This presentation described the experience of the University of South Carolina School of Medicine's Rehabilitation Counseling program in implementing an SBIRT curriculum in an interdisciplinary setting.
An Introduction to the National Institute for Medical Assistant AdvancementCHC Connecticut
View the slides from NIMAA's Webinar about a groundbreaking new way to train key primary care team members featuring national leaders, including:
Thomas Bodenheimer, MD, MPH, UCSF School of Medicine, California
Edward Wagner, MD, MPH, MacColl Center, Washington
Mark Masselli, CEO, Community Health Center, Inc; Chairman, NIMAA
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residen...CHC Connecticut
This webinar discussed the importance of research and evaluation in measuring successes and failures in the implementing of postgraduate residency programs within health centers. Different evaluative methods were explored in this webinar including self-assessment, standardized tools and journaling.
This webinar took place April 13, 2016 3:00 PM Eastern Time as part of the CHC Clinical Workforce Development National Cooperative Agreement.
Advancing Team-Based Care: Enhancing the Role of the Medical AssistantCHC Connecticut
In this webinar, we explored the expanded role that medical assistants play in improving patient health outcomes. The role of the medical assistant was explored in population management, using electronic dashboards, and health coaching. We discussed how state-by-state variation and regulation may influence medical assistant practice.
Preventing Alcohol and Marijuana Use Among Youth: What’s the evidence?Health Evidence™
Presented as part of a Canadian Institutes of Health funded Knowledge Translation Supplement grant (KTB-112487) (2 of 8 webinars). Recorded June 27, 2012.
An Introduction to the National Institute for Medical Assistant AdvancementCHC Connecticut
View the slides from NIMAA's Webinar about a groundbreaking new way to train key primary care team members featuring national leaders, including:
Thomas Bodenheimer, MD, MPH, UCSF School of Medicine, California
Edward Wagner, MD, MPH, MacColl Center, Washington
Mark Masselli, CEO, Community Health Center, Inc; Chairman, NIMAA
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residen...CHC Connecticut
This webinar discussed the importance of research and evaluation in measuring successes and failures in the implementing of postgraduate residency programs within health centers. Different evaluative methods were explored in this webinar including self-assessment, standardized tools and journaling.
This webinar took place April 13, 2016 3:00 PM Eastern Time as part of the CHC Clinical Workforce Development National Cooperative Agreement.
Advancing Team-Based Care: Enhancing the Role of the Medical AssistantCHC Connecticut
In this webinar, we explored the expanded role that medical assistants play in improving patient health outcomes. The role of the medical assistant was explored in population management, using electronic dashboards, and health coaching. We discussed how state-by-state variation and regulation may influence medical assistant practice.
Preventing Alcohol and Marijuana Use Among Youth: What’s the evidence?Health Evidence™
Presented as part of a Canadian Institutes of Health funded Knowledge Translation Supplement grant (KTB-112487) (2 of 8 webinars). Recorded June 27, 2012.
Paperless Outcome Measures - The Journey So Far...Lessons learnt! - Claire Pe...CYP MH
CYP IAPT 2014 National Conference
This workshop will involve a short presentation regarding how the Sheffield CYP IAPT partnership has worked towards direct patient input of outcome measures, using IPads, and how the data is inputted directly into the patient recording system. This workshop will be useful for any partnership who would like to move towards paperless outcome measures for CYP IAPT
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your ...CHC Connecticut
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your Practice
Presented 2/18/2016 as part of the CHC Primary Care Workforce Development National Cooperative Agreement
What does the 12-month postdoctoral clinical psychology residency program look like? This webinar will delve into the details of the structure, design, and content of the 12-month postdoctoral clinical psychology residency program. Topics such as recruitment, screening and selection of candidates, and core programmatic and curricula elements will be discussed. This webinar will feature speakers from the Community Health Center, Inc.’s postdoctoral clinical psychology residency program as well as guests from another FQHC based postdoctoral clinical psychology residency program.
This was presented as a webinar on Wednesday, Feb 24, 2016 3:00 PM ET
MS nurses skills development workshop - Emma Matthews and Liz WilkinsonMS Trust
Aims:
To provide some practical tips to managing communication & consultations effectively
How to keep on top of the admin!
How and what to audit
How to develop and maintain being a specialist
Where to find support
Looks at the work of the Dementia Services Development Centre to improve services to people with dementia and their carers and families. Presented by Eileen Richardson at the CILIPS Centenary Conference Scottish Health Information NEtwork seminar held on 4 Jun 2008.
