Difference between revisions of "Expand SBIRT in Maternity Care Clinics"

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Early identification of substance use allows for early intervention and treatment which minimizes potential harms to the mother and her pregnancy. <ref>http://www.cffutures.org/files/webinar-handouts/Substance%20Use%20in%20Pregnancy_Final.pdf</ref> Selective screening based on “risk factors” perpetuates stigma and misses most women with problematic use. <ref>http://www.cffutures.org/files/webinar-handouts/Substance%20Use%20in%20Pregnancy_Final.pdf </ref>
Early identification of substance use allows for early intervention and treatment which minimizes potential harms to the mother and her pregnancy. <ref>http://www.cffutures.org/files/webinar-handouts/Substance%20Use%20in%20Pregnancy_Final.pdf</ref> Selective screening based on “risk factors” perpetuates stigma and misses most women with problematic use. <ref>http://www.cffutures.org/files/webinar-handouts/Substance%20Use%20in%20Pregnancy_Final.pdf </ref>


This article builds upon information provided in the SAFE Solutions article titled "Expand SBIRT Program." <ref>https://www.yoursafesolutions.us/wiki/Expand_SBIRT_Program</ref> The goals of SBIRT are directly applicable to the use in maternity care and include: <ref>https://www.samhsa.gov/sites/default/files/sbirtwhitepaper_0.pdf</ref>  
This article builds upon information provided in the SAFE Solutions article titled "Expand SBIRT Program." <ref>https://www.yoursafesolutions.us/wiki/Expand_SBIRT_Program</ref>
 
= Key Information = 
 
The goals of SBIRT are directly applicable to the use in maternity care and include: <ref>https://www.samhsa.gov/sites/default/files/sbirtwhitepaper_0.pdf</ref>  


*Educate people about the risks of alcohol and other drugs  
*Educate people about the risks of alcohol and other drugs  
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*Decrease general use so as to reduce the societal risk and burden of the effects of overuse  
*Decrease general use so as to reduce the societal risk and burden of the effects of overuse  
*Identify individuals who have dependence and provide rapid access to care
*Identify individuals who have dependence and provide rapid access to care
= Key Information = 
'''Where to Integrate SBIRT.'''  Besides typical healthcare settings, there are many other places where professionals come into contact with people who may be at risk of substance use disorder. Individuals with SUDs or just occasional use regularly access hospitals and emergency care.  Utilizing the SBIRT approach with individuals seeking care can be beneficial. Community health Centers and clinics offer excellent opportunities for early intervention with at-risk substance users and intervention for persons with SUDs and mental health issues.
'''How to Increase Uptake of SBIRT.''' The first step is to embed it in standard care by delivering staff-wide trainings and making SBIRT a routine part of evaluations and medical health records. Physicians, especially primary care physicians, are overburdened by time, making it important to involve other staff in screenings. Other creative options include expanding types of screening, such as computer-assisted and peer-based screenings.


= Relevant Research =
= Relevant Research =
'''This SAMHSA White Paper''' discusses the evidence supporting the effectiveness of SBIRT as a comprehensive approach and individual components of SBIRT for different non-medical behavioral health conditions. The report includes a literature review and addresses the question of what a model SBIRT program is, compared to programs which include or adapt components of the comprehensive SBIRT approach.  <ref>https://www.samhsa.gov/sites/default/files/sbirtwhitepaper_0.pdf</ref>


'''NIDA Study.''' The National Institute on Drug Abuse funded research on SUMMIT (Substance Use, Motivation, Medication and Integrated Treatment). It looked at ways to implement MAT and behavioral treatment for patients with opioid and alcohol use disorders in a community health clinic. The project helped the clinic implement SBIRT and evaluated whether integrated collaborative care helped patients get the care they needed. The manual titled, “SUMMIT Study Protocol: Step-by-Step Procedures for Providing Screening, Brief Intervention, and Treatment Services to Primary Care Patients with Opioid or Alcohol Use Disorders,” is useful for researchers, primary care clinics, and policymakers providing treatment in primary care settings. The introduction provides a general overview of the study for readers, and the remainder of the manual is presented in the step-by-step instructional format used during the study. <ref>https://www.rand.org/pubs/tools/TL219.html</ref>
'''This study''' showed that real-time ultrasound feedback focused on the potential effects of smoking on the fetus may be an effective treatment adjunct to improve smoking outcomes.<ref>https://www.researchgate.net/publication/26317678_Ultrasound_feedback_and_motivational_interviewing_targeting_smoking_cessation_in_the_second_and_third_trimesters_of_pregnancy</ref> This could be adapted and used to treat women with other types of SUDs as well.


