info:oai:generic.eprints.org:25933info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/25933/ Substance use screening, brief intervention, and referral to treatment. Levy, Sharon JL Williams, Janet F Brief intervention Risk assessment Identification and screening for drugs and alcohol use Adolescent / youth (teenager / young person) United States The enormous public health impact of adolescent substance use and its preventable morbidity and mortality highlight the need for the health care sector, including pediatricians and the medical home, to increase its capacity regarding adolescent substance use screening, brief intervention, and referral to treatment (SBIRT). The American Academy of Pediatrics first published a policy statement on SBIRT and adolescents in 2011 to introduce SBIRT concepts and terminology and to offer clinical guidance about available substance use screening tools and intervention procedures. This clinical report provides a simplified adolescent SBIRT clinical approach that, in combination with the accompanying updated policy statement, guides pediatricians in implementing substance use prevention, detection, assessment, and intervention practices across the varied clinical settings in which adolescents receive health care. American Academy of Pediatrics 2016-07 Evidence resource NonPeerReviewed Levy, Sharon JL <http://www.drugsandalcohol.ie/view/people/Levy=3ASharon_JL=3A=3A.html> and Williams, Janet F <http://www.drugsandalcohol.ie/view/people/Williams=3AJanet_F=3A=3A.html> . (2016) Substance use screening, brief intervention, and referral to treatment. American Academy of Pediatrics. Pediatrics, 138 (1) http://pediatrics.aappublications.org/content/138/1/e20161211.longinfo:oai:generic.eprints.org:25887info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/25887/ Detecting alcohol use disorders with a single question. Alcohol Alcohol dependence Psychosocial screening and diagnostic method Identification and screening for drugs and alcohol use Adolescent / youth (teenager / young person) United States A US study of young people in rural primary care settings finds that alcohol use disorders can be identified with a single question about frequency of drinking. 2016-06 Evidence resource NonPeerReviewed [Drug and Alcohol Findings] (2016) Detecting alcohol use disorders with a single question. Drug and Alcohol Findings Bulletin (8 June 2016) http://findings.org.uk/PHP/dl.php?file=Clark_DB_2.abs&s=ebinfo:oai:generic.eprints.org:27988info:ofi/fmt:xml:xsd:journalParchetkaCarolineParchetka, Caroline <http://www.drugsandalcohol.ie/view/people/Parchetka=3ACaroline=3A=3A.html>StracheNicoleStrache, Nicole <http://www.drugsandalcohol.ie/view/people/Strache=3ANicole=3A=3A.html>RaffaelliBiancaRaffaelli, Bianca <http://www.drugsandalcohol.ie/view/people/Raffaelli=3ABianca=3A=3A.html>GemmekeIsabelGemmeke, Isabel <http://www.drugsandalcohol.ie/view/people/Gemmeke=3AIsabel=3A=3A.html>WeibKatharinaWeib, Katharina <http://www.drugsandalcohol.ie/view/people/Weib=3AKatharina=3A=3A.html>ArtigesEricArtiges, Eric <http://www.drugsandalcohol.ie/view/people/Artiges=3AEric=3A=3A.html>BanaschewskiTobiasBanaschewski, Tobias <http://www.drugsandalcohol.ie/view/people/Banaschewski=3ATobias=3A=3A.html>BokdeArun L WBokde, Arun L W <http://www.drugsandalcohol.ie/view/people/Bokde=3AArun_L_W=3A=3A.html>BrombergUliBromberg, Uli <http://www.drugsandalcohol.ie/view/people/Bromberg=3AUli=3A=3A.html>BuechelChristianBuechel, Christian <http://www.drugsandalcohol.ie/view/people/Buechel=3AChristian=3A=3A.html>ConrodPatriciaConrod, Patricia <http://www.drugsandalcohol.ie/view/people/Conrod=3APatricia=3A=3A.html>DesrivièresSylvaneDesrivières, Sylvane <http://www.drugsandalcohol.ie/view/people/Desrivi=E8res=3ASylvane=3A=3A.html>FlorHertaFlor, Herta <http://www.drugsandalcohol.ie/view/people/Flor=3AHerta=3A=3A.html>FrouinVincentFrouin, Vincent <http://www.drugsandalcohol.ie/view/people/Frouin=3AVincent=3A=3A.html>GaravanHughGaravan, Hugh <http://www.drugsandalcohol.ie/view/people/Garavan=3AHugh=3A=3A.html>GowlandPennyGowland, Penny <http://www.drugsandalcohol.ie/view/people/Gowland=3APenny=3A=3A.html>HeinzAndreasHeinz, Andreas <http://www.drugsandalcohol.ie/view/people/Heinz=3AAndreas=3A=3A.html>IttermannBerndIttermann, Bernd <http://www.drugsandalcohol.ie/view/people/Ittermann=3ABernd=3A=3A.html>LemaitreHerveLemaitre, Herve <http://www.drugsandalcohol.ie/view/people/Lemaitre=3AHerve=3A=3A.html>MartinotJean-LucMartinot, Jean-Luc <http://www.drugsandalcohol.ie/view/people/Martinot=3AJean-Luc=3A=3A.html>MennigenEvaMennigen, Eva <http://www.drugsandalcohol.ie/view/people/Mennigen=3AEva=3A=3A.html>NeesFraukeNees, Frauke <http://www.drugsandalcohol.ie/view/people/Nees=3AFrauke=3A=3A.html>Paillère-MartinotMarie-LaurePaillère-Martinot, Marie-Laure <http://www.drugsandalcohol.ie/view/people/Paill=E8re-Martinot=3AMarie-Laure=3A=3A.html>PapadopoulosDimitriPapadopoulos, Dimitri <http://www.drugsandalcohol.ie/view/people/Papadopoulos=3ADimitri=3A=3A.html>PausTomasPaus, Tomas <http://www.drugsandalcohol.ie/view/people/Paus=3ATomas=3A=3A.html>PoustkaLuisePoustka, Luise <http://www.drugsandalcohol.ie/view/people/Poustka=3ALuise=3A=3A.html>JurkSarahJurk, Sarah <http://www.drugsandalcohol.ie/view/people/Jurk=3ASarah=3A=3A.html>SmolkaMichael NSmolka, Michael N <http://www.drugsandalcohol.ie/view/people/Smolka=3AMichael_N=3A=3A.html>VetterNora CVetter, Nora C <http://www.drugsandalcohol.ie/view/people/Vetter=3ANora_C=3A=3A.html>WalterHenrikWalter, Henrik <http://www.drugsandalcohol.ie/view/people/Walter=3AHenrik=3A=3A.html>WhelanRobertWhelan, Robert <http://www.drugsandalcohol.ie/view/people/Whelan=3ARobert=3A=3A.html>SchumannGunterSchumann, Gunter <http://www.drugsandalcohol.ie/view/people/Schumann=3AGunter=3A=3A.html>GallinatJurgenGallinat, Jurgen <http://www.drugsandalcohol.ie/view/people/Gallinat=3AJurgen=3A=3A.html>6242016Predictive utility of the NEO-FFI for later substance experiences among 16-year-old adolescents.Journal of Public Health489 -495articleinfo:oai:generic.eprints.org:23769info:ofi/fmt:xml:xsd:journalWallaceVivienneWallace, Vivienne <http://www.drugsandalcohol.ie/view/people/Wallace=3AVivienne=3A=3A.html>DoorleyEthneDoorley, Ethne <http://www.drugsandalcohol.ie/view/people/Doorley=3AEthne=3A=3A.html>WallaceDonalWallace, Donal <http://www.drugsandalcohol.ie/view/people/Wallace=3ADonal=3A=3A.html>HollywoodBridHollywood, Brid <http://www.drugsandalcohol.ie/view/people/Hollywood=3ABrid=3A=3A.html>432April 2015Close practice encounters of the teenage kind.Forum12-14articleinfo:oai:generic.eprints.org:24144info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/24144/ Psychosis with coexisting substance misuse overview (Dual diagnosis). Mental health Dual diagnosis (comorbidity) Drugs and alcohol related mental disorder Identification and screening for drugs and alcohol use Patient care management Mental health care Community-based treatment (primary care) Adolescent / youth (teenager / young person) United Kingdom National Institute for Health and Care Excellence 2015 Evidence resource NonPeerReviewed National Institute for Health and Care Excellence. [NICE] (2015) Psychosis with coexisting substance misuse overview (Dual diagnosis). London: National Institute for Health and Care Excellence. NICE Pathways http://pathways.nice.org.uk/pathways/psychosis-with-coexisting-substance-misuse NICE Pathwaysinfo:oai:generic.eprints.org:24246info:ofi/fmt:xml:xsd:journalO'ReillyLisaO'Reilly, Lisa <http://www.drugsandalcohol.ie/view/people/O=27Reilly=3ALisa=3A=3A.html>DolanPatDolan, Pat <http://www.drugsandalcohol.ie/view/people/Dolan=3APat=3A=3A.html>5462015The voice of the child in social work assessments: age-appropriate communication with children.British Journal of Social Work1191-1207articleinfo:oai:generic.eprints.org:23131info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/23131/ Young people’s hospital alcohol pathways. Support pack for A&E departments. Alcohol Identification and screening for drugs and alcohol use Patient care management emergency care Health care delivery Hospital Adolescent / youth (teenager / young person) Underage drinker Doctor Nurse This document shows how local pathways can work for young people who present to A&E with alcohol-related conditions. It builds on similar publications by the National Institute for Health and Care Excellence (NICE)1 and Alcohol Concern. The pack includes a set of key questions for local professionals in the UK to help them develop effective care pathways within A&E and into other relevant services. It will be most relevant for A&E clinicians, hospital managers, substance misuse and young people’s commissioners. It may also have wider interest for local authority children’s services and organisations that are part of the pathway, such as substance misuse services and other young people’s support agencies. Public Health England 2014-12 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/23131/1/young-peoples-hospital-alcohol-pathways-support-pack-for-ae-departments.pdf Public Health England. (2014) Young people’s hospital alcohol pathways. Support pack for A&E departments. London: Public Health England. 