161087 Providing training in screening & brief intervention for trauma care providers: Lessons learned

Wednesday, November 7, 2007: 9:30 AM

Chris Dunn, PhD , Psychiatry & Behavioral Sciences, University of Washington, Seattle, WA
Craig Field, PhD, MPH , Division of Health Promotion and Behavioral Sciences, University of Texas School of Public Health, Dallas, TX
Heidi A. Hotz, RN , Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA
Bonnie McCracken, NP , Trauma/ Ortho NPs, UC Davis Medical Center, Sacramento, CA
Dan Hungerford, DrPH , National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA
Thomas Stegbauer, MBA , Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, Rockville, MD
Thomas M. Brady, MPH, PhD , Center for Community Prevention and Treatment Research, The MayaTech Corporation, Silver Spring, MD
Introduction: Alcohol and illicit drug abuse are major health care problems frequently associated with trauma care center admission. A significant number of trauma center providers, however, are not systematically trained to provide screening and brief intervention (SBI) services to their patients with substance use disorders. This lack of preparation is concerning because evidence indicates that untreated alcohol-related problems are associated with extended hospital stays, repeat emergency department use, and significantly higher mortality and morbidity rates. This paper outlines a project to deliver SBI training on-site at select trauma care centers, highlights on-line resources for individuals interested in providing SBI training to trauma care staff, and shares lessons learned from the implementation phase of the project. Program description: The target audience of this intervention includes nurses, social workers and medical providers working at accredited Level I and Level II trauma care centers. On-site training is provided at eight locations between February and September, 2007, including Seattle, Denver, Dallas, Chicago, Boston, San Diego, Washington, DC and Atlanta. The training program illustrates how to conduct brief interventions and surveys clinical markers of alcohol problems. Issues involved with overcoming barriers to implementing screening and brief intervention programs in trauma care settings will also be on the training agenda. Discussion: Lessons learned from the first year of implementation of this program will be provided at the conference. Challenges in developing the curriculum, training SBI, marketing the event to providers, and evaluating the impact of training will be summarized.

Learning Objectives:
Be able to identify at least two widely used screening instruments for SBI; Have an understanding of the essential elements of brief interventions; Be able two locate at least three online resources that trauma center staff can utilize when implementing a SBI program; Articulate three major challenges to implementing SBI programs at trauma care centers

Keywords: Substance Abuse Assessment, Training

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.