Expand SBIRT in Maternity Care Clinics - Revision history

Mredden at 16:47, 8 February 2021

2021-02-08T16:47:41Z

Dmt7109 at 23:30, 7 April 2020

2020-04-07T23:30:38Z

Dmt7109 at 23:30, 7 April 2020

2020-04-07T23:30:07Z

Dmt7109 at 20:11, 15 March 2020

2020-03-15T20:11:43Z

Pkalch at 14:57, 11 March 2020

2020-03-11T14:57:10Z

Josiebeets at 23:44, 24 November 2019

2019-11-24T23:44:53Z

Snkennedy3327 at 23:49, 23 October 2019

2019-10-23T23:49:39Z

Billb at 02:47, 23 January 2019

2019-01-23T02:47:59Z

Ameyabhor at 08:15, 8 January 2019

2019-01-08T08:15:28Z

Ameyabhor at 08:12, 8 January 2019

2019-01-08T08:12:15Z

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-<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__ <div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
+__NOTOC__ <div class="wiki" id="content_view" style="display: block">
 Return to&nbsp; [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]&nbsp;or&nbsp;[[ZOOM_MAP_-_Expand_Steps_to_Minimize_Opioid_Use_During_Pregnancy_or_Pregnancy_during_Opioid_Use|ZOOM MAP - Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy during Opioid Use]]
 <div id="toc">
 = Table of Contents =
 <div style="margin-left: 1em">[[#Background|Background]]</div> <div style="margin-left: 1em">[[#Best_Practices|Best Practices]]</div> <div style="margin-left: 1em">[[#Increase_Uptake_of_SBIRT|Increase Uptake of SBIRT]]</div> <div style="margin-left: 1em">[[#Promising_Programs|Promising Programs]]</div> <div style="margin-left: 2em">[[#Promising_Programs-Ultrasound_Feedback|Ultrasound Feedback]]</div> <div style="margin-left: 2em">[[#Promising_Programs-Educating_Medical_Students|Educating Medical Students]]</div> <div style="margin-left: 1em">[[#Tools_.26_Resources|Tools & Resources]]</div> <div style="margin-left: 1em">[[#Sources|Sources]]</div> </div>
-= Background =
+= Overview =
 SBIRT (Screening, Brief Intervention, Referral to Treatment) is "a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons with substance use disorders, as well as those who are at risk of developing these disorders" and has been widely acknowledged as an evidenced-based practice.<sup class="reference">[1]</sup> It helps identify the level of risk associated with alcohol or substance use.
-&nbsp; Early identification of substance use allows for early intervention and treatment which minimizes potential harms to the mother and her pregnancy.<sup class="reference">[2]</sup> Selective screening based on “risk factors” perpetuates stigma and misses most women with problematic use. <sup class="reference">[3]</sup>
+= Key Information =
-&nbsp; The goals of SBIRT include:<sup class="reference">[4]</sup>
+Early identification of substance use allows for early intervention and treatment which minimizes potential harms to the mother and her pregnancy.<sup class="reference">[2]</sup> Selective screening based on “risk factors” perpetuates stigma and misses most women with problematic use. <sup class="reference">[3]</sup>
 *Educate people about the risks of alcohol and other drugs
@@ Line 17: / Line 19: @@
 *Identify individuals who have dependence and provide rapid access to care
-&nbsp;
+= Relevant Research =
-= Best Practices =
+= Promising Practices =
 #Use non-judgmental and caring tone - Patients are usually not offended by questions about substance use if asked in caring and nonjudgmental manner.
-&nbsp; &nbsp; &nbsp; 2. Normalize questions:<br/> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; – Embed them in other health behavior questions<br/> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; – Preface questions by stating that all patients are asked about substance use<br/> &nbsp; &nbsp;&nbsp; 3. Ask permission<br/> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; – “Is it OK if I ask you some questions about smoking, alcohol and other drugs?<br/> &nbsp; &nbsp;&nbsp; 4. Avoid closed-ended questions<br/> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; – “You don’t smoke or use drugs, do you?”<br/> &nbsp;
+&nbsp; &nbsp; &nbsp; 2. Normalize questions:<br/> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; – Embed them in other health behavior questions<br/> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; – Preface questions by stating that all patients are asked about substance use<br/> &nbsp; &nbsp;&nbsp; 3. Ask permission<br/> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; – “Is it OK if I ask you some questions about smoking, alcohol and other drugs?<br/> &nbsp; &nbsp;&nbsp; 4. Avoid closed-ended questions<br/> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; – “You don’t smoke or use drugs, do you?”
-= Increase Uptake of SBIRT =
+== Increase Uptake of SBIRT ==
 *Embed it in standard of care
@@ Line 43: / Line 47: @@
 **Other staff
-&nbsp;
+== Promising Programs ==
-= Promising Programs =
+=== Ultrasound Feedback ===
-== Ultrasound Feedback ==
+One study showed that real-time ultrasound feedback focused on the potential effects of smoking on the fetus may be an effective treatment adjunct to improve smoking outcomes.<sup class="reference">[5]</sup> This could be adapted and used to treat women with other types of SUDs as well.
-One study showed that real-time ultrasound feedback focused on the potential effects of smoking on the fetus may be an effective treatment adjunct to improve smoking outcomes.<sup class="reference">[5]</sup> This could be adapted and used to treat women with other types of SUDs as well.<br/> &nbsp;
+=== Educating Medical Students ===
-&nbsp;
+A 2012 study of medical students in an obstetrics and gynecology rotation found that when students are placed in a residential treatment center for pregnant women (i.e. specialized training) they showed greater comfort in assessing and educating patients about substance abuse during pregnancy compared to those in a regular rotation.<sup class="reference">[6]</sup>
-== Educating Medical Students ==
+= Available Tools and&nbsp;Resources =
 [[TR_-_Expand_SBIRT_in_Maternity_Care_Clinics|TR - Expand SBIRT in Maternity Care Clinics]]
-{| class="wiki_table"
+= &nbsp; =
-= Sources =
+&nbsp;
 ----
 #[https://www.samhsa.gov/sbirt/about [1]]
@@ Line 82: / Line 75: @@
 #[https://www.researchgate.net/publication/26317678_Ultrasound_feedback_and_motivational_interviewing_targeting_smoking_cessation_in_the_second_and_third_trimesters_of_pregnancy [5]]
 #[https://www.ncbi.nlm.nih.gov/pubmed/23154692 [6]]
-</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
+</div>
 [[Category:SAFE-Full Spectrum Prevention]]