= Impactful Federal, State, and Local Policies =
= Impactful Federal, State, and Local Policies =
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=Available Tools & Resources=
=Available Tools & Resources=


'''National Association of Addiction Professionals (NAADAC)''' provides a webinar that outline a plan on how to work collaboratively with clinics in rural settings to build a SBIRT practice. <ref> "Implementing SBIRT in Rural Clinics: A How to Guide" https://www.naadac.org/SBIRT-rural-clinics-webinar</ref>
'''SAFE Project:'''
*'''Bridging Prevention and Recovery (BPR): A Community Approach to Systems Change.''' This SAFE Project program, offered in-person and virtually, guides community leaders through an action-oriented model to systemically integrate prevention and recovery systems to strengthen programs and improve outcomes. BPR is a 3.5 day training program that culminates with 6 technical assistance sessions tailored to each community’s unique set of needs to support implementation and sustainability of joint prevention and recovery community projects.<ref>https://www.safeproject.us/bridging-prevention-recovery/</ref>
*See the wiki titled "Expand SBIRT Program" for more detailed information on the Screening, Brief Intervention, and Referral to Treatment (SBIRT) tool used as an prevention/early intervention method at screening for substance misuse in the general population.<ref>https://www.yoursafesolutions.us/wiki/Expand_SBIRT_Program</ref>


'''Massachusetts Toolkit.''' This is a step-by-step guide for implementing SBIRT. <ref>https://massclearinghouse.ehs.state.ma.us/PROG-BSAS-SBIRT/SA3522.html</ref>
'''Additional Tools & Resources:'''
 
*'''New England’s SBIRT-based Prenatal Screening Outline.''' This provides recommended tools, how to align them with SBIRT, a process map, examples, billing/coding guides, brief intervention guide, and treatment referral plan. <ref>http://www.nnepqin.org/wp-content/uploads/2018/03/03.-SBIRT-for-Substance-Use-During-Pregnancy_REV-03.15.18.pdf</ref>
'''SAFE Project''' has a more detailed wiki page titled "Expanding SBIRT Program" with additional tools and resources. <ref>https://www.yoursafesolutions.us/wiki/Expand_SBIRT_Program</ref>


= Promising Practices =
= Promising Practices =


*'''New Hampshire''' was an early adopter of SBIRT in a community setting. By incorporating SBIRT, New Hampshire found that universal screening lowers the barriers to early intervention and treatment, integrated care, and increased positive outcomes for patients. <ref>http://sbirtnh.org/wp-content/uploads/2016/05/The-Power-of-Best-Practices-Launching-SBIRT-in-a-Community-Health-Center.pdf</ref>
*'''Medical students.''' A study in an obstetrics and gynecology rotation documented the benefits of placing students in a residential treatment center for pregnant women. The results of their specialized training showed improvements in assessing and educating patients about substance abuse during pregnancy compared to those in a regular rotation. <ref>https://pubmed.ncbi.nlm.nih.gov/23154692/</ref>
 
*'''Pennsylvania.''' This study examined an SBIRT program in Allegheny County emergency rooms. It concluded that SBIRT had the potential to reduce healthcare costs and utilization, as measured by Medicaid claims data and that SBIRT use in the emergency department can be readily incorporated into existing practice settings. <ref>https://warmhandoff.org/wp-content/uploads/2019/07/Safe-Landing-ED.pdf</ref>
 
*'''Ultrasound Information.''' One study showed that real-time ultrasound feedback focused on the potential effects of smoking on the fetus may be an effective treatment adjunct to improve smoking outcomes.<ref>https://www.researchgate.net/publication/26317678_Ultrasound_feedback_and_motivational_interviewing_targeting_smoking_cessation_in_the_second_and_third_trimesters_of_pregnancy</ref> This could be adapted and used to treat women with other types of SUDs as well.
 
