Brief intervention
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Brief intervention (BI) is a time-limited discussion or intervention that can range from minutes to hours over single or multiple sessions. Key aspects of BI include providing feedback on risks, taking responsibility for change, advising to change, offering alternative options, showing empathy, and boosting self-efficacy. Identification and brief advice (IBA) focuses on alcohol use and involves screening and brief interventions. IBA is effective for those whose alcohol use is not chronic. Brief interventions are direct but can be done compassionately and help those whose substance use is not severe.
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In this 1 hour introductory lecture you will learn about brief intervention
At the end of this session you should be able to:
Understand what is meant by “brief intervention”
Recognise the Stages of Change and how they relate to brief interventions
Describe the FRAMES approach to Motivational Interviewing
Translate examples of BI in the alcohol field to the wider substance misuse arena
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Week #2 sbirt attc webinar series th
This document provides an agenda and materials for a training on implementing SBIRT (Screening, Brief Intervention, and Referral to Treatment) in a health center. It covers making effective referrals to treatment using brief intervention skills, conducting warm handoffs, and utilizing technology. The training emphasizes building patient confidence and willingness to engage in specialty care through motivational interviewing techniques during brief interventions. It stresses the importance of being prepared with updated treatment provider rosters and contacting resources directly to establish contact between the patient and provider when possible through warm handoffs.
ChemSex - Early Interventions Considerations
This document discusses considerations for early interventions for chemsex issues, noting that those seeking treatment typically have a different profile than traditional drug services and are more likely to respond well to interventions. It outlines psychosocial interventions that have been adapted for chemsex issues as well as strategies for building motivation and assessing clients. Recommendations include brief interventions, informal support groups, education programs, and recovery-oriented services.
Definitions of mutual aid
Mutual aid is the process of giving and receiving non-clinical help for long-term addiction recovery. It emphasizes sharing help rather than self-help. Examples include Alcoholics Anonymous, Narcotics Anonymous, and SMART Recovery. Mutual aid can use a 12-step approach promoting abstinence and acknowledging one cannot recover alone. While some find 12-step references to God difficult, SMART emphasizes self-reliance and collaboration with services. Evidence shows mutual aid works best combined with professional services, reducing relapse rates.
Sources of support and referring to specialist services
This document discusses joint working between social care staff and specialist substance use services. It identifies potential tensions like conflicting policies or high thresholds for specialist intervention. Benefits include burden sharing and increased confidence for staff. The roles of mental health nurses, social workers and primary care workers are outlined in Phil's case study. Good referral practices are discussed like gaining consent and follow up. Whole systems support through mutual aid and community resources is important for recovery.
Public & patient engagement session 2
This document provides an overview of a public and patient engagement training session focused on engagement planning. It introduces the trainers and organizations involved. It reviews engagement concepts like levels of involvement and unexpected responses. Exercises guide participants to plan engagement for case studies, including identifying target audiences, appropriate methods, questions, consent processes, and impact evaluation. The training emphasizes structured planning, understanding audiences, managing expectations, and providing feedback.
Overview of Brief Intervention for Risky Substance Use in Primary Care
These materials provide an overview of the major elements required for delivering a brief intervention for risky use within the primary care setting.
S_brief_I_referral_T-i
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Opioids and MI
This document discusses the use of motivational interviewing (MI) to treat opioid addiction. MI is a collaborative counseling approach that aims to strengthen a client's personal motivation and goals for change without confrontation. The document outlines key concepts of MI including partnership, acceptance, compassion, and evocation. Studies have found MI can be an effective treatment for opioid addiction, particularly when used in short sessions over time with follow-up support. While MI has limitations like time and lack of follow-up, its strengths-based approach empowering clients to choose change make it a promising treatment model for addiction rehabilitation counseling.
Jessie Gruman
1. The document discusses patient engagement behaviors which are actions individuals must take to benefit from available health care services.
2. A review found that for most engagement behaviors, one third or less of people regularly perform them, while two thirds do them sporadically or not at all.
3. Patterns in the data show that people are more likely to participate in simpler, predictable tasks but participation is often shallow. People prefer just-in-time information to solve immediate problems over ongoing engagement.
National SBIRT ATTC 4 Hour Curriculum
Goals: The goal of this training is to help participants develop their knowledge, skills and abilities as Substance Use Screenng, Brief Intervention, and Referral to Treatment (SBIRT) Trainers.
At the end of this training participants will be able to understand the information screening does and does not provide,define brief intervention, describe the goals of conducting a BI, understand the counselor's role in providing BI, describe referral to treatment, identify SBIRT as a system change initiative, introduce the public health approach, and understand the continuum of substance use.
Audience: Social Workers, counselors and other behavioral health providers from all settings can benefit from understanding substance use across a continuum and its impact on clients behavioral health and other psychosocial interactions.