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+<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__ <div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
 Return to&nbsp; [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]&nbsp;or&nbsp;[[ZOOM_MAP_-_Expand_Steps_to_Minimize_Opioid_Use_During_Pregnancy_or_Pregnancy_during_Opioid_Use|ZOOM MAP - Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy during Opioid Use]]
 <div id="toc">
 = Table of Contents =
-<div style="margin-left: 1em">[[#Background|Background]]</div> <div style="margin-left: 1em">[[#Best_Practices|Best Practices]]</div> <div style="margin-left: 1em">[[#Increase_Uptake_of_SBIRT|Increase Uptake of SBIRT]]</div> <div style="margin-left: 1em">[[#Promising_Programs|Promising Programs]]</div> <div style="margin-left: 2em">[[#Promising_Programs-Ultrasound_Feedback|Ultrasound Feedback]]</div> <div style="margin-left: 2em">[[#Promising_Programs-Educating_Medical_Students|Educating Medical Students]]</div> <div style="margin-left: 1em">[[#Tools_.26_Resources|Tools & Resources]]</div> <div style="margin-left: 1em">[[#Scorecard_Building|Scorecard Building]]</div> <div style="margin-left: 1em">[[#Resources_to_Investigate|Resources to Investigate]]</div> <div style="margin-left: 1em">[[#Sources|Sources]]</div> </div>
+<div style="margin-left: 1em">[[#Background|Background]]</div> <div style="margin-left: 1em">[[#Best_Practices|Best Practices]]</div> <div style="margin-left: 1em">[[#Increase_Uptake_of_SBIRT|Increase Uptake of SBIRT]]</div> <div style="margin-left: 1em">[[#Promising_Programs|Promising Programs]]</div> <div style="margin-left: 2em">[[#Promising_Programs-Ultrasound_Feedback|Ultrasound Feedback]]</div> <div style="margin-left: 2em">[[#Promising_Programs-Educating_Medical_Students|Educating Medical Students]]</div> <div style="margin-left: 1em">[[#Tools_.26_Resources|Tools & Resources]]</div> <div style="margin-left: 1em">[[#Sources|Sources]]</div> </div>
 = Background =
@@ Line 82: / Line 82: @@
 #[https://www.researchgate.net/publication/26317678_Ultrasound_feedback_and_motivational_interviewing_targeting_smoking_cessation_in_the_second_and_third_trimesters_of_pregnancy [5]]
 #[https://www.ncbi.nlm.nih.gov/pubmed/23154692 [6]]
-</div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
+</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
 [[Category:SAFE-Full Spectrum Prevention]]

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-<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__ <div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
+<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__ <div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
 Return to&nbsp; [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]&nbsp;or&nbsp;[[ZOOM_MAP_-_Expand_Steps_to_Minimize_Opioid_Use_During_Pregnancy_or_Pregnancy_during_Opioid_Use|ZOOM MAP - Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy during Opioid Use]]
 <div id="toc">
@@ Line 55: / Line 55: @@
 == Educating Medical Students ==
-A 2012 study of medical students in an obstetrics and gynecology rotation found that when students are placed in a residential treatment center for pregnant women (i.e. specialized training) they showed greater comfort in assessing and educating patients about substance abuse during pregnancy compared to those in a regular rotation.<sup class="reference">[6]</sup><br/> <br/> &nbsp;
+A 2012 study of medical students in an obstetrics and gynecology rotation found that when students are placed in a residential treatment center for pregnant women (i.e. specialized training) they showed greater comfort in assessing and educating patients about substance abuse during pregnancy compared to those in a regular rotation.<sup class="reference">[6]</sup><br/> &nbsp;
 = Tools & Resources =
@@ Line 84: / Line 82: @@
 #[https://www.researchgate.net/publication/26317678_Ultrasound_feedback_and_motivational_interviewing_targeting_smoking_cessation_in_the_second_and_third_trimesters_of_pregnancy [5]]
 #[https://www.ncbi.nlm.nih.gov/pubmed/23154692 [6]]
-</div> </div> </div> </div> </div> </div> </div> </div> </div>
+</div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
 [[Category:SAFE-Full Spectrum Prevention]]

