Back to 2024 Display-Posters
Enhancing Equity in SBIRT Implementation: Progress in Substance and Alcohol Screening Among Adolescent Trauma Patients
Krithi Gopalan
1, Zachary Ballinger
1, Melanie Jung
2,
3, Jonathan Green
1,
2,
3, Kaitlyn E Wong
1,
2,
3, Jeremy T Aidlen
1,
2,
3, Muriel A Cleary
1,
2,
3
1UMass Chan Medical School, Worcester, MA, United States, 2Department of Pediatric Surgery, UMass Chan Medical School, Worcester, MA, United States, 3UMass Memorial Medical Center, Worcester, MA, United States
Background: The Screening, Brief Intervention, and Referral to Treatment (SBIRT) assessment reduces alcohol and drug-related injuries among adolescents. SBIRT was implemented in 03/2019 at UMass Memorial Children’s Medical Center, and SBIRT assessment of pediatric trauma patients improved from 0% to 34%. Although SBIRT rates improved, challenges with compliance and ensuring equity were identified.
Methods: Beginning 07/2021, the Screening to Brief Intervention (S2BI) questionnaire was embedded into an EMR integrated, pediatric-specific trauma tertiary survey. Positive S2BI screens prompted a social work consult. 413 admitted adolescent (12-18 years) trauma patients were identified. Demographic information (race, sex assigned at birth, and primary language), S2BI results, and social work consultation records were collected. Screening rates from 03/2019 to 07/2021 and 07/2021 to 06/2023 were compared. Analysis included chi-squared, student’s t-tests, and Fisher’s exact tests.
Results: The proportion of trauma patients receiving SBIRT assessment significantly increased from 38.0% to 59.0% (p <0.001) following S2BI documentation in the tertiary. The proportion of positive SBIRT exams decreased by 19.4% (p = 0.002). No significant differences in SBIRT administrations or social work consultations were found among groups stratified for sex assigned at birth, race, or primary language.
Conclusion: Implementation of a new document type with an integrated S2BI form was a reliable and effective change. With growing appreciation of the effectiveness of SBIRT protocols, continued efforts will focus on sustaining these screening policies.
Download Attachment
Back to 2024 Display-Posters
