@article{ref1,
title="Emergency physician utilization of alcohol/substance screening, brief advice and discharge: a 10-year comparison",
journal="Journal of emergency medicine",
year="2015",
author="Broderick, Kerryann B. and Kaplan, Bonnie and Martini, Dyllon and Caruso, Emily",
volume="49",
number="4",
pages="400-407",
abstract="BACKGROUND: In 2007, of the 130 million emergency department (ED) visits, ∼ 38 million were due to injury, and of those, 1.9 million involved alcohol. The emergency department is a pivotal place to implement Screening, Brief Intervention, and Referral to Treatment (SBIRT) due to the high number of patients presenting with alcohol/substance abuse risk factors or related injuries. STUDY OBJECTIVE: This study compares two surveys, approximately 11 years apart, of emergency physicians nationwide which assesses the use of validated screening tools, the availability of community resources for alcohol/substance abuse treatment, and the prevailing attitudes of emergency physicians regarding Screening and Brief Intervention for alcohol/substance abuse. <br><br>METHODS: We performed cross-sectional anonymous surveys of 1500 emergency physicians drawn from American College of Emergency Physicians members. The survey results were compared for time interval change. <br><br>RESULTS: The two surveys had comparable response rates. The median percentage of patients screened for alcohol/substance abuse in 1999 was 15%, vs. 20% in 2010. In 2010, 26% of emergency physicians had a formal screening tool, and the majority used Cut-down, Annoyed, Guilty, Eye-opener (85%). In 2010, a statistically significant increase in the number of emergency physicians said they would &quot;always&quot; or &quot;almost always&quot; use discharge instructions that were specific for alcohol/substance abuse, if available, vs. 1999. <br><br>CONCLUSION: Few emergency physicians screen for alcohol/substance abuse despite evidence that screening and brief intervention is effective. Emergency physicians are receptive to the use of discharge material.<p /> <p>Language: en</p>",
language="en",
issn="0736-4679",
doi="10.1016/j.jemermed.2015.05.014",
url="http://dx.doi.org/10.1016/j.jemermed.2015.05.014"
}