Advancing Team-Based Care: The Emerging Role of Nurses in Primary CareCHC Connecticut
In this webinar, we explored the emerging role of nurses in primary care. We explored the role of nurses in the team, in complex care management, and in independent nurse visits.
This webinar was presented March 31, 2016 2:00 PM ET
Sensible Specialist Service Responses to the Methamphetamine “Crisis”Uniting ReGen
APSAD 2014 presentation by Trevor King on current community concerns about methamphetamines and ReGen's experience in developing targetted treatment models for people affected by methamphetamine use.
The stigma surrounding mental health means students may be unwilling to disclose difficulties they are experiencing and access help. International students are particularly vulnerable as they are away from their usual support networks. Their limited English can also restrict their communication of any issues.
Australian ELICOS (English language teaching for international students sector) providers are aware that mental health issues can seriously impact a student as they progress through their studies. In a survey by English Australia, over 50 per cent of ELICOS colleges believed the number of students with mental health issues has increased in the past two years which is placing an increased strain on the already limited resources of many ELICOS providers.
English Australia released 'The Guide to Best Practice in International Student Mental Health'. This guide provides tools and information that will help create an environment where students feel supported should they ever have any mental health concerns.
In this presentation, Sophie O'Keefe explores the guide and discusses the mental health issues that international and ELICOS students experience, and shares best practice for addressing these concerns.
School and community social influence programming for preventing tobacco and ...Health Evidence™
Health Evidence hosted a 90 minute webinar on substance use prevention and treatment interventions in children and adolescents, funded by the Canadian Centre on Substance Abuse. This webinar presented key messages and implications for practice.
This webinar focussed on interpreting the evidence in the following review, which synthesizes evidence related to social influence programming:
Skara, S. & Sussman, S. (2003). A review of 25 long-term adolescent tobacco and other drug use prevention program evaluations. Preventive Medicine (37) 451-474.
Exercise programs for people with dementia: What's the evidence?Health Evidence™
Health Evidence hosted a 90 minute webinar examining the effectiveness of exercise programs for people with dementia. Click here for access to the audio recording: https://youtu.be/jC8HhC2XFrE
Dorothy Forbes, Professor, Faculty of Nursing, University of Alberta, Edmonton led the session and presented findings from her latest Cochrane review:
Forbes, D., Forbes, S. C., Blake, C. M., Thiessen, E. J., & Forbes, S. (2015). Exercise programs for people with dementia. Cochrane Database of Systematic Reviews, 2015(4), CD006489.
As the population ages, the number of people suffering with dementia will also rise. Not only will this affect quality of life of people with dementia but will also increase the burden of family caregivers, community care, and residential care services. Exercise interventions have been identified as a potential way of reducing or delaying the progression of dementia and its symptoms. This review examines two questions: do exercise programs for older people with dementia improve cognition, activities of daily living (ADLs), challenging behaviour, depression, and mortality in older people with dementia? and; do exercise programs for older people with dementia have an indirect impact on family caregivers' burden, quality of life, and mortality?
The Interprofessional Team Immersion (IPTI) offers students across 13 health professions opportunities to apply their skills in cross-professional communication, teamness, and patient-centered engagement. The experience is characterized by high stakes cases carefully designed to cultivate an atmosphere conducive to rapid teambuilding and compassionate patient care. Within a safe learning environment, faculty and students acquire understanding of roles and responsibilities as well as skills to manage complex cases. This presentation will describe and demonstrate the rationale, design, and implementation of IPTI over a three-year period. Findings suggest significant increase in IPTI students’ perceptions of cooperation, resource sharing and communication skills for team-based practice. Programmatic evaluation substantiates the value students place on practicing interprofessional clinical skills before and while in their clinical-community rotations. Debriefing sessions with standardized patients enhanced students’ knowledge and appreciation for patient engagement and shared decision-making culminating for some in scholarly products. In total, findings provide beneficial insight for other interprofessional educational and collaborative practice initiatives taking place at the University and in the community. Learn more about IPEC at University of New England ipec(at)une(dot)edu or follow us on Twitter @UNEIPE
Paperless Outcome Measures - The Journey So Far...Lessons learnt! - Claire Pe...CYP MH
CYP IAPT 2014 National Conference
This workshop will involve a short presentation regarding how the Sheffield CYP IAPT partnership has worked towards direct patient input of outcome measures, using IPads, and how the data is inputted directly into the patient recording system. This workshop will be useful for any partnership who would like to move towards paperless outcome measures for CYP IAPT
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your ...CHC Connecticut
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your Practice
Presented 2/18/2016 as part of the CHC Primary Care Workforce Development National Cooperative Agreement
What does the 12-month postdoctoral clinical psychology residency program look like? This webinar will delve into the details of the structure, design, and content of the 12-month postdoctoral clinical psychology residency program. Topics such as recruitment, screening and selection of candidates, and core programmatic and curricula elements will be discussed. This webinar will feature speakers from the Community Health Center, Inc.’s postdoctoral clinical psychology residency program as well as guests from another FQHC based postdoctoral clinical psychology residency program.
