Counselors´reflections on the administration of screening and brief intervention for alcohol problems in the emergency department and 3-month follow-up outcome

Author(s): Leontieva L, Kimberly HE, Helmkamp J, Furbee M, Jarrett T, et al.


Objectives: The purpose of this paper was to explore how events that counselors endorsed occurring during an emergency department-based screening and brief intervention (SBI) for drinking discriminate patients who reported change in Alcohol Use Disorder Identification Test (AUDIT) domains at follow-up from those who did not.

Method: Patients who scored ">5" on the AUDIT were eligible for SBI. At the end of each intervention, counselors completed the questionnaire indicating which parts of the intervention they just used.

Results: Discriminant function analyses indicated that "Referral made" discriminated for alcohol intake change (Wilks' lambda = 0.993, P < .05); "Did the patient set goals during intervention?" and "Referral made" discriminated for alcohol dependency change (Wilks' lambda = 0.940 and Wilks' lambda = 0.919, P < .05, respectively). "Intention to quit" (Wilks' lambda = 0.984, P < .05) discriminated for alcohol-related harm change.

Conclusions: Making referrals to addiction treatment during motivational intervention discriminated for alcohol intake and dependency change. Working on intention to quit is an important point in changing alcohol-related harm. When conducting the SBI in ED, counselors may be mindful in making appropriate referrals to address alcohol use and examine intention to quit to maximize the efficacy of the harm-reduction approach.

Similar Articles

Substance-related problems in patients visiting an urban Canadian emergency department

Author(s): Brubacher JR, Mabie A, Ngo M, Abu-Laban RB, Buchanan J, et al.

Feasibility of screening and intervention for alcohol problems among young adults in the ED

Author(s): Hungerford DW, Williams JM, Furbee PM, Manley WG, Helmkamp JC, et al.

Rapid follow-up for patients after psychiatric crisis

Author(s): McCullumsmith C, Clark B, Blair C, Cropsey K, Shelton R

A review of research on the Alcohol Use Disorders Identification Test (AUDIT)

Author(s): Allen JP, Litten RZ, Fertig JB, Babor T

Evaluating the effects of a brief motivational intervention for injury drinkers in the Emergency Department

Author(s): Longabaugh R, Woolard RF, Nirenberg TD, Minugh AP, Becker B, et al.

Establishing treatment relations with alcoholics

Author(s): Chafetz ME, Blane HT, Abrams HS, Golner JH, Lacy E, et al.

The early history of ideas on brief interventions for alcohol

Author(s): McCambridge J, Cunningham JA

Individual and system influences on waiting time for substance abuse treatment

Author(s): Carr CJA, Xu J, Redko C, Lane DT, Rapp RC, et al.

Treatment barriers identified by substance abusers assessed at a centralized intake unit

Author(s): Rapp RC, Xu J, Carr CA, Lane DT, Wang J, et al.

Follow-up services after an emergency department visit for substance abuse

Author(s): Breton AR, Taira DA, Burns E, O´Leary J, Chung RS

Intervention by an alcohol health worker in an accident and emergency department

Author(s): Wright S, Moran L, Meyrick M, O’Connor R, Touquet R

Intervention attendance among Emergency Department patients with alcohol- and drug-use disorders

Author(s): Blow FC, Walton MA, Murray R, Cunningham RM, Chermack ST, et al.

Categorical Data Analysis using the SAS System

Author(s): Stokes ME, Davis CS, Koch GG