246734 Translating medical SBIRT for alcohol misuse into behavioral healthcare practice in workplace settings

Wednesday, November 2, 2011: 9:30 AM

Tracy L. McPherson, PhD , Substance Abuse, Mental Health and Criminal Justice, NORC at the University of Chicago, Bethesda, MD
Eric Goplerud, PhD , Substance Abuse, Mental Health and Criminal Justice, NORC at the University of Chicago, Bethesda, MD
Alcohol SBI is an evidence-based approach to addressing a major public health concern - impaired driving. Workplace settings including employee assistance, health promotion and wellness, disability and risk management, and occupational health and safety programs are uniquely positioned to use SBI to identify and intervene early with employees who misuse alcohol before their drinking results in adverse consequences or dependence. Substantial empirical support exists for alcohol SBI in medical, but not non-medical settings such as the workplace - an underutilized venue for alcohol interventions. This research aims to translate medical SBI into practice in work-related settings where workers spend much of their time each day and millions of workers can be reached annually. The objectives are: a) assess feasibility of adapting medical SBI practices for workplace settings; b) develop feasible, practical training, implementation, and quality/fidelity monitoring protocols that can be integrated into existing practices; c) conduct proof of concept pilots to assess impact of implementing systematic, routine alcohol SBI on program performance (e.g., rates of screening, alcohol problem identification); and d) assess preliminary employee outcomes (e.g., self-reported alcohol use, productivity). Five employers and their behavioral healthcare providers served as pilot sites. The Brief Intervention Group (BIG) Initiative was convened to inform the adaptation of SBI procedures for workplace based on WHO protocols. It includes systematic screening using the AUDIT, brief motivational intervention, referral to treatment/counseling, and follow-up. Findings suggest integration of routine SBI in workplace settings is not only feasible, but also increases identification and opportunity for brief motivational consultation.

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Describe the business case for addressing alcohol use problems in the workplace and use publicly available tools to estimate costs of unidentified alcohol problems in my own organization. Identify and use evidence-based alcohol screening tools which can be seamlessly integrated as part of routine workplace practice. Differentiate recommended levels of brief intervention based on alcohol risk screening score. Discuss key findings from pilot studies of alcohol SBI in workplace settings. Describe the Brief Intervention Group (BIG) Initiative funded by NHTSA and CSAT, and identify publicly available resources available through BIG to assist with implementing SBI in your workplace setting.

Keywords: Alcohol Use, Worksite

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I oversee the development, implementation, and evaluation of screening and brief intervention programs adapted and applied in workplace settings.
Any relevant financial relationships? No

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.