Funded by: www.sbirtonline.org J. Paul Seale, MD Sylvia Shellenberger, PhD Southeastern Consortium for Substance Abuse Training – Advanced Practice Registered Nurses Funded by Grant 1U79T1025372-01 Substance Abuse and Mental Health Services Administration (SAMHSA) Last revised: March 19, 2014 Implementing SBIRT in Your Future Practice Funded by:
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Implementing SBIRT in Your Future Practice Implementing...Implementing SBIRT in Your Future Practice Funded by: Armstrong Atlantic University Anita Nivens, PhD, RN, FNP -BC Linda Tuck,
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Funded by: www.sbirtonline.org
J. Paul Seale, MDSylvia Shellenberger, PhD
Southeastern Consortium for Substance Abuse Training – Advanced Practice Registered Nurses
Funded by Grant 1U79T1025372-01 Substance Abuse and Mental Health Services Administration (SAMHSA)
Initial screening “Do you smoke cigarettes or use tobacco?”(Men) “How many times in the past year have you had more than 5 drinks in a day?” (Women or Seniors) “How many times in the past year have you had more than 4 drinks in a day?”“How many times in the past year have you used an illegal drug or used a prescription medication for nonmedical reasons?”
Screening Tool AUDIT/DAST
Intervention Brief Negotiated Interview
Referral
Follow-up Follow up by telephone (optional)Send congratulatory letters (optional)
Documentation Document status for checking at next visit
Case to discuss with other students: You recently graduated from APRN school and six months ago joined a group practice. You have learned about the importance of screening and brief intervention for alcohol and substance abuse and would like to incorporate attention to this health issue in your services.
See the list of questions to discuss with your group.
Seale JP, Shellenberger S, Velasquez MM, Boltri JM, Okosun I, Guyinn M, Vinson D, Cornelius M, Johnson AJ. Impact of vital signs screening & clinician prompting on alcohol and tobacco screening and intervention rates: a pre-post intervention comparison. BMC Family Practice 2010;11:18