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Goal: The learner will be able to appropriately screen for and identify substance abuse, plan and implement a tailored brief intervention, and will apply the SBI approach to substance abuse problems by individualizing these clinical skills to different patients. The learner will be able to improve care management and referral skills for patients with relatively more severe substance use problems and improve follow-up and brief treatment skills for patients with substance use problems. The learner will apply all SBIRT clinical skills learned in several simulated cases with a variety of substance use problems.
Read MoreAs many as 20% of primary care patients have substance use problems and primary care physicians could have a significant impact on their problems through providing screening, brief interventions, and referral to treatment (SBIRT) (Mersy, 2003). Unfortunately, PCPs screen less than half of their patients for tobacco use and less than a third for alcohol use (Seale et al 2010, Roche & Freeman 2004). Brief intervention in primary care is effective and cost-efficient approach to reduce patients' alcohol use (AAFP 2010; Seale 2010; Madras 2010). There is growing evidence that brief intervention for illicit drug use may also lead to positive patient outcomes (Compton 2009, Volkow 2010). However, primary care physicians are not conducting brief interventions with their patients substance abuse (Yoast et al 2008). There is also a practice gap in referral to treatment. Less than one-third of PCPs make a referral after identifying a substance abuse problem (CASA, 2000). Primary care physicians need to understand the different types of specialty treatment so that they can make appropriate referrals for their substance abuse patients (SAMHSA, 2008).
Compton P. Urine toxicology screening: a case study. Emerging Solutions in Pain. 2009.
Madras BK, Compton WM, Avula D, et al. Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites. Drug Alcohol Depend. 2009; 99: 280-295. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2760304/ Accessed on: 2011-03-24.
Mersy DJ. Recognition of alcohol and substance abuse. American Family Physician. 2003; 67: 1529-1532.
Roche AM, Freeman T. Brief interventions: good in theory but weak in practice. Drug and Alcohol Review. 2004; 23: 11-18.
The National Center on Addiction and Substance Abuse (CASA). Missed Opportunity: National Survey of Primary Care Physicians and Patients on Substance Abuse. 2000. Columbia University. Available at: http://www.casacolumbia.org/download.aspx?path=/UploadedFiles/kksvjhvx.pdf
Seale JP, Shellenberger S, Velzsquez MM, Boltri JM, Okosun I, Guyinn M, Vinson D, Cornelius M, Johnson JA. Impact of vital signs screening and clinician prompting on alcohol and tobacco screening and intervention rates: a pre-post intervention comparison. BMC Fam Pract. 2010; 11:18.
Substance Abuse and Mental Health Services Administration (SAMHSA). A Guide to Substance Abuse Services for Primary Care Clinicians: Concise Desk Reference. 2008. Treatment Improvement Protocol (TIP) Series #24.
Yoast RA, Filstead WJ, Wilford BB, Hayashi S, Reenan J, Epstein J. Teaching about substance abuse. Virtual Mentor. 2008; 10(1):21-29.
This program is designed to change:
Read More Competence, Performance, Patient Outcome.
After completing this program participants will be able to:
Select and utilize tobacco, alcohol, and drug use screening tools
Perform brief interventions for tobacco and substance use problems
Refer patients to the appropriate type of substance abuse treatment center and/or specialist
Follow-up with and reassess patients who receive treatment for substance abuse or tobacco use
Apply the SBIRT approach to substance use problems at a comprehensive and integrated level by individualizing screening, brief interventions, and referral for different patients.
Primary care providers and counselors
|Type: AMA PRA Category 1 Credit(s)™||Estimated Time: 4 hour(s)||Release Date: 4/14/11||Expiration Date: 4/13/14|
|Type: NYS OASAS||Estimated Time: 4 hour(s)||Release Date: 4/1/11||Expiration Date: 4/1/14|
|Type: NBCC||Estimated Time: 4 hour(s)||Release Date: 9/1/11||Expiration Date: 4/30/14|
|Type: FBM||Estimated Time: 4 hour(s)||Release Date: 12/9/11||Expiration Date: 12/9/14|
|Type: FAPA||Estimated Time: 4 hour(s)||Release Date: 12/9/11||Expiration Date: 12/9/14|
Designation Statement: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education by Clinical Tools, Inc.. Clinical Tools, Inc. is accredited by the ACCME to provide continuing medical education for physicians. Credit Statement for AMA PRA Category 1 Credit(s)™:
Clinical Tools, Inc. designates this enduring material for a maximum of 4 AMA PRA Category 1 Credit(s)™
. Physicians should claim only the credit commensurate with the extent of their participation in the activity.Credit Statement:
Clinical Tools, Inc. designates this enduring material for a maximum of 4 hour(s) of NYS OASAS credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity.Credit Statement for NBCC Credit:
Clinical Tools, Inc. designates this enduring material for a maximum of 4 clock hour(s) of NBCC credit. Counselors should claim only the credit commensurate with the extent of their participation in the activity.Credit Statement:
Clinical Tools, Inc. designates this enduring material for a maximum of 4 hour(s) of FBM credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity.Credit Statement:
Clinical Tools, Inc. designates this enduring material for a maximum of 4 hour(s) of FAPA credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- A letter of completion for up to 4 hour(s) is available for non-physicians.
A score of 70% on the post-test is required to complete the program.
Program Credit: Obtaining credit for participation in this program requires that you complete the pre-assessments, work through the modules (including all in-module interactive activities), complete the post-assessments with a 70% score on the post-test, and then request credit. At the end of the program, you will be instructed on how to print out a certificate for your records.
Time Requirement: Keep track of the amount of time it takes you to complete this program. You will be required to spend a set amount of time in order to claim credit. You should claim credit only for the time actually spent in the activity.
Technical Requirements: To participate in this program, you will need a computer, an Internet connection, and a Web browser. This program requires Chrome, Firefox, and IE7 or higher.
Initial development of this program was supported by a contract from the National Institute on Drug Abuse (#HHSN271200800038C).