Bni algorithm-final9-19
This document outlines the 5 steps of a Brief Negotiated Interview (BNI) algorithm to address a client's substance use: 1) Raise the subject and discuss pros and cons, 2) Provide information on guidelines and risks then elicit client thoughts, 3) Use a readiness ruler to gauge readiness to change and reinforce positives, 4) Negotiate a change plan by identifying strengths and supports, having the client write steps, and offering resources, 5) Offer additional resources and close the interview by summarizing the discussion.
Health pointfw 081010
This document provides an overview and summary of a training on tobacco intervention skills for those working with populations that have higher smoking rates, such as those with mental illness or substance abuse issues. It discusses framing tobacco use as an addiction, outlining intervention approaches like the 5 A's (Ask, Advise, Assess, Assist, Arrange), and recommending resources like nicotine replacement therapy and referral to quitlines. Specific high-risk populations are identified, including those with mental illness who purchase nearly half of all cigarettes sold in the US. Barriers to quitting and strategies for motivational interviewing are also summarized.
AOTA 2018 The SBIRT App 4.16.18
Presentation Objectives:
1) Define SBIRT and identify components of this evidence-based intervention for identifying, reducing, & preventing problematic use, abuse & dependence on alcohol & illicit drugs
2) Learn how to use the all the components of the SBIRT app, including, but not limited to the screening, brief interventions & referral to treatment features included in this app
3) Recognize the critical need for more research related to occupational therapy intervention and SBIRT, as well as potential obstacles to implementation of SBIRT in treatment settings & resources for continuing education on this topic.
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Brief interventions and motivational enhancement therapy for alcohol problems
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Motivational Interviewing and SBIRT to Address Substance Misuse
Motivational Interviewing and SBIRT to Address Substance Misuse
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Overview of Brief Intervention for Risky Substance Use in Primary Care
Overview of Brief Intervention for Risky Substance Use in Primary Care
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Stigma and stereotypes: unconditional positive regard
This document discusses the stigma faced by substance users and how it undermines recovery. It provides quotes from substance users about feeling ashamed to seek help from doctors due to stigma. Stigma restricts access to assistance and discourages efforts toward recovery and employment. Public attitudes spread through media often perpetuate stigma. Training professionals and having them interact with substance users can help reduce stigma, as can focusing on positive stories of change. Throughout the resource, readers are exposed to recovery stories in order to help reduce self-stigma and encourage mutual aid and recovery principles that support positive self-worth.
Introduction to stigma and stereotypes: people with problematic substance use
Introduction to stigma and stereotypes: people with problematic substance useWorkingwithsubstanceabuse
This document discusses stigma related to substance use. It defines stigma as a "stain or attribute" that marks someone as unacceptable and leads to prejudice and discrimination. Negative labels used to describe those with substance use issues are stigmatizing and promote judgmental attitudes. This stigma can fuel a vicious cycle where people use drugs or alcohol to cope with feeling shamed and stereotyped. Health practitioners are key to breaking this cycle by adopting a growth mindset that believes anyone is capable of change with the right help, rather than thinking some people cannot be helped. The document advocates for person-centered care where service users can work in partnership with practitioners through good communication and tailored information.Different kinds of assets
This document discusses asset-based approaches to addressing substance use issues as opposed to traditional deficit-based models. It outlines three levels of assets - individual, community, and environmental/organizational. Individual assets include resilience and self-esteem. Community assets include social networks and social capital. Environmental assets include access to healthcare, housing, and education resources. The document also discusses Peter Sheath's activist perspective on asset-based community development and the tension with traditional social and healthcare services. Recovery capital is identified as an important framework involving personal, social, and community assets that support long-term recovery.
What are assets?
Asset-based approaches focus on individual and community strengths rather than deficits. They view people and communities in terms of the resources and assets they possess. This strengths-based perspective has been adopted by public services and health initiatives seeking to empower individuals and communities to address their own needs. Asset-based community development identifies and mobilizes local assets to improve health and reduce inequalities.
Assessment tools: alcohol
This document discusses screening and assessment tools for alcohol use. It recommends the Alcohol Use Disorders Identification Test (AUDIT) as the main screening tool for non-specialists to evaluate if someone would benefit from reducing their alcohol consumption. It also discusses screening vulnerable groups like pregnant women, younger people, older adults, and minorities. Brief assessment tools like the Fast Alcohol Screening Test (FAST) can check hazardous drinking levels. More detailed assessments tools are recommended if harm has been established or for specialist practitioners.
Maintaining a safe and effective working relationship
The document discusses the importance of maintaining safe and effective working relationships in health and social care professions. It emphasizes that establishing trust and being non-judgmental is key to engaging vulnerable clients, such as those struggling with substance abuse issues. Specific tips are provided around ensuring clear boundaries, prioritizing client needs, maintaining confidentiality, and protecting one's own safety. Case studies demonstrate how boundaries can be upheld or compromised in individual situations.
