Show simple item record

Alcohol, Tobacco, and Other Drugs: Future Directions for Screening and Intervention in the Emergency Department

dc.contributor.authorCunningham, Rebecca M.en_US
dc.contributor.authorBernstein, Steven L.en_US
dc.contributor.authorWalton, Maureen A.en_US
dc.contributor.authorBroderick, Kerryen_US
dc.contributor.authorVaca, Federico E.en_US
dc.contributor.authorWoolard, Robert H.en_US
dc.contributor.authorBernstein, Edwarden_US
dc.contributor.authorBlow, Frederic C.en_US
dc.contributor.authorD’onofrio, Gailen_US
dc.date.accessioned2011-01-13T19:42:20Z
dc.date.available2011-01-13T19:42:20Z
dc.date.issued2009-11en_US
dc.identifier.citationCunningham, Rebecca M.; Bernstein, Steven L.; Walton, Maureen; Broderick, Kerry; Vaca, Federico E.; Woolard, Robert; Bernstein, Edward; Blow, Fred; D’onofrio, Gail; (2009). "Alcohol, Tobacco, and Other Drugs: Future Directions for Screening and Intervention in the Emergency Department." Academic Emergency Medicine 16(11): 1078-1088. <http://hdl.handle.net/2027.42/78664>en_US
dc.identifier.issn1069-6563en_US
dc.identifier.issn1553-2712en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/78664
dc.description.abstractThis article is a product of a breakout session on injury prevention from the 2009 Academic Emergency Medicine consensus conference on “Public Health in the ED: Screening, Surveillance, and Intervention.” The emergency department (ED) is an important entry portal into the medical care system. Given the epidemiology of substance use among ED patients, the delivery of effective brief interventions (BIs) for alcohol, drug, and tobacco use in the ED has the potential to have a large public health impact. To date, the results of randomized controlled trials of interventional studies in the ED setting for substance use have been mixed in regard to alcohol and understudied in the area of tobacco and other drugs. As a result, there are more questions remaining than answered. The work group developed the following research recommendations that are essential for the field of screening and BI for alcohol, tobacco, and other drugs in the ED. 1) Screening—develop and validate brief and practical screening instruments for ED patients and determine the optimal method for the administration of screening instruments. 2) Key components and delivery methods for intervention—conduct research on the effectiveness of screening, brief intervention, and referral to treatment (SBIRT) in the ED on outcomes (e.g., consumption, associated risk behaviors, and medical psychosocial consequences) including minimum dose needed, key components, optimal delivery method, interventions focused on multiple risk behaviors and tailored based on assessment, and strategies for addressing polysubstance use. 3) Effectiveness among patient subgroups—conduct research to determine which patients are most likely to benefit from a BI for substance use, including research on moderators and mediators of intervention effectiveness, and examine special populations using culturally and developmentally appropriate interventions. 4) Referral strategies—a) promote prospective effectiveness trials to test best strategies to facilitate referrals and access from the ED to preventive services, community resources, and substance abuse and mental health treatment; b) examine impact of available community services; c) examine the role of stigma of referral and follow-up; and d) examine alternatives to specialized treatment referral. 5) Translation—conduct translational and cost-effectiveness research of proven efficacious interventions, with attention to fidelity, to move ED SBIRT from research to practice.en_US
dc.format.extent113472 bytes
dc.format.extent3106 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.publisherBlackwell Publishing Ltden_US
dc.subject.otherSubstance Abuseen_US
dc.subject.otherEmergency Departmenten_US
dc.subject.otherScreeningen_US
dc.subject.otherInterventionen_US
dc.subject.otherPublic Healthen_US
dc.titleAlcohol, Tobacco, and Other Drugs: Future Directions for Screening and Intervention in the Emergency Departmenten_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelMedicine (General)en_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.identifier.pmid20053226en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/78664/1/j.1553-2712.2009.00552.x.pdf
dc.identifier.doi10.1111/j.1553-2712.2009.00552.xen_US
dc.identifier.sourceAcademic Emergency Medicineen_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


Files in this item

Show simple item record

Remediation of Harmful Language

The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.

Accessibility

If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.