Evaluation of a Screening, Brief Intervention, and Referral to Treatment (SBIRT) Program on Alcohol Use Outcomes in a Georgia Emergency Department Open Access

Akin, Joanna Lynn (2011)

Permanent URL: https://etd.library.emory.edu/concern/etds/1v53jx397?locale=en


Screening, Brief Intervention, and Referral to Treatment (SBIRT) programs aim
to screen for and identify individuals at risk for substance use disorders (SUDs), deliver
brief interventions to them, and, when appropriate, refer them to more intensive services.
SBIRT programs have been well documented as effective in primary care settings. They
have been shown to decrease alcohol consumption, reduce injuries, and lower health care
costs. The programs are less established in emergency department (ED) settings. Results
of randomized controlled trials in EDs have been mixed, and few effectiveness studies of
EDs have used an adequate control group for comparison.
The GA BASICS program is a controlled SBIRT program that is being
implemented at an urban emergency department in Georgia. The study period for this
report was from February 2009 to April 2010 and included a sequentially enrolled control
group. A 10% sample of intervention participants received SBIRT services through the
Medical Center of Central Georgia (MCCG) emergency department, was consented for
follow up, and was enrolled in the study. This evaluation will examine the effect of
SBIRT services on alcohol use outcomes.
When controlling for baseline drinking days, intervention participants drank 1.96
fewer days than controls at 6 months (95% CI, -3.95 to 0.034) , and binge drank on 2.25
fewer days (95% CI, -4.08 to -0.419) than controls at 6 months. While these findings are
limited due to the self-report data, there is evidence that the SBIRT intervention at
MCCG contributed to a reduction in alcohol use. Future studies should examine auxiliary
outcomes, should conduct cost-benefit analyses, and should investigate intervention
factors contributing to positive substance use outcomes.

Table of Contents

Table of Contents

Introduction 1

Literature Review 3

Methods 13

Results 28

Discussion 37

References 43

Appendices 51

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