This was presented as a webinar on Wednesday, Feb 24, 2016 3:00 PM ET
MS nurses skills development workshop - Emma Matthews and Liz WilkinsonMS Trust
Aims:
To provide some practical tips to managing communication & consultations effectively
How to keep on top of the admin!
How and what to audit
How to develop and maintain being a specialist
Where to find support
Looks at the work of the Dementia Services Development Centre to improve services to people with dementia and their carers and families. Presented by Eileen Richardson at the CILIPS Centenary Conference Scottish Health Information NEtwork seminar held on 4 Jun 2008.
Advancing Team-Based Care: The Emerging Role of Nurses in Primary CareCHC Connecticut
In this webinar, we explored the emerging role of nurses in primary care. We explored the role of nurses in the team, in complex care management, and in independent nurse visits.
This webinar was presented March 31, 2016 2:00 PM ET
Sensible Specialist Service Responses to the Methamphetamine “Crisis”Uniting ReGen
APSAD 2014 presentation by Trevor King on current community concerns about methamphetamines and ReGen's experience in developing targetted treatment models for people affected by methamphetamine use.
The stigma surrounding mental health means students may be unwilling to disclose difficulties they are experiencing and access help. International students are particularly vulnerable as they are away from their usual support networks. Their limited English can also restrict their communication of any issues.
Australian ELICOS (English language teaching for international students sector) providers are aware that mental health issues can seriously impact a student as they progress through their studies. In a survey by English Australia, over 50 per cent of ELICOS colleges believed the number of students with mental health issues has increased in the past two years which is placing an increased strain on the already limited resources of many ELICOS providers.
English Australia released 'The Guide to Best Practice in International Student Mental Health'. This guide provides tools and information that will help create an environment where students feel supported should they ever have any mental health concerns.
In this presentation, Sophie O'Keefe explores the guide and discusses the mental health issues that international and ELICOS students experience, and shares best practice for addressing these concerns.
School and community social influence programming for preventing tobacco and ...Health Evidence™
Health Evidence hosted a 90 minute webinar on substance use prevention and treatment interventions in children and adolescents, funded by the Canadian Centre on Substance Abuse. This webinar presented key messages and implications for practice.
This webinar focussed on interpreting the evidence in the following review, which synthesizes evidence related to social influence programming:
Skara, S. & Sussman, S. (2003). A review of 25 long-term adolescent tobacco and other drug use prevention program evaluations. Preventive Medicine (37) 451-474.
Exercise programs for people with dementia: What's the evidence?Health Evidence™
Health Evidence hosted a 90 minute webinar examining the effectiveness of exercise programs for people with dementia. Click here for access to the audio recording: https://youtu.be/jC8HhC2XFrE
Dorothy Forbes, Professor, Faculty of Nursing, University of Alberta, Edmonton led the session and presented findings from her latest Cochrane review:
Forbes, D., Forbes, S. C., Blake, C. M., Thiessen, E. J., & Forbes, S. (2015). Exercise programs for people with dementia. Cochrane Database of Systematic Reviews, 2015(4), CD006489.
As the population ages, the number of people suffering with dementia will also rise. Not only will this affect quality of life of people with dementia but will also increase the burden of family caregivers, community care, and residential care services. Exercise interventions have been identified as a potential way of reducing or delaying the progression of dementia and its symptoms. This review examines two questions: do exercise programs for older people with dementia improve cognition, activities of daily living (ADLs), challenging behaviour, depression, and mortality in older people with dementia? and; do exercise programs for older people with dementia have an indirect impact on family caregivers' burden, quality of life, and mortality?