13 p. info:oai:generic.eprints.org:19886info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/19886/ Effectiveness Bank Bulletin [Text-message-based drinking assessments and brief interventions]. United States Psychosocial screening and diagnostic method Adolescent / youth (teenager / young person) Brief intervention Identification and screening for drugs and alcohol use Alcohol use Alcohol Text-message-based drinking assessments and brief interventions for young adults discharged from the emergency department. Suffoletto B., Callaway C., Kristan J. et al. Alcoholism: Clinical and Experimental Research: 2012, 36(3), p. 552–560. For the first time this US study tried mobile phone text messaging as a way to moderate the hazardous drinking of young adults screened at emergency departments. Compared to merely monitoring, text-based advice did cut drinking – but why did the monitoring-only patients actually start to drink more? Summary Though recommended for US emergency departments, few have implemented formal screening to identify risky drinkers and even fewer then offer brief interventions in the form of short sessions of advice or counselling to reduce risk. Conducting brief intervention via a standardised mobile phone text messaging procedure could help overcome resistance from clinical staff who feel they have neither the time nor the expertise to discuss substance use with patients, and permit low-cost, large-scale implementation. For young adults in particular, text messaging may be preferable to face-to-face counselling. This pilot study aimed to test the feasibility of brief text-message interventions for young adults identified as risky drinkers in emergency departments, and to gauge the impact to help guide the design of a larger study. It was conducted at three US emergency departments and trauma centres in Western Pennsylvania, where in 2010 research assistants asked 109 (all but three agreed) 18–24-year-old patients to complete a computerised screening assessment of their drinking over the past three months based on the Alcohol Use Disorders Identification Test-Consumption Questions (AUDIT-C). This assessment consist solely of questions about drinking, not about its consequences which may not yet be evident among young people. About half (52) the 106 respondents screened positive for hazardous drinking, of whom 45 met criteria for the study, agreed to join it, and completed further baseline assessments of (inter alia) their drinking and related problems. Nearly two thirds were women and just 15% were unemployed. Their screening responses indicated that most drank at least twice a week and nearly half drank at least six standard US drinks on a single occasion at least once a month. All were advised they could have significant problems related to their drinking and encouraged to talk to their doctors, and were sent and encouraged to read an alcohol advice booklet after discharge. All further intervention occurred via text messaging over the 12 weeks after the patients had been discharged. The 45 participants were randomly allocated to three groups of 15. One set (the control group) were simply texted reminders about the final assessment to be e-mailed to them 12 weeks after they had been recruited to the study. Another 15 (the assessment-only group) were weekly texted two questions, one about how often they had drunk over the past week, the other about their maximum single occasion consumption. The final 15 (the intervention group) were sent the same questions, but an automated process then responded with texts depending on their answers. Those who had not drunk were congratulated, while those who had drunk moderately were told they were not drinking at a dangerous level and offered brief information about the risks of drinking. Full intervention was reserved for the (on different weeks) roughly 