MVP/PREFERRED CARE GUIDELINE
|
|
- Egbert Preston
- 8 years ago
- Views:
Transcription
1 MVP/PREFERRED CARE GUIDELINE MVP/Preferred Care Clinical Guideline Overview Screening Adolescents for Alcohol and Substance Abuse in Primary Care MVP Health Care/ Preferred Care, as part of its continuing Quality Improvement Program, developed a guideline outlining recommendations for screening adolescents for alcohol and substance abuse in the primary care setting. Consider the following statistics from the 2005 national Youth Risk Behavior Survey: 28.5% of students had ridden in a car in the month prior to the survey with someone who had been drinking 25.6% of students had their first alcoholic drink before age % of students had tried marijuana before age 13 In conjunction with the guideline MVP/Preferred Care has developed an initiative to assist providers in screening. MVP adopted the CRAFFT screening tool developed by John Knight, MD of the Center for Adolescent Substance Abuse Research, Children s Hospital Boston. As part of its Youth Health Initiative, MVP makes tools available to providers free of charge including: a screening tool to record the adolescents answers to the CRAFFT questions an informational sheet to hand to the teen after the screening is performed a resource sheet listing Substance Abuse Clinicians available for consultation Risky Teen Behaviors brochure that physicians can distribute to parents an exam room poster (8.5 X 11 in.) with the CRAFFT questions These materials can be requested by calling or jaltieri@mvphealthcare.com. The guideline is not intended to replace the role of clinical judgment by the physician in the management of this, or any other disease entity. It is an educational guideline to assist in the delivery of good medical care. All treatment decisions are ultimately up to the physician. Approval(s) and Review/Revision(s) Approval: Clinical Quality Improvement Committee 11/20/07 Quality Improvement Committee 12/10/07 Integration Date: 12/10/07 Prior Approval Date: Quality Improvement Committee: 01/06
2 GOALS OF SCREENING To identify a current or potential problem with substance use that may otherwise go undetected To help the adolescent identify the consequences of alcohol and substance use and motivate them to refrain from use If appropriate, to refer the adolescent to a substance abuse professional for further evaluation and treatment RECOMMENDATIONS FOR SCREENING Physicians should routinely interview their adolescent patients about their use of alcohol and other drugs and use by family members and friends All adolescents should be screened annually beginning around age 12 using a structured questionnaire Adolescents presenting with trauma, significant behavior changes or sudden medical problems (e.g. GI disturbance) should be screened Adolescents presenting with frequent colds, sinusitis or eye problems should be screened High-risk individuals who screen negative should be followed-up within 6 months College students are at high-risk for binge drinking and should be screened and counseled during school physicals. Binge drinking can lead to alcohol poisoning and death. THE SCREENING PROCESS The screening process should take no more than 2-3 minutes Parents should be asked to leave the room so adolescents are more comfortable sharing information about use The screening tool should be simple to administer and score, allowing for various types of practitioners to use it CRAFFT Questionnaire The CRAFFT test is a brief and efficient tool for determining which adolescents need further assessment and treatment for substance use disorders. It was developed by John Knight, MD of the Center for Adolescent Substance Abuse Research, Children s Hospital Boston. The tool is designed to be the age-appropriate substitute to the CAGE questionnaire. Clinicians can have a high degree of confidence based on the test s high negative predictive value that those adolescents who report fewer than 2 yes answers do not need to be referred to substance abuse treatment specialists. An adolescent who responds yes to 2 or more questions has an 80% chance of having a serious problem, a greater than 50% chance of having an alcohol- or drug-related disorder, and a 25% chance of being alcohol or drug dependent. The questions are shown below:
3 C R A F F T Have you ever ridden in a CAR driven by someone (including yourself) who was high or had been using alcohol or drugs? Do you ever use alcohol or drugs to RELAX, feel better about yourself, or fit in? Do you ever use alcohol or drugs while you are by yourself, ALONE? Do you ever FORGET things you did while using alcohol or drugs? Do your family or FRIENDS ever tell you that you should cut down on your drinking or drug use? Have you gotten into TROUBLE while you were using alcohol or drugs? When screening you may want to consider the following: Adding a timeframe (e.g. the past six months) to the questions to assess the adolescent s current situation Following up no responses with open-ended questions such as When was your last drink? Responding to the Adolescent s Answers Any yes response to a CRAFFT question should be considered as reason for concern and should be followed-up with further questioning and education. Brief office interventions have been shown to reduce substance use for 12 months following the intervention in individuals who are not dependent. These interventions typically last 5 to 10 minutes and can take place over several visits. If a Primary Care Physician (PCP) has a long-term trusting relationship with the adolescent this can be advantageous in influencing his/her behavior. The five components of a brief intervention are shown below with tips specific to adolescent screening for alcohol and substance use. Assessment and direct feedback Assess the adolescent s use with a screening tool such as the CRAFFT Express concerns regarding the adolescent s substance use as it relates to their health. Ask the adolescent to consider the link between usage and the problems (s)he is having. Negotiation and goal-setting Work with the adolescent to set a goal for reducing consumption. A written contract may be useful. Writing the goal on a prescription pad may also help the adolescent to take it seriously. Behavioral Modification Help the adolescent to identify situations in which (s)he is likely to use substances. Ask the patient to think of his/her environment (school, friends, family) and what triggers use. Assist the patient in developing coping skills for managing/ avoiding trigger situations. Self-help-directed bibliotherapy Provide the adolescent with written information on alcohol/ substance use and behavioral modification exercises. Examples of behavioral modification exercises include homework assignments to cut back on drinking or instructing the adolescent to not ride in a car with anyone who has been drinking. Follow-up and reinforcement Establish a follow-up plan with the adolescent to track their progress. This could be in the form of a follow-up visit or telephone call.