The Interprofessional Team Immersion (IPTI) offers students across 13 health professions opportunities to apply their skills in cross-professional communication, teamness, and patient-centered engagement. The experience is characterized by high stakes cases carefully designed to cultivate an atmosphere conducive to rapid teambuilding and compassionate patient care. Within a safe learning environment, faculty and students acquire understanding of roles and responsibilities as well as skills to manage complex cases. This presentation will describe and demonstrate the rationale, design, and implementation of IPTI over a three-year period. Findings suggest significant increase in IPTI students’ perceptions of cooperation, resource sharing and communication skills for team-based practice. Programmatic evaluation substantiates the value students place on practicing interprofessional clinical skills before and while in their clinical-community rotations. Debriefing sessions with standardized patients enhanced students’ knowledge and appreciation for patient engagement and shared decision-making culminating for some in scholarly products. In total, findings provide beneficial insight for other interprofessional educational and collaborative practice initiatives taking place at the University and in the community. Learn more about IPEC at University of New England ipec(at)une(dot)edu or follow us on Twitter @UNEIPE
Alliance for CME 2009 Presentation, Wake me Up Before it’s Over: Bringing out...Wendy999
2009 ACME Presentation, co-presented with Marissa Seligman, that tackles strategies to bring innovation to live continuing medical education activities.
Prof Mick Cooper in his keynote speech to the conference address counselling psychotherapy: putting statistics and quantitative evaluation before the complex reality of a human, person-to-person encounter.
Postgraduate residency presentation #2 from recruitment to graduationCHC Connecticut
What does the 12-month Nurse Practitioner Residency program look like? This webinar will delve into the details of the structure, design, and content of a 12-month, Federally Qualified Health Center (FQHC) based, postgraduate nurse practitioner residency program. Topics such as recruitment, screening and selection of candidates, core programmatic and curricula elements, and the essential contributions of other staff will be discussed. This webinar will feature speakers from the Community Health Center, Inc.’s first-in-the-nation nurse practitioner residency program and guests from other exemplary programs around the country.
Reaching the Unreachable: Engaging People with SUDS in Pre-Contemplation Phasecommteam
Learn about Co-Occurring Education Groups, identify strategies to assist mental health and substance use staff, and learn about the qualitative outcomes of a non-judgmental, educational approach.
Interventions for preventing elder abuse: What's the evidence?Health Evidence™
Health Evidence hosted a 90 minute webinar examining the effectiveness of interventions for preventing elder abuse.
Philip Baker, Australia Regional Director APACPH, School of Public Health and Social Work Queensland University of Technology led the session and presented findings from their review:
Baker PRA, Francis DP, Hairi NN, Othman S, Choo WY. (2016). Interventions for preventing abuse in the elderly. Cochrane Database of Systematic Reviews, 2016, CD010321
http://www.healthevidence.org/view-article.aspx?a=interventions-preventing-abuse-elderly-29428
Many older adults experience some form of abuse (psychological, physical, and sexual) that often goes unreported. Elder abuse is associated with morbidity and premature mortality. This review examines the effectiveness of interventions for preventing elder abuse in the home, institutions and community settings. Findings of the review suggest there is uncertainty in the effectiveness of educational interventions to improve knowledge of caregivers about elder abuse and uncertainty on its effect of reducing abuse. This webinar will examine the effectiveness and components of interventions that prevent elder abuse.
How to make care and support planning a two-way dynamic - presentation from webinar held on 1 October 2014
This relates to the first NHS IQ Long Term Conditions Improvement Programmes Wednesday Lunch & Learn Webinar Series. How to make care and support planning a 2 way dynamic hosted by Dr Alan Nye & Brook Howells from AQuA. This webinar discussed how to encourage patients, carers and the public to work alongside (in equal partnership) with clinicians and managers
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
1. IDISCUS
InterDisciplinary Collaboration and Implementation of SBIRT Curricula in
University of South Carolina’s
Rehabilitation Counseling Program
Michael Walsh, Ph.D, LPC, CRC, CPRP & Suzanne Hardeman, NP
2. Screening, Brief Intervention and
Referral to Treatment
The idea behind SAMHSA’s Screening, Brief Intervention, and
Referral to Treatment (SBIRT) program is deceptively simple:
What if you could stop drinking and substance abuse problems
before they became serious enough to destroy people’s lives?
SBIRT provides the tools to have a conversation about substance
use at a very early point and help people make decisions on
substance use based on their own values and life realities.
-SAMHSA
3. How is SBIRT different?
• Intervenes much earlier than traditional
approaches.
