Project Integrate: Translating Screening and Brief Interventions for Alcohol Problems to a Community Hospital Emergency Department |
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| Authors: | Michael J. Mello MD MPH Janette Baird PhD Ted D. Nirenberg PhD Jennifer C. Smith EdM Robert H. Woolard MD Robert G. Dinwoodie DO MBA |
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| Affiliation: | 1. Injury Prevention Center , Rhode Island Hospital ,;2. Departments of Emergency Medicine, and Community Health , Warren Alpert Medical School of Brown University , Providence, Rhode Island, USA;3. Department of Emergency Medicine , Warren Alpert Medical School of Brown University , Providence, Rhode Island, USA;4. Departments of Emergency Medicine, and Psychiatry and Human Behavior , Warren Alpert Medical School of Brown University , Providence, Rhode Island, USA;5. Injury Prevention Center , Rhode Island Hospital ,;6. Department of Emergency Medicine, Paul L. Foster School of Medicine , Texas Tech University Health Sciences Center , El Paso, Texas, USA;7. Department of Emergency Medicine , Kent Hospital , Warwick, Rhode Island, USA |
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| Abstract: | ABSTRACT 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. |
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| Keywords: | Brief interventions emergency department screening translational research |
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