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Purpose

Community health care centers’ attitudes regarding fasd education and screening and brief intervention (sbi). Purpose. To identify barriers to screening and brief intervention (SBI) in Community health centers (CHC). To determine current sbi practices in CHC. Methodology

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Purpose

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  1. Community health care centers’ attitudes regarding fasd education and screening and brief intervention (sbi)

  2. Purpose • To identify barriers to screening and brief intervention (SBI) in Community health centers (CHC). • To determine current sbi practices in CHC. Methodology • CHC RECRUITMENT AND PARTICIPATION • Population of interest: All CHCs in ‘M’ states, Virginia, the Virgin Islands, and Washington DC. • 78 email addresses for the population of interest were acquired through telephone calls to all CHCs. • Once email addresses were acquired, the participating CHCs were sent a recruitment email with the survey link attached. 26 responded and completed the survey (n=26). • SURVEY INCLUDED MULTIPLE CHOICE QUESTIONS, INCLUDING: • Types of screening instruments used, current SBI attitudes and practices, interest in receiving additional information, and follow up referral practices.

  3. Findings: sbi • 80% of responding CHCs screen patients for alcohol use disorders. • Of the 80%, 83.3% incorporate this information into electronic medical records.

  4. Findings:sbi • Of the 80% of CHCs that screen patients for alcohol use disorders, • 50% screen ALL patients • 41.7% screen just PREGNANT WOMEN • The remaining screen women of childbearing age and those with a history (self-disclosed or recorded) of substance use.

  5. Findings: sbi • For patients that are screened for alcohol use disorders: • 66.7% receive a ‘brief intervention’ post-screening. • 58% of patients received in-house referrals and treatment resources. • 42% of patients received outside referrals for substance abuse/addiction services. • The most typical screening method utilized at CHCs are the SBIRT and the CAGE • The Audit-C was not used as a screening method.

  6. Findings: sbi Of the 80% of CHCs that report screening for alcohol use disorders, aphysician and several levels of medical professionals (including PAs and RNs) administer the SBI. *other includes social workers and behavioral health specialist.

  7. Findings:fasd and alcohol & Pregnancy • 86.7 % of all responding CHCs (n=26) inform pregnant and women of childbearing age about the risks associated with prenatal alcohol use and FASD.

  8. Findings: future directions • 66.7% of participating CHCs (n=26) would like to receive free SBI trainings for professionals in the practice. • Even more participating CHCs (n=26), 86.7%, would like free FASD training and information on the risks of alcohol during pregnancy for professionals in the practice. • The CHCs that stated interests in SBI, FASD, and Alcohol & Pregnancy education and training prefer an online format compared to an in-service at the practice.

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