*'''Medical students.''' This study in an obstetrics and gynecology rotation documents the benefits of placing students in a residential treatment center for pregnant women. The results of their specialized training showed improvements in assessing and educating patients about substance abuse during pregnancy compared to those in a regular rotation. <ref>https://pubmed.ncbi.nlm.nih.gov/23154692/</ref>


=Sources=
=Sources=

Latest revision as of 13:35, 25 September 2024

Introductory Paragraph

Early identification of substance use allows for early intervention and treatment which minimizes potential harms to the mother and her pregnancy. [1] Selective screening based on “risk factors” perpetuates stigma and misses most women with problematic use. [2]

This article builds upon information provided in the SAFE Solutions article titled "Expand SBIRT Program." [3]

Key Information

The goals of SBIRT are directly applicable to the use in maternity care and include: [4]

  • Educate people about the risks of alcohol and other drugs
  • Make people aware of their use and whether it may be creating health risks for them
  • Decrease general use so as to reduce the societal risk and burden of the effects of overuse
  • Identify individuals who have dependence and provide rapid access to care

Relevant Research

This study showed that real-time ultrasound feedback focused on the potential effects of smoking on the fetus may be an effective treatment adjunct to improve smoking outcomes.[5] This could be adapted and used to treat women with other types of SUDs as well.

Impactful Federal, State, and Local Policies

SAFE Solutions is an ever-growing platform. Currently limited information is readily available for this section. SAFE Project is dedicated to providing communities with the most relevant and innovative materials. We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration. Please check back soon.

Available Tools & Resources

SAFE Project:

  • Bridging Prevention and Recovery (BPR): A Community Approach to Systems Change. This SAFE Project program, offered in-person and virtually, guides community leaders through an action-oriented model to systemically integrate prevention and recovery systems to strengthen programs and improve outcomes. BPR is a 3.5 day training program that culminates with 6 technical assistance sessions tailored to each community’s unique set of needs to support implementation and sustainability of joint prevention and recovery community projects.[6]
  • See the wiki titled "Expand SBIRT Program" for more detailed information on the Screening, Brief Intervention, and Referral to Treatment (SBIRT) tool used as an prevention/early intervention method at screening for substance misuse in the general population.[7]

Additional Tools & Resources:

  • New England’s SBIRT-based Prenatal Screening Outline. This provides recommended tools, how to align them with SBIRT, a process map, examples, billing/coding guides, brief intervention guide, and treatment referral plan. [8]

Promising Practices

  • Medical students. A study in an obstetrics and gynecology rotation documented the benefits of placing students in a residential treatment center for pregnant women. The results of their specialized training showed improvements in assessing and educating patients about substance abuse during pregnancy compared to those in a regular rotation. [9]

Sources

 

  1. ↑ http://www.cffutures.org/files/webinar-handouts/Substance%20Use%20in%20Pregnancy_Final.pdf
  2. ↑ http://www.cffutures.org/files/webinar-handouts/Substance%20Use%20in%20Pregnancy_Final.pdf
  3. ↑ https://www.yoursafesolutions.us/wiki/Expand_SBIRT_Program
  4. ↑ https://www.samhsa.gov/sites/default/files/sbirtwhitepaper_0.pdf
  5. ↑ https://www.researchgate.net/publication/26317678_Ultrasound_feedback_and_motivational_interviewing_targeting_smoking_cessation_in_the_second_and_third_trimesters_of_pregnancy
  6. ↑ https://www.safeproject.us/bridging-prevention-recovery/
  7. ↑ https://www.yoursafesolutions.us/wiki/Expand_SBIRT_Program
  8. ↑ http://www.nnepqin.org/wp-content/uploads/2018/03/03.-SBIRT-for-Substance-Use-During-Pregnancy_REV-03.15.18.pdf
  9. ↑ https://pubmed.ncbi.nlm.nih.gov/23154692/
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