4 A brief office intervention may be considered if the following: Substance abuse problems appear to be mild to moderate Current consumption patterns will likely lead to adverse consequences Continued consumption will exacerbate an illness or interfere with medication The adolescent is not open to the suggestion of additional evaluation and treatment by a specialist WHERE TO REFER MVP will assist PCPs in matching their patients to the appropriate provider in their area. To locate an appropriate provider please call the MVP Behavioral Health Access Center at between the hours of 8:30 am and 5:00. Providers in Vermont should call PrimariLink at during these same hours. Referrals for outpatient substance abuse treatment are generated when calling. Board-certified psychiatrists who are medical directors for MVP and PrimariLink are also available by telephone to answer questions primary care physicians may have. OTHER CONSIDERATIONS Confidentiality Practitioners should be familiar with state and federal regulations regarding confidentiality of substance abuse treatment. Some regulations are outlined below: In New York and Vermont: The practitioner must ask permission of a child over age 12 to disclose any information regarding substance use to the parent except in cases of an emergency. Title 42 of the Federal Regulations governing confidentiality of patient records binds all disclosures for alcoholism and substance abuse treatment. Information can only be released when a patient signs a written authorization that includes designation of who should receive the information and what information should be disclosed. Any information received pertaining to a patient s use or abuse of alcohol and drugs (e.g. substance abuse treatment records) cannot be re-disclosed to another party, without additional authorization from the patient. According to HIPAA and NY and Vermont regulations, calls to the MVP Access Center or PrimariLink for the purpose of obtaining treatment do not require formal consent from the patient. For more information contact your state s alcohol and substance abuse treatment regulatory agency.
5 Bibliography 1. American Academy of Pediatrics, Committee on Substance Abuse. Indications for management and referral of patients involved in substnace abuse. Pediatrics. 2000; 106 (1): Substance Abuse and Mental Health Services Administration (SAMHSA). Screening and assessing adolescents for substance use disorders. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment; p Vermont Department of Health Division of Alcohol & Drug Abuse Programs. Guidelines for the development of Vermont's adolescent treatment system. Available at Accessed October 7, Fleming, M and Manwell, LB. Brief intervention in primary care settings: a primary treatment method for at-risk problem, and dependent drinkers. Alcohol Research & Health. 1999; 23(2): Knight HR, Sherritt, L, Shrier, LA, Harris, SK, Change, G. Validity of the CRAFFT substance abuse screening test amnog adolescent clinic patients. Arch Pediatr Adolesc Med. 2002; 156: American Academy of Pediatrics, Committee on Substance Abuse. Alcohol use and abuse: a pediatric concern. Pediatrics. 2001; 108 (1):
6 PATIENT FLOW DIAGRAM Administer CRAFFT Screen No Yes Answers 1 Yes Answer Positive Screen (2+ Yes ) Congratulate adolescent and encourage them to continue healthy behaviors If adolescent is high-risk re-screen in 6 months Help adolescent identify consequences of use Motivate them to refrain from use Obtain more complete alcohol and substance use history Brief Office Intervention Schedule follow-up focused visit for education / counseling Refer to specialist for further evaluation. Call: The MVP Schenectady Behavioral Health Access Center at or PrimariLink at (for providers in Vermont) or The Preferred Care Behavioral Health Line at Continued follow-up and relapse prevention
Vermont Department of Health. Substance Abuse Prevention and Intervention Programs for Adolescents
Substance Abuse Prevention and Intervention Programs for Adolescents Alcohol and Drug Abuse Programs December 20, 2013 School-Based Substance Abuse Services (SBSAS) Grants Awarded to 21 Supervisory Unions,
More informationSBIRT INITIATIVE. SBIRT Process. SBIRT Overview. The New Hampshire Youth Screening, Brief Intervention and Referral to Treatment (SBIRT)
Overview INITIATIVE New Hampshire Youth Screening, and Referral to Treatment Initiative The New Hampshire Youth Screening, and Referral to Treatment () Initiative of the New Hampshire Charitable Foundation
More informationScreening, Brief Intervention, Referral, and Treatment (SBIRT) in Psychiatry