Reflection on practice
This document discusses reflective practice, specifically critical reflection. It introduces the concept of critical reflection and explains that it involves examining one's own practice and how it is shaped by social, political, and cultural contexts. The document outlines different types of reflection, such as reflection-in-action, reflection-on-action, technical reflection, and critical reflection. It also discusses the importance of a supportive environment and supervision for critically reflective practice. The outcomes of critical reflection can include new awareness, questions, understanding, and decisions.
Clinical and practice supervision
Clinical supervision provides structure, support, and opportunities for sharing knowledge to support professional development. It should be a focused relationship between supervisor and supervisee aimed at supporting standards of care, not a management process. For a practice nurse concerned about a patient eager for alcohol rehabilitation, discussing the case with her supervisor provided relief, helped assess the patient's understanding of dependency, and developed her problem-solving skills.
What is recovery?
Recovery from substance use issues is a personal journey that depends on the individual's perspective. It is not a destination that is achieved but rather a process of gaining improvement. Recovery involves voluntarily controlling substance use and maximizing health and well-being while participating fully in society. Services can help facilitate recovery through treatment, support, and connecting individuals to recovery communities and mutual aid groups. Recovery principles emphasize hope, empowerment, social support networks, and focusing on individuals' strengths rather than deficits.
Supporting family members
1. This document discusses the importance of supporting family members who are affected by a loved one's substance use problems. It notes that supporting family members can improve their health and well-being as well as encourage the person with substance use issues to seek help.
2. It provides guidance on how to support family members, including active listening, acknowledging their struggles, and referring them to outside services for additional support.
3. The document also discusses different types of family interventions that may be available, as well as considerations around culture, domestic abuse, and finding local support services.
Working with young people using substances
This document provides guidance for health and social care practitioners working with young people using substances. It discusses recognizing risk factors for problematic substance use, conducting brief assessments, and determining when a comprehensive assessment or referral is needed. Case studies are presented to demonstrate applying concepts like identifying risk factors, assessing problematic versus experimental use, and ensuring informed consent when the young person may be Gillick competent. Communication approaches are recommended, such as asking direct questions and creating an atmosphere where youth feel comfortable disclosing information.
Issues for young people with problematic substance use
Young people who misuse substances face several issues. They may be physically more vulnerable to risks of poisoning, overdose, and exploitation by others due to their age and lack of experience. Substance misuse among youth is also often linked to other problems like depression, family issues, and school exclusion. Vulnerable groups like those with family substance abuse, mental health issues, or who are homeless face even greater risks. Effective support requires assessing both a young person's substance use and their mental health and social circumstances.
Where to find information on substance use
This document provides recommendations for where to find reliable and up-to-date information on substance use and misuse. It recommends UK government websites like NHS Choices and NICE as they provide country-specific information and guidelines. Other reliable sources include charities like Alcohol Concern, SCIE, and Mind. Practitioners are advised to check sources are evidence-based and updated regularly as information changes quickly in this field.
What works in prevention: education and awareness
This document discusses prevention of problematic substance use. It defines prevention as efforts to prevent harmful patterns of substance use at any level, from preventing onset to reducing harm for those with existing issues. Effective prevention requires education and awareness plus broader collaborative approaches. Key evidence shows that information alone does not work and that prevention must address individual, social, and environmental risk and protective factors through multi-level interventions. Professionals are advised to understand what approaches have evidence, what does not work, and to focus on potential harms rather than substance use alone.
Effects of substances: social harms
Problematic substance use can cause significant social harms at the individual, family, and societal levels. At the individual level, harms include social exclusion, loss of employment and housing, homelessness, and involvement in the criminal justice system. Families are also impacted through issues like domestic violence, poor child outcomes, and financial problems. Communities experience harms like increased crime rates, health and social costs. The document provides examples of individuals who experienced these harms and lost connections before finding recovery support.
Social support for people with problematic substance abuse
This document discusses social support for people with problematic substance use. It outlines that substance use problems can be changed with the right support and motivation. All health and social care practitioners have a responsibility to provide advice, assessment, and facilitate access to treatment. There are three key roles for practitioners: to engage with substance users and their families in a non-judgmental way, to motivate people to consider changing by helping them identify their own reasons for change, and to support people as they make and maintain changes through encouragement and linking them to other support systems. Practitioners providing social support for substance use issues should have awareness of potential effects on individuals and families, show non-judgmental and person-centered care, identify clients' strengths, and
Evidence based management of substance misuse in pregnancy
This document discusses evidence-based management of substance misuse in pregnancy. It notes that pregnant women who use substances often feel reluctant to seek support due to fears of judgment or having their baby taken away. Partnership working between health and social services is important to engage these women in a non-judgmental manner. Pregnancy can act as a catalyst for change in reducing substance use. Proper identification and management of neonatal abstinence syndrome is also important. Health professionals should provide advice and support to pregnant women around avoiding alcohol and binge drinking due to risks of fetal alcohol spectrum disorder.
