Expand SBIRT in Maternity Care Clinics
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
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.
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 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.
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. [5]
- 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. [6]
- 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.[7] 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. [8]
Sources
- ↑ http://www.cffutures.org/files/webinar-handouts/Substance%20Use%20in%20Pregnancy_Final.pdf
- ↑ http://www.cffutures.org/files/webinar-handouts/Substance%20Use%20in%20Pregnancy_Final.pdf
- ↑ https://www.yoursafesolutions.us/wiki/Expand_SBIRT_Program
- ↑ https://www.samhsa.gov/sites/default/files/sbirtwhitepaper_0.pdf
- ↑ http://sbirtnh.org/wp-content/uploads/2016/05/The-Power-of-Best-Practices-Launching-SBIRT-in-a-Community-Health-Center.pdf
- ↑ https://warmhandoff.org/wp-content/uploads/2019/07/Safe-Landing-ED.pdf
- ↑ https://www.researchgate.net/publication/26317678_Ultrasound_feedback_and_motivational_interviewing_targeting_smoking_cessation_in_the_second_and_third_trimesters_of_pregnancy
- ↑ https://pubmed.ncbi.nlm.nih.gov/23154692/