Screening, Brief Intervention, Referral, and Treatment (SBIRT) in Psychiatry Steve Martino, Ph.D. The SBIRT Training in Yale Residency Programs (SAMHSA 1U79Ti020253-01; PI: Gail D Onofrio, M.D.) At Issue
More informationAlcohol Screening and Brief Interventions of Women
Alcohol Screening and Brief Interventions of Women Competency #2 Midwest Regional Fetal Alcohol Syndrome Training Center Competency 2: Screening and Brief Interventions This competency addresses preventing
More informationCAGE. AUDIT-C and the Full AUDIT
CAGE In the past have you ever: C tried to Cut down or Change your pattern of drinking or drug use? A been Annoyed or Angry because of others concern about your drinking or drug use? G felt Guilty about
More informationKarla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center
Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center 1 in 4 Americans will have an alcohol or drug problems at some point in their lives. The number of alcohol abusers and addicts
More informationImplementation of SBIRT onto Electronic Health Records: From Documentation to Data
Implementation of SBIRT onto Electronic Health Records: From Documentation to Data John R. McAteer, LCSW-R New York City Department of Health and Mental Hygiene Bureau of Alcohol and Drug Use Prevention,
More informationAlcohol and drug use is a medical issue. It s time we treated it like one.
Alcohol and drug use is a medical issue. It s time we treated it like one. From asking comes answers Alcohol and drug use has been called America s number one public health concern. Drugs and alcohol directly
More informationThe Clinical Content of Preconception Care: Alcohol, Tobacco, and Illicit Drug Exposures
The Clinical Content of Preconception Care: Alcohol, Tobacco, and Illicit Drug Exposures by R. Louise Floyd, DSN, RN; Brian W. Jack, MD; Robert Cefalo, MD, PhD; Hani Atrash, MD, MPH; Jeanne Mahoney, BSN,
More informationA - DASH 15 Forest Lane Shenley, Nr Radlett Hertfordshire WD7 9HQ 01923 427 288 A-DASH@hertspartsft.nhs.uk
A-DASH is commissioned by the Joint Commissioning Group for Young People s Substance Misuse, a sub group of Hertfordshire Children s Trust Partnership. The service is based within Hertfordshire Partnership
More informationAdolescent Screening and Brief Intervention for Marijuana in Colorado
Adolescent Screening and Brief Intervention for Marijuana in Colorado INEBRIA 2014 Carolyn Swenson, Holen Hirsh, Sharon Liu, Deb Hutson, Chris Knoepke and Leigh Fischer September 19, 2014 Peer Assistance
More informationUCLA Screening and Brief Intervention Training
UCLA Screening and Brief Intervention Training For Alcohol Reduction or Cessation Client Centered Care Western Regional Training Center on Fetal Alcohol Spectrum Disorders Materials provided through funding
More informationhttp://nurse practitioners and physician assistants.advanceweb.com/features/articles/alcohol Abuse.aspx
http://nurse practitioners and physician assistants.advanceweb.com/features/articles/alcohol Abuse.aspx Alcohol Abuse By Neva K.Gulsby, PA-C, and Bonnie A. Dadig, EdD, PA-C Posted on: April 18, 2013 Excessive
More informationObjectives. Practical Tips for Managing Pediatric Alcohol Abuse. Dr. Nash has no disclosures. Poll: With your patients 3/2/2015
Dr. Nash has no disclosures Practical Tips for Managing Pediatric Alcohol Abuse Angela Nash PhD, CPNP-PC, PMHS Assistant Professor Dept. of Nursing Systems University of Texas Health Science Center Houston
More informationCollaborative Care for Pregnant Women with Substance Use Disorders
Collaborative Care for Pregnant Women with Substance Use Disorders Alane O Connor DNP Maine Dartmouth Family Medicine Residency MaineGeneral Medical Center Dartmouth Medical School Vanderbilt University
More informationAdolescent Substance Abuse: Evidence-Based Programs
Adolescent Substance Abuse: Evidence-Based Programs Sara McEwen, MD, MPH Governor s Institute on Substance Abuse Janice Petersen, Ph.D., Director Office of Prevention/DMHDDSAS DHHS December 7, 2010 Objectives
More informationUnderage Drinking. Underage Drinking Statistics
Underage Drinking Underage drinking is a serious public health problem in the United States. Alcohol is the most widely used substance of abuse among America s youth, and drinking by young people poses
More informationSubstance Abuse Screening
The Goal of Substance Abuse Screening The goal of substance abuse screening is to identify individuals who have or are at risk for developing alcohol or drug-related problems, and within that group, identify
More informationHow To Diagnose And Treat An Alcoholic Problem
guideline for identification and treatment of alcohol abuse/dependence in primary care This guideline is informational in nature and is not intended to be a substitute for professional clinical judgment.
