PMID- 19591058
OWN - NLM
STAT- MEDLINE
DCOM- 20091006
LR  - 20191210
IS  - 0889-7077 (Print)
IS  - 0889-7077 (Linking)
VI  - 30
IP  - 3
DP  - 2009 Jul-Sep
TI  - Project integrate: translating screening and brief interventions for alcohol 
      problems to a community hospital emergency department.
PG  - 223-9
LID - 10.1080/08897070903040956 [doi]
AB  - Screening and brief intervention (SBI) for alcohol problems in the emergency 
      department (ED) is effective. The objective of this study was to examine the 
      translation of SBI into a busy community ED environment. The authors assessed key 
      stakeholders views of SBI delivery model, then utilized feedback to adapt model. 
      Adoption of SBI was recorded, with data collected on use of screening tool, and 
      referral for a BI. Model was modified due to physicians' and nursing resistance; 
      physicians only screened and a research assistant (RA) delivered the BI. When the 
      RA was present, screening by ED staff increased from 50% to 71% but returned to 
      50% after the RA left. An identified opportunity was increased nursing interest 
      after observation of SBI, with 15 nurses trained in SBI after ED intervention 
      concluded. Important barriers to translating SBI to community ED clinical 
      practice exist. However, with additional staff present, high levels of SBI can 
      occur.
FAU - Mello, Michael J
AU  - Mello MJ
AD  - Injury Prevention Center, Rhode Island Hospital, Department of Emergency 
      Medicine, Providence, RI 02903, USA. mjmello@lifespan.org
FAU - Baird, Janette
AU  - Baird J
FAU - Nirenberg, Ted D
AU  - Nirenberg TD
FAU - Smith, Jennifer C
AU  - Smith JC
FAU - Woolard, Robert H
AU  - Woolard RH
FAU - Dinwoodie, Robert G
AU  - Dinwoodie RG
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PL  - United States
TA  - Subst Abus
JT  - Substance abuse
JID - 8808537
SB  - IM
MH  - Alcoholism/*diagnosis/*therapy
MH  - Attitude of Health Personnel
MH  - *Emergency Service, Hospital
MH  - *Hospitals, Community
MH  - Humans
MH  - Program Development/*statistics & numerical data
MH  - Psychotherapy, Brief/*methods
EDAT- 2009/07/11 09:00
MHDA- 2009/10/07 06:00
CRDT- 2009/07/11 09:00
PHST- 2009/07/11 09:00 [entrez]
PHST- 2009/07/11 09:00 [pubmed]
PHST- 2009/10/07 06:00 [medline]
AID - 913051332 [pii]
AID - 10.1080/08897070903040956 [doi]
PST - ppublish
SO  - Subst Abus. 2009 Jul-Sep;30(3):223-9. doi: 10.1080/08897070903040956.