Linking Substance Abuse Services with General Medical Care: Integrated, Brief Interventions with Hospitalized Patients

This paper presents the results of implementing on-site alcohol or drug (AOD) brief intervention services across several medical, surgical, and psychiatric services in a county hospital. These integrated brief interventions (IBI) included patient substance abuse assessment, feedback to patient, and...

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Bibliographic Details
Published in:The American journal of drug and alcohol abuse 1997-01, Vol.23 (1), p.1-13
Main Authors: Dunn, Christopher W., Ries, Richard
Format: Article
Language:English
Subjects:
Adult
Aged
Alcoholism - rehabilitation
Biological and medical sciences
Delivery of Health Care, Integrated - trends
Female
Follow-Up Studies
Forecasting
Health care
Health Plan Implementation - trends
Health Services Needs and Demand - trends
Hospitals
Hospitals, General - trends
Humans
Male
Medical sciences
Mental health
Middle Aged
Organization of mental health. Health systems
Patient Admission - trends
Patient Care Team - trends
Patients
Pilot Projects
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy, Brief - trends
Social psychiatry. Ethnopsychiatry
Substance abuse treatment
Substance-Related Disorders - rehabilitation
Washington
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Summary:This paper presents the results of implementing on-site alcohol or drug (AOD) brief intervention services across several medical, surgical, and psychiatric services in a county hospital. These integrated brief interventions (IBI) included patient substance abuse assessment, feedback to patient, and referral/recommendations. Three hundred sixty-three patients were referred by hospital staff to these services and 95% of these patients were subsequently confirmed by chemical dependency specialists as having diagnoses of psychoactive substance abuse or dependence. Seventy-nine percent of chemically dependent patients were without current substance abuse treatment, even though 54% were partially motivated and 20% were fully motivated for getting treatment. Of patients contacted at follow-up, 35% reported involvement in some kind of substance abuse treatment or 12-step meetings. Implications for implementing integrated brief intervention services are discussed in light of recent trends in publicly funded treatment availability and brief intervention outcome studies.
ISSN:0095-2990
1097-9891
DOI:10.3109/00952999709001684