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Gail D'Onofrio, MD, MS, Section of Emergency Medicine, Yale University School of Medicine, 464 Congress Ave, Suite 260, New Haven, CT 06519, 203-785-4363, gail.donofrio@yale.edu
A critical need exists to develop, test and implement screening and brief intervention (SBI) protocols for problem drinkers who present to the ED. The efficacy of SBI has been established in other health care settings such as primary care. To date few studies have been conducted in the ED, and none have reported translation into the real-world setting with interventions being performed by existing staff. Patients present to the ED with the entire spectrum of alcohol use disorders, and most likely several models of SBI will need to be incorporated into practice. This session will (1) discuss strategies that will drive SBI in the ED setting and (2) present two models for SBI in the ED. The first model, Project ED Health, will describe the development, testing, and implementation of a brief, less than 10 minute, intervention performed by Emergency Practitioners, including Emergency Medicine residents, faculty and physician associates for harmful and hazardous drinkers; The second model, Project ASSERT, uses community outreach workers known as Health Promotion Advocates, to screen, intervene and direct link patients with alcohol and other drug problems to specialized treatment centers.
Learning Objectives:
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.