More informationAlcohol Screening and Intervention in Youth
Alcohol Screening and Intervention in Youth By Bruce Peters, DO FACOP, FAAP Pediatrics Internal Med. Addictions NSU COM Dept. of Pediatrics Learning Objectives Facts Surrounding Youth Drinking Recognize
More informationSubstance abuse and the nurse practitioner role: the client, the care, & the cost. Bonnie A. Franckowiak, DNP, FNP, CARN-AP NPAM / 2014
Substance abuse and the nurse practitioner role: the client, the care, & the cost Bonnie A. Franckowiak, DNP, FNP, CARN-AP NPAM / 2014 Objectives: After completion of this session, the learner will: 1.
More informationProvider Guide. Adolescent Screening, Brief Intervention, and Referral to Treatment for Alcohol and Other Drug Use. Using the CRAFFT Screening Tool
Provider Guide March 2009 Adolescent Screening, Brief Intervention, and Referral to Treatment for Alcohol and Other Drug Use Using the CRAFFT Screening Tool Massachusetts Department of Public Health Bureau
More informationProvider Guide. Adolescent Screening, Brief Intervention, and Referral to Treatment for Alcohol and Other Drug Use. Using the CRAFFT Screening Tool
Provider Guide March 2009 Adolescent Screening, Brief Intervention, and Referral to Treatment for Alcohol and Other Drug Use Using the CRAFFT Screening Tool Massachusetts Department of Public Health Bureau
More informationThe Miami Coalition for a Safe and Drug-free Community presents: SBIRT-CRAFFT Miami
The Miami Coalition for a Safe and Drug-free Community presents: SBIRT-CRAFFT Miami Reducing children s substance abuse through early screening, intervention and referral to treatment SPONSORED BY: The
More informationOverview of Colorado SBIRT
Integrating Mental Health and Substance Use Services with HIV/AIDS Prevention Overview of Colorado SBIRT U.S. Conference on AIDS Orlando, Florida September 13, 2010 Presenter: Leigh Fischer, Program Manager
More informationAlcohol Screening and Brief Intervention. A guide for public health practitioners
Alcohol Screening and Brief Intervention A guide for public health practitioners Table of Contents Overview... 2. Alcohol Problems and Their Impact... 3. The Numbers and Impact Types of Alcohol Use Why
More informationWorkplace Substance Abuse Prevention. What the Evidence Tells Us. Rebekah K. Hersch, Ph.D. Royer F. Cook, Ph.D. ISA Associates, Inc.
Workplace Substance Abuse Prevention What the Evidence Tells Us Rebekah K. Hersch, Ph.D. Royer F. Cook, Ph.D. ISA Associates, Inc. Focus of this Talk What is the scope of the problem of workplace substance
More informationVENTURA COUNTY ALCOHOL & DRUG PROGRAMS
VENTURA COUNTY ALCOHOL & DRUG PROGRAMS women s services Helping women recover (805) 981-9200 1911 Williams Drive, Oxnard, CA 93036 www.venturacountylimits.org recovery VCBH ALCOHOL & DRUG PROGRAMS WOMEN
More informationSMALL GROUP SESSION 9 October 20 th or October 22 nd. AA Visitor and Substance Abuse Role Plays
SMALL GROUP SESSION 9 October 20 th or October 22 nd AA Visitor and Substance Abuse Role Plays Suggested Readings: AA as a Resource for the Health Care Professional, and 44 Questions Helping Patients Who
More informationDevelopment of Chemical Dependency in Adolescents & Young Adults. How to recognize the symptoms, the impact on families, and early recovery
Development of Chemical Dependency in Adolescents & Young Adults How to recognize the symptoms, the impact on families, and early recovery Tim Portinga, PsyD, LP, Mental Health Clinic Supervisor Tim Portinga
More informationTeaching. Discovering. Caring. Presenter: Donita Lamarand, BSN, CPHRM Director of Risk Management, EVMS and Children s Specialty Group
Teaching. Discovering. Caring Presenter: Donita Lamarand, BSN, CPHRM Director of Risk Management, EVMS and Children s Specialty Group This speaker does not have any potential conflicts of interest to disclose
More informationSBIRT: Behavioral Health Screenings & Patient- Centered Care. Presented By: Zoe O Neill July 24, 2013
SBIRT: Behavioral Health Screenings & Patient- Centered Care Presented By: Zoe O Neill July 24, 2013 Welcome! Type questions into the Questions Pane Patient-Centered Primary Care Institute History and
More informationTrauma Center Alcohol Screening. Michael Mello, MD, MPH Injury Prevention Center at Rhode Island Hospital /Hasbro Children s Hospital
Trauma Center Alcohol Screening and Intervention Michael Mello, MD, MPH Injury Prevention Center at Rhode Island Hospital /Hasbro Children s Hospital Disclosures I have no affiliations, sponsorship, financial
