, Referral to Treatment. Screening a healthcare professional assesses a patient for risky substance use behaviors using standardized screening tools. Screening can occur in any healthcare setting Brief Intervention •A practice to identify a real or potential substance use problem, and to motivate an individual to do something about it. • Non-confrontational, short health counseling technique. • Not a quick fix treatment. Referral to Treatment a healthcare professional provides a referral to brief therapy or additional treatment to patients who screen in need of additional services Screening, Brief Intervention and Referral to Treatment (SBIRT) is an: evidence-based approach to identifying patients who use alcohol and other drugs at risky levels. The goal of SBIRT is: -To identify and effectively intervene with those who are moderate or high risk for psychosocial or health care problems related to their substance use. -To reduce and prevent related health consequences, disease, accidents and injuries. Screening is used to identify anyone who is at risk of having a specific health condition. However, it does not provide a diagnosis. Screening for alcohol use assesses whether an individual: may have an alcohol use disorder or is at risk of experiencing problems from alcohol use. Screening is the process of: assessing risk Screening is conducted by use of: -a valid brief standardized questionnaire about quantity, frequency and consequences of use. -can be administered in paper or pencil verbally or by computer. -can be delivered face to face or by telephone. A brief intervention consists of one or more time-limited conversations between an at-risk drinker and a practitioner. The goals are to: 1) help the drinker increase awareness of his or her alcohol use and its consequences and 2) encourage the person to create a plan to change his or her drinking behavior to stay within safe limits. Screening is followed by Brief Intervention targeted toward: at-risk drinkers rather than those who are dependent on alcohol. Alcohol screening tools are: AUDIT-C, AUDIT, CAGE, ASSIST, CRAFFT, S-MAST, DAST, RAPS, T-ACE, TWEAK The Alcohol Use Disorder Identification test (AUDIT) is a: screening questionnaire that gives professionals and patients immediate information about level of risk for alcohol related problems by asking 10 questions related to the quantity and frequency of alcohol use, symptoms and negative consequences about drinking. AUDIT can be used with other screening tools such as: Drug Abuse Screening Test (DAST), NIAAA single item drug screen, or the ASSIST for drug and tobacco use. The first three questions of the Audit are referred to has: AUDIT-C. where the C stands for Consumption. AUDIT-C ask about: quantity and frequency of alcohol use CAGE: Cut down, Annoyed, Guilt, Eye-Opener is a: self-report screening instrument consisting of yes and no questions. It is used with Adults and Adolescents (ages 16+) and the general and Latinos populations. CRAFFT: Car, Relax, Alone, Friends, Forget, Trouble are: keywords in a screening questionnaire to identify at-risk teen substance abusers. It is used with individuals under the age of 21. S-MAST: Short Michigan Alcohol Screening Test This is a 13-item questionnaire to identify alcohol problems. It reviews an individual's drinking habits, history, and alcohol-related problems. It is used with Adults and Adolescents and the general and rural, primary care patients, mentally ill populations. RAPS: Rapid Alcohol Problems Screen [also known as RAPS4] is a: four-item instrument that provides high sensitivity and specificity across gender and ethnic groups (White, Black, Hispanic), in emergency department for alcohol dependence T-ACE Tolerance, Annoyed, Cut Down, Eye Opener is: designed to identify pregnant women who consume quantities of alcohol that potentially can damage the fetus. It incorporate three items of the CAGE Questionnaire. TWEAK: Tolerance, Worried Eye-Opener, Amnesia, Cut Down is a : short, five-question test which was originally designed to screen pregnant women for harmful drinking habits. ASSIST: obtains information from patients about lifetime use of substances, as well as current substances use associated problems over the last 3 months. It can identify a range of problems associated with substance use, including acute intoxication, regular use, dependent or 'high risk' use, and injecting behavior. What is a standard drink? Glass of Beer - 12 oz (5% alcohol) Glass of wine - 5 oz (12% alcohol) Glass of fortified wine - 3 oz (20% alcohol) Glass of spirits - 1.5 oz (40% alcohol) Glass of cider - 5 oz (6% alcohol) Patients are provided with BI, brief treatment, or referral to intensive specialty treatment depending on: their level of risk using a validated pre-screen and/or screening tool The goal of Brief Treatment (which usually involves 5-12 sessions) is to: change not only the immediate behavior or thoughts about a risky behavior but also to address long-standing problems with harmful drinking and drug misuse and help patients with higher levels of disorder obtain more long term care. Three tasks for Brief Intervention (BI) are: 1. Feedback- Giving Feedback on screening tool used (based on the screening score). 2. Listen and Elicit - Listen to the persons reaction to the score, and try to elicit what to they mean from that. 3. Options for change- if they desire to make a change/ change indicated then they are assisted in figuring out the options for change.