Faculty

Needs Statement

This is an encounter for a new patient to a primary care practice where all patients are screened for drug and alcohol use. The patient is going to complete a DAST-10 Questionnaire which asks a series of questions about drug use but does not include alcohol or tobacco. The patient has been using heroin. In the past was on opiates for pain management but those were stopped about a year ago. Since then the patient has been buying opiates or buprenorphine off the street and eventually switched to heroin as it was cheaper. Has had injection drug use. Recently had an overdose scare but didn’t go to the hospital. Hides use from family and friends. Working full time. The provider will use a technique called SBIRT which stands for Screening Brief Intervention Referral to Treatment to assess patient’s possible drug abuse and help patient get treatment if needed. When obtaining a substance use history need to assess for Age of First Use, Amount per use, Frequency of Use, Duration of Use, Method of Use and When Last Used Substances. Finally the provider will use Motivational Interviewing techniques to illicit how ready the patient is to make a change and consider treatment.

The scene begins after the provider has introduced themselves and started the history taking process. The provider will have asked about medical and surgical history and will now approach the social and substance use history.

Target Audience

Healthcare professionals in a primary care setting.

Objectives

Upon completion of this activty, participatns will be able to:
1. Discuss the technique called SBIRT which stands for Screening Brief Intervention Referral to Treatment to assess patient’s possible drug abuse and help patient get treatment if needed.
2. Describe how to obtain a substance use history needed to assess for Age of First Use, Amount per use, Frequency of Use, Duration of Use, Method of Use and When Last Used Substances
3. Review how to use Motivational Interviewing techniques to illicit how ready the patient is to make a change and consider treatment

Accreditation

In support of improving patient care, University of Kentucky HealthCare CECentral is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Other
UK Healthcare CECentral certifies this activity for 0.25 hours of participation.

Faculty Disclosure

All planners, faculty, and others in control of educational content are required to disclose all their financial relationships with ineligible companies within the prior 24 months.  An ineligible company is defined as one whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. Financial relationships are relevant if the educational content an individual can control is related to the business lines or products of the ineligible company.

None of the planners, faculty, and others in control of educational content for this educational activity have relevant financial relationship(s) to disclose with ineligible companies.

The material presented in this course represents information obtained from the scientific literature as well as the clinical experiences of the speakers. In some cases, the presentations might include discussion of investigational agents and/or off-label indications for various agents used in clinical practice. Speakers will inform the audience when they are discussing investigational and/or off-label uses.

Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

Acknowledgement

The activity was supported by Anthem.