More informationCADC-CAS STUDY GUIDE. Studying for the Exam. Exam Content Outline
CADC-CAS STUDY GUIDE Studying for the Exam The exam covers the following topic areas. Candidates are encouraged to review these areas and the items listed below in preparation for the exam. All questions
More informationNew Substance Abuse Screening and Intervention Benefit Covered by BadgerCare Plus and Medicaid
Update December 2009 No. 2009-96 Affected Programs: BadgerCare Plus, Medicaid To: All Providers, HMOs and Other Managed Care Programs New Substance Abuse Screening and Intervention Benefit Covered by BadgerCare
More informationFree Additional Resources
Free Additional Resources Substance Abuse and Mental Health Services Administration Treatment Improvement Protocols The Substance Abuse and Mental Health Services Administration (SAMHSA) offers free Treatment
More informationDepression Support Resources: Telephonic/Care Management Follow-up
Depression Support Resources: Telephonic/Care Management Follow-up Depression Support Resources: Telephonic/Care Management Follow-up Primary Care Toolkit September 2015 Page 29 Role of the Phone Clinician
More informationSENIOR MENTAL HEALTH COUNSELOR I/II
SENIOR MENTAL HEALTH COUNSELOR I/II DEFINITION To perform a variety of complex professional duties in the provision of outpatient and crisis mental health services to individuals and groups. DISTINGUISHING
More informationStatistical Snapshot of Underage Drinking
Statistical Snapshot of Underage Drinking Alcohol consumption and dangerous patterns of drinking are widespread among adolescents and lead to many adverse consequences for underage drinkers and others.
More informationScreening, Brief Intervention, and Referral to Treatment Core Curriculum
Screening, Brief Intervention, and Referral to Treatment Core Curriculum Acknowledgments The material included in this course is based largely on the works of previously funded SAMHSA grantees. Other information
More informationPreface. TTY: (888) 232-6348 or cdcinfo@cdc.gov. Hepatitis C Counseling and Testing, contact: 800-CDC-INFO (800-232-4636)
Preface The purpose of this CDC Hepatitis C Counseling and Testing manual is to provide guidance for hepatitis C counseling and testing of individuals born during 1945 1965. The guide was used in draft
More informationPerformance Standards
Performance Standards Co-Occurring Disorder Competency Performance Standards are intended to provide a foundation and serve as a tool to promote continuous quality improvement and progression toward best
More informationTom Freese, PhD Sherry Larkins, PhD Clayton Chau, MD (Planner) - Medical Director Behavioral Services; L.A. Care Health Plan
Tom Freese, PhD Sherry Larkins, PhD Clayton Chau, MD (Planner) - Medical Director Behavioral Services; L.A. Care Health Plan UCLA Integrated Substance Abuse Programs UCLA David Geffen School of Medicine,
More informationopiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380
opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 ed #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 effects of alcohol in the brain 100 Top 30 698 heroin addiction 100
More informationProvider Guide. Massachusetts Department of Public Health Bureau of Substance Abuse Services Health TeamWorks
Provider Guide J u n e 2 0 1 0 Adolescent Screening, Brief Intervention, and Referral to Treatment for Alcohol and Other Drug Use Using the CRAFFT Screening Tool Massachusetts Department of Public Health
More informationTeen-Intervene Using Brief Intervention with Substance-Abusing Adolescents From HAZELDEN A Research-based Program
Teen-Intervene Using Brief Intervention with Substance-Abusing Adolescents From HAZELDEN A Research-based Program What is Teen-Intervene? Teen-Intervene is a tested, time-efficient, evidence-based program
More informationSubstance Abuse Prevention
Prescription Drug Abuse Prevention & -Early Intervention (SBIRT) Barry R. Donovan, Ph.D. NYS OASAS Bureau of Prevention Services Research Application Unit Substance Abuse Prevention What do Heroin, Rx
More informationPrescription Drug Abuse Prevention & -Early Intervention (SBIRT)
Prescription Drug Abuse Prevention & -Early Intervention (SBIRT) Barry R. Donovan, Ph.D. NYS OASAS Bureau of Prevention Services Research Application Unit Substance Abuse Prevention What do Heroin, Rx
More informationHealthCare Partners of Nevada. Heart Failure
HealthCare Partners of Nevada Heart Failure Disease Management Program 2010 HF DISEASE MANAGEMENT PROGRAM The HealthCare Partners of Nevada (HCPNV) offers a Disease Management program for members with