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+<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__ <div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
 Return to&nbsp; [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]&nbsp;or&nbsp;[[ZOOM_MAP_-_Expand_Steps_to_Minimize_Opioid_Use_During_Pregnancy_or_Pregnancy_during_Opioid_Use|ZOOM MAP - Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy during Opioid Use]]
 <div id="toc">
@@ Line 11: / Line 11: @@
 &nbsp; The goals of SBIRT include:<sup class="reference">[4]</sup>
 *Educate people about the risks of alcohol and other drugs
@@ Line 25: / Line 23: @@
 #Use non-judgmental and caring tone - Patients are usually not offended by questions about substance use if asked in caring and nonjudgmental manner.
-. Normalize questions:<br/> – Embed them in other health behavior questions<br/> – Preface questions by stating that all patients are asked about substance use<br/> 3. Ask permission<br/> – “Is it OK if I ask you some questions about smoking, alcohol and other drugs?<br/> 4. Avoid closed-ended questions<br/> – “You don’t smoke or use drugs, do you?”<br/> &nbsp;
+&nbsp; &nbsp; &nbsp; 2. Normalize questions:<br/> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; – Embed them in other health behavior questions<br/> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; – Preface questions by stating that all patients are asked about substance use<br/> &nbsp; &nbsp;&nbsp; 3. Ask permission<br/> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; – “Is it OK if I ask you some questions about smoking, alcohol and other drugs?<br/> &nbsp; &nbsp;&nbsp; 4. Avoid closed-ended questions<br/> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; – “You don’t smoke or use drugs, do you?”<br/> &nbsp;
 = Increase Uptake of SBIRT =
@@ Line 64: / Line 62: @@
 [[TR_-_Expand_SBIRT_in_Maternity_Care_Clinics|TR - Expand SBIRT in Maternity Care Clinics]]
-<div class="mw-parser-output">
 {| class="wiki_table"
 |-
-| '''Reviewer'''
+| &nbsp;
-| '''Date'''
+| &nbsp;
-| '''Comments'''
+| &nbsp;
 |-
 | &nbsp;
@@ Line 88: / Line 84: @@
 #[https://www.researchgate.net/publication/26317678_Ultrasound_feedback_and_motivational_interviewing_targeting_smoking_cessation_in_the_second_and_third_trimesters_of_pregnancy [5]]
 #[https://www.ncbi.nlm.nih.gov/pubmed/23154692 [6]]
-</div> </div> </div> </div> </div> </div> </div>
+</div> </div> </div> </div> </div> </div> </div> </div> </div>
 [[Category:SAFE-Full Spectrum Prevention]]

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-<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__ <div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
+<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__ <div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
 Return to&nbsp; [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]&nbsp;or&nbsp;[[ZOOM_MAP_-_Expand_Steps_to_Minimize_Opioid_Use_During_Pregnancy_or_Pregnancy_during_Opioid_Use|ZOOM MAP - Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy during Opioid Use]]
 <div id="toc">
@@ Line 64: / Line 64: @@
 [[TR_-_Expand_SBIRT_in_Maternity_Care_Clinics|TR - Expand SBIRT in Maternity Care Clinics]]
 <div class="mw-parser-output">
-= Scorecard Building =
+<br/> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span><br/> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span>
+</div>
 {| class="wiki_table"
 |-
@@ Line 96: / Line 88: @@
 #[https://www.researchgate.net/publication/26317678_Ultrasound_feedback_and_motivational_interviewing_targeting_smoking_cessation_in_the_second_and_third_trimesters_of_pregnancy [5]]
 #[https://www.ncbi.nlm.nih.gov/pubmed/23154692 [6]]
-</div> </div> </div> </div> </div> </div>
+</div> </div> </div> </div> </div> </div> </div>
 [[Category:SAFE-Full Spectrum Prevention]]

@@ Line 65: / Line 65: @@
 [[TR_-_Expand_SBIRT_in_Maternity_Care_Clinics|TR - Expand SBIRT in Maternity Care Clinics]]
 = Scorecard Building =
-[[PO_-_Expand_SBIRT_in_Maternity_Care_Clinics|Potential Objective Details]]<br/> [[PM_-_Expand_SBIRT_in_Maternity_Care_Clinics|Potential Measures and Data Sources]]<br/> [[PA_-_Expand_SBIRT_in_Maternity_Care_Clinics|Potential Actions and Partners]]
+Potential Objective Details(Under Construction)&nbsp;<br/> Potential Measures and Data Sources(Under Construction)&nbsp;<br/> Potential Actions and Partners(Under Construction)&nbsp;
 = Resources to Investigate =