• Educates on “healthy limits” or “low risk” use
• Is based in Motivational Interviewing principles
• Is client- value-based
• Easy to learn
6. A Message from
Suzanne Hardeman,MRC, MSN, PMHNP-BC
Dear all, Thanks so very much for coming to this session and I am so very
sorry that I couldn’t be with you today. We have just buried my 23 year old
nephew. He died as the result of a 10 year struggle with addictions. By the
time our family knew, my nephew was already deeply entangled in addictions.
I can only wonder if my nephew’s story would have been different had
someone asked and assessed his substance use. SBIRT provides the tools we
need to talk with people about their substance use and intervene at
appropriate levels. I hope you will join me in renewed passion to make
substance abuse assessment a routine part of practice. Warmest regards.
7. Where We Started
• Call came late April 2013
• Purpose develop and implement training programs
to teach health professionals the SBIRT skills:
• <30% medical residents
• Curriculum provided
• Division of Biological Research took the lead
• Queried interest from graduate health professional
programs
10. The Proposal
Graduate
Programs
Nursing
Social Work
Rehabilitation Counseling
Medical
Residencies
SBIRT
Community
Sites
Internal Medicine
Family Medicine
Neuropsychiatry
Preventive Medicine
SCDMH NASW-SC Ryan White Providers
12. Implementation Approach
USC
Columbia, SC
• Curriculum Customization
• One curriculum for all
disciplines
• Each discipline had the ability
to customize
13.
14. Skills Practice
• Nursing: Simulation lab, in pairs, instructor does patient
voice
• Social Work: audio recordings, peer feedback
• Rehabilitation Counseling: In-person, triads
• Medical residencies: In-person, triads with
instructor/faculty
18. Implementation
Why Rehabilitation Assessment?
Screening-based protocol
Standardized instruments used for
assessment
DAST
AUDIT
Useful as part of a Universal Health
Practice, e.g.-Blood Pressure,
Temperature, etc.
Rehabilitation Counseling
19. Implementation
Second Year of 3 or 4 Year Residency
Neuropsychiatry: 6 Family Medicine: 10
Preventive Medicine: 2 Internal Medicine: 11
20. Results
Total Trainees (All
Classes/Programs)
RHAB
(N=13)
NURS
(N=52)
SOWK
(N=25)
Residents
(N=9)
Age 34 34 29 31
% Female 57% 90% 88% 55%
Experience w/patients with alcohol
2.2 2.8 1.6 3.2
problems [None(1) – Expert(5)]
Experience w/patients with drug
problems [None(1) – Expert(5)]
2.2 2.8 1.8 3.1
Total hours formal addictions
training (median)
.5 1 3 15
Total hours informal addictions
training (median)
3.5 1 0 10
Total hours formal MI training
(median)
2.5 0 2 2
21. Output
• Materials converted to Braille or made
accessible to screen reader
• Curriculum revised and updated for Spring
• Curriculum update in progress
• Plan to develop discipline-specific
demonstration videos
22. Lessons Learned
• Context and future utility critical
• Addition of “contextual session”
• In person, real-time practice valued
• Class integration critical
• Many students still utilizing SBIRT skills in
practicum
23. Student Feedback
It really has provided a means of having a discourse about such issues without seemingly being
overly aggressive, and also the tools to get as much information as possible in a brief amount of
time. It provides quantitative information to provide those you are working with, so that they have
something that is not in the abstract to 'see'. Creating, hopefully, more openness in the exchange.
I love the materials. I am already using them in my current position and received positive feedback
from it. The ease of presentation and the brief period of time it takes are essential in their
effectiveness. I will say that I have enjoyed witnessing the changes people will make by themselves
when provided with needed educational information.
I feel that the way our instructors used the materials encouraged us to see its application in
practice much more than the videos online did. Our professors met with us and broke down the
details from the video in how it differs as a style of communication with clients and what to be
mindful of when meeting new individuals.
24. Next Steps
Community
Partners
SCDMH NASW-SC Ryan White Providers
Fall 2014 March 2015 Fall 2015
25. Thank You
For more information, Please contact:
Michael Walsh, Ph.D, LPC, CRC, CPRP
University of South Carolina School of Medicine
Department of Neuropsychiatry and Behavioral Science
Rehabilitation Counseling Program
michael.walsh@uscmed.sc.edu
Phone: 843-304-1662
Suzanne Hardeman,MRC, MSN, PMHNP-BC
University of South Carolina School of Medicine
Director, Division of Biological Research
Department of Neuropsychiatry and Behavioral Science
University of South Carolina School of Medicine
suzanne.hardeman@uscmed.sc.edu
Phone: 803-434-3622