Specific issues in drug use and pregnancy
This document discusses several key issues related to drug use during pregnancy. Pregnant women who use drugs often face barriers to accessing prenatal services. They may not realize they are pregnant or want to continue the pregnancy. All drug-using pregnant women will need treatment to reduce harm, which can include methadone substitution or withdrawal management. Both the mother and baby are at risk - mothers may have poor nutrition, health issues, or mental health problems while babies can experience addiction and withdrawal symptoms. Close monitoring of both mother and baby is important during labor and delivery due to risks of fetal distress and neonatal abstinence syndrome.
Considerations for alcohol use during pregnancy
- Drinking alcohol during pregnancy can cause fetal alcohol spectrum disorder, which includes facial abnormalities, intellectual disabilities, and behavioral issues in the child. The early stages of pregnancy are most vulnerable to the effects of alcohol.
- Guidelines from health organizations recommend abstaining from alcohol during pregnancy, especially in the first 3 months, due to risks of harm. The early sensitive period means alcohol should also be avoided before realizing one is pregnant.
- For women with problematic drinking, reducing alcohol intake or abstaining is advised, as they will need support to do so given fears of judgment over the health of their baby.
Evidence based guidelines: chronic harms of substance use
This document discusses guidelines for reducing chronic harms from substance use through early intervention, prevention, detection, treatment, and rehabilitation. It outlines strategies for screening and brief interventions by frontline healthcare workers to identify problematic substance use and associated physical, mental, and social harms. Screening should assess medical history, high-risk behaviors, mental health, social support systems, and impact on families. The goal is to help those at risk of harm and refer them to early treatment and support services.
More from Workingwithsubstanceabuse (20)
Stigma and stereotypes: unconditional positive regard
Stigma and stereotypes: unconditional positive regard
Introduction to stigma and stereotypes: people with problematic substance use
Introduction to stigma and stereotypes: people with problematic substance use
Maintaining a safe and effective working relationship
Maintaining a safe and effective working relationship
Issues for young people with problematic substance use
Issues for young people with problematic substance use
Social support for people with problematic substance abuse
Social support for people with problematic substance abuse
Evidence based management of substance misuse in pregnancy
Evidence based management of substance misuse in pregnancy
Evidence based guidelines: chronic harms of substance use
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Brief intervention
- 2. What is Brief Intervention (BI)? A BI is time limited: it is an intervention/discussion that can take minutes to hours; it can be a single session or several session.
- 3. Miller and Sanchez (1994) identified 6 key aspects of brief interventions - they used the acronym FRAMES: Feedback of personal risk or impairment. Responsibility for change. Advice to change. Menu of alternative change options. Empathy on behalf of the practitioner. Self-efficacy or optimism in client facilitated by practitioner. What is Brief Intervention (BI)?
- 4. • Brief interventions are fairly direct and advice giving but can still be done factually and compassionately. • BI doesn’t need to take time. In this film clip, Professor Stephen Rollnick talks about brief interventions and about what can be done in very little time. What is Brief Intervention (BI)?
- 5. Identification and Brief Advice (IBA) • IBA has been developed in relation to alcohol rather than other drug use and is the term for what is usually known as ‘Screening and Brief Interventions’. • Evidence shows BI is particularly helpful with people whose alcohol use in not a chronic condition. • Its brevity makes it ideal for health and social care practitioners to use. The following resource offers further detail and more advice about IBA. http://www.alcoholacademy.net/uploads/IBA Sept H&F 2.pdf
- 6. Assessing drug use • There is no brief intervention equivalent for a drug assessment tool at present. Get in touch with your local service and ask them for advice on some key questions to ask. • We recommend the following examples : What are people using? How much are they using? How often do they use? How do they use (smoke; swallow; inject)? What are the effects for them – positive & negative? What happens if they stop using? What do you want from your drug use? Do you always get it? Are there other ways you could get the same things? Would you like to change your drug use? What help do you think you might need?
- 7. How to find your local service • Frank website – Government sponsored online drug information and service finder http://www.talktofrank.com/support-near- you?distance%5Bpostal_code%5D=M15+6GX&distance%5 Bsearch_distance%5D=20&distance%5Bsearch_units%5D= mile&field_service_tags_tid=All • NHS drug and alcohol support service finder http://www.nhs.uk/Service-Search/Information-and-support- for-drug-misuse/LocationSearch/339 http://www.nhs.uk/LiveWell/Alcohol/Pages/Alcoholhome.aspx