More informationPregnancy. U.S. Department of Health and Human Services. National Institutes of Health. In cooperation with
Drinking and Your Pregnancy U.S. Department of Health and Human Services National Institutes of Health National Institute on Alcohol Abuse and Alcoholism In cooperation with The National Organization on
More informationTechnical Assistance Document 5
Technical Assistance Document 5 Information Sharing with Family Members of Adult Behavioral Health Recipients Developed by the Arizona Department of Health Services Division of Behavioral Health Services
More informationAssessment of depression in adults in primary care
Assessment of depression in adults in primary care Adapted from: Identification of Common Mental Disorders and Management of Depression in Primary care. New Zealand Guidelines Group 1 The questions and
More informationTargeting Prevention: Alcohol and Other Drug Screening and Referral. By David Sherman, M.Ed
www.ca-sdfsc.org Prevention Brief Vol. 4, No. 1, July 2009 Published by the Center for Applied Research Solutions for the California Governor s Program SDFSC TA Project Targeting Prevention: Alcohol and
More informationCASE A: Caroline. You are an 18 year old woman coming in for a check-up prior to starting college. Your mother is in the waiting room.
Adolescent Role Part 1 You are an 18 year old woman coming in for a check-up prior to starting college. Your mother is in the waiting room. If your PCP screens you for substance use in the past year: You
More informationReducing underage alcohol harm in Accident and Emergency settings
Reducing underage alcohol harm in Accident and Emergency settings The current scale of underage alcohol-related harm requires a consistent national response 36 under-18s were admitted to hospital in England
More informationExpanding Sources of Support in the Workplace: Introducing EAPs to Community Mental Health Care Providers of Vocational Services
Expanding Sources of Support in the Workplace: Introducing EAPs to Community Mental Health Care Providers of Vocational Services GOAL: The goal of this training is to help community mental health care
More informationScreening and Brief Intervention: A Team Approach
Screening and Brief Intervention: A Team Approach WellSpan Health ~ York Hospital Trauma Services Amy Krichten BSN, RN, CEN: Trauma Program Manager Reda Willis MS, RN, CNS-BC, CCRN: Advanced Clinical Nurse
More informationBrief Screening, Intervention, and Referral for Alcohol and Opiate Disorders. An Effective Three-Step Process. Provider Guidelines
Brief Screening, Intervention, and Referral for Alcohol and Opiate Disorders An Effective Three-Step Process Provider Guidelines The Problem According to the National Institute on Alcohol Abuse and Alcoholism,
More informationAlcohol and Opiates Disorders
BRIEF SCREENING, INTERVENTION, AND REFERRAL The Problem According to the National Institute on Alcohol Abuse and Alcoholism 3 in 10 adults drink at levels that elevate their risk of physical, mental health,
More informationState of Health and Human Services - Trends in Youth Medical Care
Department of Health and Human Services Division for Public and Behavioral Health Division of Health Care Financing and Policy Division of Child and Family Services Department of Health and Human Services
More informationMinor Rights: Access and Consent to Health Care
Minor Rights: Access and Consent to Health Care A resource for providers, parents and educators Not a legal document. This resource is intended to provide basic information about minors ability to consent
More informationTESTIMONY. March 17, 2014. Rutland, VT
Community Solutions to Breaking the Cycle of Heroin & Opioid Addiction TESTIMONY Harry Chen, MD, Commissioner of Health March 17, 2014 Senate Committee on the Judiciary Franklin Conference Center at the
More informationYouth Residential Treatment- One Step in the Continuum of Care. Dave Sprenger, MD
Youth Residential Treatment- One Step in the Continuum of Care Dave Sprenger, MD Outline Nature of substance abuse disorders Continuum of care philosophy Need for prevention and aftercare Cost-effectiveness
More informationSpotlight 4. Nine Elements of Effective Alcohol Treatment for Adolescents. An Example from Wisconsin
Spotlight 4 Nine Elements of Effective Alcohol Treatment for Adolescents An Example from Wisconsin David Poehlmann has been counseling people recovering from alcohol addiction for more than two decades.
