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Alcohol abuse screening/brief interventions in community hospital emergency department
Date:8/24/2009

taff. Further, 38 percent of screened patients met the screening criteria, with 77 percent of the patients who met the criteria being correctly identified by ED staff and referred to the research assistant for the brief intervention. One month after the research assistant was no longer present in the ED, a repeat medical record review found documented alcohol screening had returned to the 50 percent level.

Dinwoodie, of Kent Hospital, says, "The research was done to look at the feasibility and impact of implementing an alcohol abuse screening and brief intervention program into a community hospital emergency department setting. The results of the study suggest that implementing such a program is possible by training staff such as emergency department nursing personnel, however, implementation will potentially be more successful if additional staff trained to conduct the screening and intervention are utilized."

Mello and the researchers comment that the return of the alcohol screenings to the 50 percent level when the research assistant was no longer in the ED suggests that the program did not create a sustainable change. Mello says, "Our study shows, however, that with the appropriate training and tools, combined with additional resources devoted to this effort, SBI can be successfully transitioned and integrated into community hospital EDs. Additional research would help to further refine the SBI model so that it would work in different types of community hospitals."

Mello concludes, "In the end, if the identified barriers can be overcome, we believe that a refined model will result in higher levels of screening for alcohol problems and appropriate referrals for help with many patients."


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Contact: Nancy Cawley Jean
njean@lifespan.org
Lifespan
Source:Eurekalert

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