Observational study data inform the development of clinic-specific recommendations for implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT)
AdvisorBurdsal, Charles A.
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Rakestraw, D., Rahman, F., Kila, E., Steward, C., Burdsal, C. A. 2020. Observational study data inform the development of clinic-specific recommendations for implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) -- In Proceedings: 16th Annual Symposium on Graduate Research and Scholarly Projects. Wichita, KS: Wichita State University, p.57
BACKGROUND: Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a clinical practice to identify and prevent risky health behaviors related to substance misuse. In preparation for SBIRT implementation assistance at a Federally Qualified Health Center (FQHC), Sedgwick County Health Department (SCHD) performed observational studies to identify current SBIRT-related workflow and inform recommendations for SBIRT implementation. METHODS: SCHD researched SBIRT processes and requirements. SCHD created an observational study form to document screening, substance use interventions, and referral and follow-up interactions of medical assistants, nurses, and medical and behavioral health providers. Study patients were age 18 or older and signed a confidentiality waiver prior to observations. RESULTS: In April 2019, SCHD observed 24 patient visits. Using observation data, SCHD created four SBIRT-related workflow process maps. Process maps revealed differences in perceived versus actual SBIRT-related clinic workflow. SCHD used process maps from observations and Kansas SBIRT requirements to draft a list of 20 SBIRT implementation recommendations. Recommendations included administering universal pre-screening questions verbatim and adding SBIRT processes to staff manuals. Challenges to completing the workflow observational studies included creating a workable process to secure authorization to observe patients, ensuring patients understood the purpose of study, and easing staff concerns related to being observed. CONCLUSION: Observational studies provided critical, objective data about current workflow processes and helped develop clinic-specific practices for SBIRT sustainability. The diverse expertise among SCHD, KUSM-W, and the clinic was essential to the success of the project.
Presented to the 16th Annual Symposium on Graduate Research and Scholarly Projects (GRASP) held online, Wichita State University, May 1, 2020.
Research completed in the Department of Psychology, Fairmount College of Liberal Arts and Sciences; University of Kansas School of Medicine; Sedgwick County Health Department