More informationTreatment for Alcohol Problems: Finding and Getting Help
Treatment for Alcohol Problems: Finding and Getting Help This guide is written for individuals, and their family and friends, who are looking for options to address alcohol problems. It is intended as
More informationCHILD AND ADOLESCENT QUESTIONNAIRE (6-17 years) OUTCOMES MEASUREMENT SYSTEM (OMS) [Version 2; September 2009]
CHILD AND ADOLESCENT QUESTIONNAIRE (6-17 years) OUTCOMES MEASUREMENT SYSTEM (OMS) [Version 2; September 2009] Child/Adolescent Name: (pre-populated in online system) Interviewer Name: (pre-populated in
More informationAdolescent Substance Abuse Screening Instruments Attachment A
Adolescent Substance Abuse Screening Instruments Attachment A Instrument Description Source of information Adolescent Drinking Index (ADI) Drug Use Screening Inventory Revised (DUSI-R) This is a 24 item
More informationThe Benefits of a Creating a Healthy Work Environment
Eaton County Substance Abuse Advisory Group (ECSAAG) Barry-Eaton District Health Department The Benefits of a Creating a Healthy Work Environment This presentation includes: Harmful affects of alcohol,
More informationTo precertify inpatient admissions or transitional care services, call 1-866-688-3400 and select option #1.
Security Health Plan provides coverage of various mental health/aoda (alcohol and other drug abuse) benefits to individual and employer group members. These benefits are managed by Security Health Plan.
More informationA Parent s Guide. Talking with your child about alcohol and other drugs. Helping our Communities to be Healthier
A Parent s Guide Talking with your child about alcohol and other drugs Helping our Communities to be Healthier ISBN # 978-1-55471-238-0 CNB - 6569 1. Introduction Most of our children do not end up abusing
More informationGood Morning, Welcome!
Good Morning, Welcome! The Treatment Record Review presentation will begin shortly. This presentation will be recorded and available on MagellanofVirginia.com Questions may be asked following the presentation,
More informationPREMIS: Measuring IPV Knowledge, Attitudes and Practices of Health Care Practitioners
PREMIS: Measuring IPV Knowledge, Attitudes and Practices of Health Care Practitioners Lynn M. Short, PhD, MPH Analytic Systems Associates, Inc. Executive Director Original survey developed at CDC 1994-6
More informationAlcohol Screening and Brief Intervention (SBI) for Trauma Patients
Alcohol Screening and Brief Intervention (SBI) for Trauma Patients AMERICAN COLLEGE OF SURGEONS Committee on Trauma U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention,
More informationProvider Manual Section 4.0 Office Standards
Provider Manual Section 4.0 Office Standards Table of Contents 4.1 Appointment Scheduling Standards 4.2 After-Hours Telephone Coverage 4.3 Member to Practitioner Ratio Maximum 4.4 Provider Office Standards
More informationACCESSIBILITY OF SERVICES
ACCESSIBILITY OF SERVICES ACCESSIBILITY TO CARE STANDARDS Molina Healthcare is committed to timely access to care for all members. The Access to Care Standards below are to be observed by all Providers/Practitioners.
More informationCHILDREN AND YOUNG PEOPLE SERVICE ALCOHOL, DRUG OR OTHER SUBSTANCE MISUSE OR ABUSE POLICY
CHILDREN AND YOUNG PEOPLE SERVICE ALCOHOL, DRUG OR OTHER SUBSTANCE MISUSE OR ABUSE POLICY KirkleesEdnet/Management/HumanResources APRIL 2008 Prepared by: Human Resources Strategy Unit Revised: November
More informationSubstance Abuse Treatment Services
Substance Abuse Treatment Services Struggling with drugs or alcohol? We can help. 303 730 8858 admhn.org Sarah s Story I was born into chaos, says Sarah a recovering addict. Raised by parents who abused
More informationDoc Dial-in Discussion Series
Doc 2 Doc Dial-in Discussion Series Session 4: Detox: What it is, What it isn t, and the Role of Primary Care Learning Objectives Learn how to conduct a differential evaluation to know when specialized
More informationPerformance Standards
Performance Standards Outpatient Performance Standards are intended to provide a foundation and serve as a tool to promote continuous quality improvement and progression toward best practice performances,
More informationDEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource
E-Resource March, 2015 DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource Depression affects approximately 20% of the general population
More informationALCOHOL & OTHER DRUGS
ALCOHOL & OTHER DRUGS Essential Information for Social Workers A BASW Pocket Guide Produced with support from: NHS National Treatment Agency for Substance Misuse Bedford and Luton ALCOHOL, DRUGS & SOCIAL
More informationChapter 7. Screening and Assessment
Chapter 7 Screening and Assessment Screening And Assessment Starting the dialogue and begin relationship Each are sizing each other up Information gathering Listening to their story Asking the questions
More informationUniversity of Michigan Depression on College Campuses Conference
