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Integrating Screening, Brief Intervention and Referral to Treatment (SBIRT) for Substance Use into Prenatal Care

Maternal and child health journal, 2020-04, Vol.24 (4), p.412-418 [Peer Reviewed Journal]

Springer Science+Business Media, LLC, part of Springer Nature 2020 ;COPYRIGHT 2020 Springer ;Maternal and Child Health Journal is a copyright of Springer, (2020). All Rights Reserved. ;ISSN: 1092-7875 ;EISSN: 1573-6628 ;DOI: 10.1007/s10995-020-02892-9 ;PMID: 32026324

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Title:
Integrating Screening, Brief Intervention and Referral to Treatment (SBIRT) for Substance Use into Prenatal Care
Author: Hostage, Jean C. ; Brock, Julia ; Craig, Wendy ; Sepulveda, Debra
Subjects: Adult ; Alcohol ; Care and treatment ; Childrens health ; Data collection ; Drug abuse ; Drug abuse in pregnancy ; Drug use ; Female ; From the Field ; Group work in education ; Gynecology ; Health behavior ; Health care ; Humans ; Information management ; Intervention ; Mass Screening - methods ; Mass Screening - trends ; Maternal & child health ; Maternal and Child Health ; Medical records ; Medicine ; Medicine & Public Health ; Methods ; Obstetrics ; Pediatrics ; Population Economics ; Pregnancy ; Prenatal care ; Prenatal Care - methods ; Prenatal Care - trends ; Public Health ; Referral and Consultation - trends ; Retrospective Studies ; Sociology ; Substance abuse treatment ; Substance-Related Disorders - diagnosis ; Substance-Related Disorders - psychology ; Substance-Related Disorders - therapy ; Team learning approach in education ; Womens health
Is Part Of: Maternal and child health journal, 2020-04, Vol.24 (4), p.412-418
Description: Objectives Universal screening for substance use during pregnancy, brief intervention, and referral to treatment (SBIRT) is recommended by ACOG and the USPSTF. Here we present the implementation of SBIRT into the electronic health record (EHR) to inform clinical intervention and collect data on the prevalence of substance use during pregnancy at three prenatal clinics. Methods A literature-based SBIRT instrument was developed. The tool was integrated into the EHR of a resident Ob/Gyn clinic, an MFM practice, and an Ob/Gyn generalist practice at our institution, an academic, tertiary care medical center in an urban area, and automated reports of aggregate retrospective EHR data were used to monitor patient responses to SBIRT over time. Data reports included patient responses to screening for substance use, brief intervention, and referral to treatment from January to December 2018 Results An interprofessional team of health care providers and systems analysts guided the SBIRT implementation process. As of December 2018, overall SBIRT performance during prenatal care encounters was 1797/2619 (69%), 432/1350 (32%), and 1290/1518 (85%) in the resident clinic, MFM practice, and generalist practice, respectively. Eighty (5.1%) women in the resident clinic, 2 (0.5%) in the MFM practice and 14 (1%) in the generalist practice reported past or present substance use. Conclusions for Practice Integrating universal SBIRT into prenatal care using the EHR requires a multi-disciplinary approach. The SBIRT tool facilitates reportable substance use screening, brief intervention, and referral to treatment during prenatal care. Future reports will further characterize substance use in our prenatal practices and inform intervention strategies in this population.
Publisher: New York: Springer US
Language: English
Identifier: ISSN: 1092-7875
EISSN: 1573-6628
DOI: 10.1007/s10995-020-02892-9
PMID: 32026324
Source: AUTh Library subscriptions: ProQuest Central
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Integrating Screening, Brief Intervention and Referral to Treatment (SBIRT) for Substance Use into Prenatal Care

Springer Science+Business Media, LLC, part of Springer Nature 2020 ;COPYRIGHT 2020 Springer ;Maternal and Child Health Journal is a copyright of Springer, (2020). All Rights Reserved. ;ISSN: 1092-7875 ;EISSN: 1573-6628 ;DOI: 10.1007/s10995-020-02892-9 ;PMID: 32026324

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