SIBRT

Question 1

What does SIBRT stand for?

Answer 1

Screening, Brief Intervention, and referral to treatment

Question 2

What is the AUDIT screening used for?

Answer 2

Adults

Question 3

what is the Craft screening used for?

Answer 3

children

Question 4

What is SIBRT?

Answer 4

approach to deliver early intervention and treatment services for persons with potential high risk substance misuse

Question 5

what is the goal of SIBRT?

Answer 5

reduce and prevent related consequences, disease, accidents and injuries

Question 6

SBIRT process-screening

Answer 6

assess use and severity of alcohol, illicit drugs, and prescription drug use, misuse, or abuse

Question 7

SIBRT process- Brief intervention

Answer 7

motivational and awareness
takes 5-10 min
given to risky or problematic substance users

Question 8

SIBRT process- Referral to treatment

Answer 8

refer to specialty care for patient with substance disorders

Question 9

what is the outcome of SIBRT

Answer 9

prevents disease, accidents, and injuries
improves patient outcomes
reduces cost and healthcare utilization

Question 10

The joint commission and SAMSHA

Answer 10

screen all patients 18 and older
offer brief interventions for positive screens
provide alcohol and drug use disorder treatment at discharge

Question 11

Brief negotiated interview (BNI)

Answer 11

build rapport and ask permission to do screening
patient discusses pro’s and con’s and nurse summarizes (Pro’s- what do you get out of drinking, Con’s- how does it negatively effect you?)
discuss and interpret the score from screening Audit/Craft
determine patients motivation to change using readiness, confidence, and important rules (1- not ready, 10- ready)
negotiate action plan, strengths, supports and barriers, write down steps offer education, resources, give referrals, thank patients

Question 12

AUDIT screening

Answer 12

adults
annual screening
10 item screening tool developed to assess consumption and drinking behaviors
8 or more = hazardous drinking
show what 1 drink looks like

Question 13

AUDIT scoring

Answer 13

0- abstainers
1-7- low risk drinkers
8-19- high risk drinkers
20+- probable alcohol dependence

Question 14

CRAFFT screening

Answer 14

adolescents
developed by SADD, commitment to health and safety
ask pt 1st three questions about last 12 m period, if 0 go to part B and ask car safety questions, if anything other than zero ask RAFFT questions
if yes to two or more = serious problem
provide score and provide brief counseling

Question 15

brief counseling for CRAFFT

Answer 15

review
recommend
riding/driving
response
reinforce
Contract for life

Question 16

Risky drinking

Answer 16

use when pregnant, driving, taking certain medications, having certain medical conditions, in recovery from addiction, or if you cannot control drinking

Question 17

hazardous drinking

Answer 17

pattern that increases risk for adverse consequences

Question 18

harmful drinking

Answer 18

negative consequences have already occured

Question 19

positive scores for risky drinking

Answer 19

3 or more drinks for women and over the age of 65
4 or more drinks for men

Question 20

how much is 1 drink?

Answer 20

standard drink: 0..6oz of alcohol

Question 21

determines the patients motivation to change

Answer 21

assess importance, confidence, and readiness to change
assess on scale 1-10
assess how important it is for them to change
reinforce positives and hope
ask about a lower number ( I see you said a 7, why not a 5?)

Question 22

OARS

Answer 22

open ended questions
affirmation
reflective listening
summarizing
used during brief interview

Question 23

high risk alcohol consumption

Answer 23

healthy med more than 4 drinks in 1 night, more than 14 drinks in 1 week
healthy women and nonpregnant- more than 3 drinks a night and more than 7 drinks in 1 week

Question 24

strategies for cutting down drinking

Answer 24

count and measure your drinks
set a goal (Im only gonna have 2 drinks tonight)
eat if your gonna drink
plan to say no and be confident in your answer
sip and drink slow and alternate non alcoholic drinks

Question 25

outpatient counseling

Answer 25

individual or group meetings
provided weekly
includes motivational and cognitive behavioral methods

Question 26

acute treatment services

Answer 26

medical detoxification
medical intervention to withdraw from alcohol and drugs
length of stay usually 4-7 days followed by outpatient counseling

Question 27

clinical stabilization services

Answer 27

medical detox is complete and no medical supervision is required
residential counseling 7-10 days

Question 28

peer support groups

Answer 28

AA meetings
NA meetings
Al-anon groups

Question 29

nursing actions for SIBRT

Answer 29

encourage- no judgement
listen to what they are saying
express caring
hold individual responsible for behaviors
communicate the treatment plan to patient and treatment team
prioritize care needs