ALCOHOL SCREENING AND BRIEF INTERVENTION: EVIDENCE BASED STRATEGIES Presenter: Mary Jo Desprez Alcohol and Other Drug Prevention Program Health Promotion and Community Relations University Health Service
More informationADHDInitiative. The Vermont A MULTIDISCIPLINARY APPROACH TO ADHD FOR FAMILIES/CAREGIVERS, EDUCATIONAL & HEALTH PROFESSIONALS
The Vermont ADHDInitiative A MULTIDISCIPLINARY APPROACH TO ADHD FOR FAMILIES/CAREGIVERS, EDUCATIONAL & HEALTH PROFESSIONALS ACKNOWLEDGEMENTS: This work and its resulting improvements in the care provided
More informationDoc Dial-in Discussion Series
Doc 2 Doc Dial-in Discussion Series Session 3: Universal Screening for Unhealthy Alcohol and Other Drug (AOD) Use Learning Objectives: (1) Understand the concept of universal screening (2) Learn how to
More informationSystems Changes to Improve Opioid Prescribing. Rosemary Mehl MD Physician, Primary Care VA Boston Healthcare System
Systems Changes to Improve Opioid Prescribing Rosemary Mehl MD Physician, Primary Care VA Boston Healthcare System VA Boston HealthCare System Primary care to 30,000+ veterans Boston-Lowell-Worcester-
More informationScreening Patients for Substance Use in Your Practice Setting
Screening Patients for Substance Use in Your Practice Setting Learning Objectives By the end of this session, participants will Understand the rationale for universal screening. Identify potential health
More informationExpanding Behavioral Health Data Collection: Serious Emotional Disturbance (SED) in Children
Expanding Behavioral Health Data Collection: Serious Emotional Disturbance (SED) in Children Center for Behavioral Health Statistics and Quality Substance Abuse and Mental Health Services Administration
More informationBipolar Disorder. Some people with these symptoms have bipolar disorder, a serious mental illness. Read this brochure to find out more.
Bipolar Disorder Do you go through intense moods? Do you feel very happy and energized some days, and very sad and depressed on other days? Do these moods last for a week or more? Do your mood changes
More informationThe most effective referral occurs at the time of the interview. If you do not have a treatment facility, possible referral destinations are:
The most effective referral occurs at the time of the interview. Putting the patient in direct contact with the counselor or therapist is effective. If a patient is not ready, referral information should
More informationAlcohol Awareness Month October 2013. Chad Asplund, MD, FACSM Medical Director, Student Health Georgia Regents University
Alcohol Awareness Month October 2013 Chad Asplund, MD, FACSM Medical Director, Student Health Georgia Regents University Alcohol Statistics According to the Office of Juvenile Justice and Delinquency
More informationMinnesota Co-occurring Mental Health & Substance Disorders Competencies:
Minnesota Co-occurring Mental Health & Substance Disorders Competencies: This document was developed by the Minnesota Department of Human Services over the course of a series of public input meetings held
More informationScreening Tools and Interventions for Common Behavioral Health Disorders TXPEC-0772-13
Screening Tools and Interventions for Common Behavioral Health Disorders TXPEC-0772-13 Screening Tools and Interventions for Common Behavioral Health Disorders Depression Depression is a potentially life-threatening
More informationDepression Assessment & Treatment
Depressive Symptoms? Administer depression screening tool: PSC Depression Assessment & Treatment Yes Positive screen Safety Screen (see Appendix): Administer every visit Neglect/Abuse? Thoughts of hurting
More informationHelping You Choose a Counselor or Therapist
Helping You Choose a Counselor or Therapist There are times when personal, work, or family problems make it hard to enjoy life. Maybe you're having trouble sleeping or concentrating at work. Perhaps you
More informationBlue Shield Mental Health Service Administrator (MHSA) Quality Improvement Program
Blue Shield Mental Health Service Administrator (MHSA) Quality Improvement Program Blue Shield of California s mental health service administrator (MHSA) administers behavioral health and substance use
More informationCalifornia Society of Addiction Medicine (CSAM) Consumer Q&As
C o n s u m e r Q & A 1 California Society of Addiction Medicine (CSAM) Consumer Q&As Q: Is addiction a disease? A: Addiction is a chronic disorder, like heart disease or diabetes. A chronic disorder is
More informationAUDIT. The Alcohol Use Disorders Identification Test: Interview Version
AUDIT The Alcohol Use Disorders Identification Test: Interview Version Read questions as written and record answers carefully. Begin the AUDIT by saying Now I am going to ask you some questions about your
More informationScreening, Brief Intervention and Referral to Treatment (SBIRT) for Substance Use: A Public Health Approach. Joan Dilonardo, Ph.D., R.
Screening, Brief Intervention and Referral to Treatment (SBIRT) for Substance Use: A Public Health Approach Joan Dilonardo, Ph.D., R.N What is SBIRT? Some definitions Screening: a preliminary systematic
More information