10–50% whose text responses indicated heavy single-occasion drinking over the past week. They were texted a message expressing concern over their drinking and asked if they would be willing to aim this week to drink moderately. Those who were willing were texted a reinforcing message followed by computer-selected strategies for cutting down, such as keeping track of their drinking, setting goals, pacing and spacing, eating at the same time, finding alternatives, avoiding 'triggers', planning ways to handle 'urges', and refusing drinks. Those unwilling to aim to drink moderately were prompted to reflect on their decision by texts such as: "It's OK to have mixed feelings about reducing your alcohol use. Consider making a list of all the reasons you might want to change." Drug and Alcohol Findings 2013-03-18 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/19886/1/Suffoletto_B_1_findings.pdf Drug and Alcohol Findings. (2013) Effectiveness Bank Bulletin [Text-message-based drinking assessments and brief interventions]. London: Drug and Alcohol Findings. Effectiveness Bank Bulletin, 18 Mar http://findings.org.uk/docs/bulletins/Bull_18_03_13.phpinfo:oai:generic.eprints.org:18724info:ofi/fmt:xml:xsd:journalFlynnDarranFlynn, Darran <http://www.drugsandalcohol.ie/view/people/Flynn=3ADarran=3A=3A.html>SmithDamianSmith, Damian <http://www.drugsandalcohol.ie/view/people/Smith=3ADamian=3A=3A.html>QuirkeLukeQuirke, Luke <http://www.drugsandalcohol.ie/view/people/Quirke=3ALuke=3A=3A.html>MonksStephenMonks, Stephen <http://www.drugsandalcohol.ie/view/people/Monks=3AStephen=3A=3A.html>KennedyHarry GKennedy, Harry G <http://www.drugsandalcohol.ie/view/people/Kennedy=3AHarry_G=3A=3A.html>1122012Ultra high risk of psychosis on committal to a young offender prison: an unrecognised opportunity for early intervention.BMC Psychiatryarticleinfo:oai:generic.eprints.org:17679info:ofi/fmt:xml:xsd:journalKiernanClaireKiernan, Claire <http://www.drugsandalcohol.ie/view/people/Kiernan=3AClaire=3A=3A.html>Ni FhearailAislinnNi Fhearail, Aislinn <http://www.drugsandalcohol.ie/view/people/Ni_Fhearail=3AAislinn=3A=3A.html>CoyneImeldaCoyne, Imelda <http://www.drugsandalcohol.ie/view/people/Coyne=3AImelda=3A=3A.html>8212012Nurses' role in managing alcohol misuse among adolescents.British Journal of Nursing474-478articleinfo:oai:generic.eprints.org:16487info:ofi/fmt:xml:xsd:oai_dc http://www.drugsandalcohol.ie/16487/ Alcohol screening and brief intervention for youth: a practitioner's guide. United States Psychosocial screening and diagnostic method Adolescent / youth (teenager / young person) Problem drugs and alcohol use Identification and screening for drugs and alcohol use Brief intervention Alcohol use With this Guide, the National Institute on Alcohol Abuse and Alcoholism (NIAAA) introduces a simple, quick, empirically derived tool for identifying youth at risk for alcohol-related problems. If you manage the health and well-being of children and adolescents ages 9–18 years, this Guide is for you. Why choose this tool? It can detect risk early: In contrast to other screens that focus on established alcohol problems, this early detection tool aims to help you prevent alcohol-related problems in your patients before they start or address them at an early stage. It’s empirically based: The screening questions and risk scale, developed through primary survey research, are powerful predictors of current and future negative consequences of alcohol use. It’s fast and versatile: The screen consists of just two questions that you can incorporate easily into patient interviews or pre-visit screening tools across the care spectrum, from annual exams to urgent care. It’s the first tool to include friends’ drinking: The “friends” question will help you identify patients at earlier stages of alcohol involvement and target advice to include the important risk factor of friends’ drinking. National Institute on Alcohol Abuse and Alcoholism 2011-11 Evidence resource NonPeerReviewed application/pdf en http://www.drugsandalcohol.ie/16487/1/NIAAA_Alcohol_screening_brief_intervention_youth.pdf National Institute on Alcohol Abuse and Alcoholism, American Academy of Pedatrics. [NIAAA] (2011) Alcohol screening and brief intervention for youth: a practitioner's guide. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism. 42 p.