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Roubil JG, Hazeltine MD, Bludevich BM, et al. Assessing screening, brief intervention, and referral to treatment (SBIRT) compliance and disparities for pediatric inpatients at a tertiary care facility. J Pediatr Surg. 2021;doi: 10.1016/j.jpedsurg.2021.09.048.
Roubil, J. G., Hazeltine, M. D., Bludevich, B. M., Aidlen, J. T., Pustis, N., Ferrante, C., Hirsh, M. P., & Cleary, M. A. (2021). Assessing screening, brief intervention, and referral to treatment (SBIRT) compliance and disparities for pediatric inpatients at a tertiary care facility. Journal of pediatric surgery, . https://doi.org/10.1016/j.jpedsurg.2021.09.048
Roubil, John G, et al. "Assessing screening, brief intervention, and referral to treatment (SBIRT) compliance and disparities for pediatric inpatients at a tertiary care facility." Journal of pediatric surgery vol. (2021). doi: https://doi.org/10.1016/j.jpedsurg.2021.09.048
Roubil JG, Hazeltine MD, Bludevich BM, Aidlen JT, Pustis N, Ferrante C, Hirsh MP, Cleary MA. Assessing screening, brief intervention, and referral to treatment (SBIRT) compliance and disparities for pediatric inpatients at a tertiary care facility. J Pediatr Surg. 2021 Oct 05; doi: 10.1016/j.jpedsurg.2021.09.048. Epub 2021 Oct 05. PMID: 34740443.
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J Pediatr Surg. 2021 Oct 05; doi: 10.1016/j.jpedsurg.2021.09.048. Epub 2021 Oct 05.

Assessing screening, brief intervention, and referral to treatment (SBIRT) compliance and disparities for pediatric inpatients at a tertiary care facility.

Journal of pediatric surgery

John G Roubil, Max D Hazeltine, Bryce M Bludevich, Jeremy T Aidlen, Nicole Pustis, Catherine Ferrante, Michael P Hirsh, Muriel A Cleary

Affiliations

  1. University of Massachusetts Medical School, Worcester, MA, USA.
  2. Department of Surgery, University of Massachusetts Medical School, Worcester, MA, USA.
  3. Department of Surgery, Division of Pediatric Surgery, University of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA 01655, USA.
  4. UMass Memorial Medical Center, Worcester, MA, USA.
  5. Department of Surgery, Division of Pediatric Surgery, University of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA 01655, USA. Electronic address: [email protected].

PMID: 34740443 DOI: 10.1016/j.jpedsurg.2021.09.048

Abstract

BACKGROUND: Pediatric trauma centers are required to screen patients for alcohol or other drug use (AOD), Briefly Intervene, and Refer these patients to Treatment (SBIRT) to meet Level 1 and 2 trauma center requirements set by the American College of Surgeons. We evaluated if a mandatory electronic medical record tool increased SBIRT screening compliance for all trauma and non-trauma adolescent inpatients.

METHODS: A SBIRT electronic medical record tool was implemented for pediatric inpatient AOD screening. A positive screen prompted brief intervention and referral for treatment in coordination with social work and psychiatric consultants. We compared pre and post- implementation screening rates among inpatients age 12-18 years and performed sub-group analyses.

RESULTS: There were 873 patients before and 1,091 after implementation. Questionnaire screening increased from 0% to 34.4% (p < 0.001), without an increase in positivity rate, and lab screening decreased by 4.2% (p = 0.003). Females were more likely to receive a social work consultation than males (14.5 vs 7.5%, p < 0.001), despite a greater number of positive questionnaires among males (9.5 vs 17.9%, p = 0.013). White patients were more likely to receive a social work consultation (12.9%) compared to Asian (2%), Black (6.3%), and Other (6.9%) (p = 0.007), despite comparable rates of positive screenings. When comparing English to non-English speakers, English speakers were more likely to have a social work consult (12.0% vs 2.4%, p < 0.001) and psychiatry/psychology consult (13.6 vs 5.6%, p = 0.011).

CONCLUSION: Multidisciplinary training along with an electronic medical record tool increased SBIRT protocol compliance. Demographic disparities in intervention rates may exist.

Copyright © 2021. Published by Elsevier Inc.

Keywords: Adolescent; Alcohol; SBIRT; Screening; Substance use

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